mirror of https://github.com/msberends/AMR.git
223 lines
11 KiB
R
Executable File
223 lines
11 KiB
R
Executable File
# ==================================================================== #
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# TITLE #
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# Antimicrobial Resistance (AMR) Analysis #
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# #
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# AUTHORS #
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# Berends MS (m.s.berends@umcg.nl), Luz CF (c.f.luz@umcg.nl) #
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# #
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# LICENCE #
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# This program is free software; you can redistribute it and/or modify #
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# it under the terms of the GNU General Public License version 2.0, #
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# as published by the Free Software Foundation. #
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# #
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# This program is distributed in the hope that it will be useful, #
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# but WITHOUT ANY WARRANTY; without even the implied warranty of #
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# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the #
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# GNU General Public License for more details. #
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# ==================================================================== #
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#' Data set with 423 antibiotics
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#'
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#' A data set containing all antibiotics with a J0 code and some other antimicrobial agents, with their DDDs. Except for trade names and abbreviations, all properties were downloaded from the WHO, see Source.
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#' @format A \code{\link{tibble}} with 423 observations and 18 variables:
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#' \describe{
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#' \item{\code{atc}}{ATC code, like \code{J01CR02}}
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#' \item{\code{certe}}{Certe code, like \code{amcl}}
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#' \item{\code{umcg}}{UMCG code, like \code{AMCL}}
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#' \item{\code{abbr}}{Abbreviation as used by many countries, used internally by \code{\link{as.atc}}}
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#' \item{\code{official}}{Official name by the WHO, like \code{"Amoxicillin and beta-lactamase inhibitor"}}
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#' \item{\code{official_nl}}{Official name in the Netherlands, like \code{"Amoxicilline met enzymremmer"}}
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#' \item{\code{trivial_nl}}{Trivial name in Dutch, like \code{"Amoxicilline/clavulaanzuur"}}
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#' \item{\code{trade_name}}{Trade name as used by many countries (a total of 294), used internally by \code{\link{as.atc}}}
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#' \item{\code{oral_ddd}}{Defined Daily Dose (DDD), oral treatment}
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#' \item{\code{oral_units}}{Units of \code{ddd_units}}
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#' \item{\code{iv_ddd}}{Defined Daily Dose (DDD), parenteral treatment}
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#' \item{\code{iv_units}}{Units of \code{iv_ddd}}
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#' \item{\code{atc_group1}}{ATC group, like \code{"Macrolides, lincosamides and streptogramins"}}
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#' \item{\code{atc_group2}}{Subgroup of \code{atc_group1}, like \code{"Macrolides"}}
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#' \item{\code{atc_group1_nl}}{ATC group in Dutch, like \code{"Macroliden, lincosamiden en streptograminen"}}
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#' \item{\code{atc_group2_nl}}{Subgroup of \code{atc_group1} in Dutch, like \code{"Macroliden"}}
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#' \item{\code{useful_gramnegative}}{\code{FALSE} if not useful according to EUCAST, \code{NA} otherwise (see Source)}
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#' \item{\code{useful_grampositive}}{\code{FALSE} if not useful according to EUCAST, \code{NA} otherwise (see Source)}
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#' }
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#' @source - World Health Organization: \url{https://www.whocc.no/atc_ddd_index/} \cr - EUCAST - Expert rules intrinsic exceptional V3.1 \cr - MOLIS (LIS of Certe): \url{https://www.certe.nl} \cr - GLIMS (LIS of UMCG): \url{https://www.umcg.nl}
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#' @seealso \code{\link{microorganisms}}
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# use this later to further fill AMR::antibiotics
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# drug <- "Ciprofloxacin"
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# url <- xml2::read_html(paste0("https://www.ncbi.nlm.nih.gov/pccompound?term=", drug)) %>%
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# html_nodes(".rslt") %>%
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# .[[1]] %>%
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# html_nodes(".title a") %>%
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# html_attr("href") %>%
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# gsub("/compound/", "/rest/pug_view/data/compound/", ., fixed = TRUE) %>%
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# paste0("/XML/?response_type=display")
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# synonyms <- url %>%
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# read_xml() %>%
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# xml_contents() %>% .[[6]] %>%
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# xml_contents() %>% .[[8]] %>%
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# xml_contents() %>% .[[3]] %>%
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# xml_contents() %>% .[[3]] %>%
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# xml_contents() %>%
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# paste() %>%
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# .[. %like% "StringValueList"] %>%
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# gsub("[</]+StringValueList[>]", "", .)
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# last two columns created with:
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# antibiotics %>%
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# mutate(useful_gramnegative =
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# if_else(
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# atc_group1 %like% '(fusidic|glycopeptide|macrolide|lincosamide|daptomycin|linezolid)' |
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# atc_group2 %like% '(fusidic|glycopeptide|macrolide|lincosamide|daptomycin|linezolid)' |
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# official %like% '(fusidic|glycopeptide|macrolide|lincosamide|daptomycin|linezolid)',
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# FALSE,
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# NA
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# ),
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# useful_grampositive =
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# if_else(
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# atc_group1 %like% '(aztreonam|temocillin|polymyxin|colistin|nalidixic)' |
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# atc_group2 %like% '(aztreonam|temocillin|polymyxin|colistin|nalidixic)' |
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# official %like% '(aztreonam|temocillin|polymyxin|colistin|nalidixic)',
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# FALSE,
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# NA
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# )
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# )
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#
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# ADD NEW TRADE NAMES FROM OTHER DATAFRAME
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# antibiotics_add_to_property <- function(ab_df, atc, property, value) {
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# if (length(atc) > 1L) {
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# stop("only one atc at a time")
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# }
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# if (!property %in% c("abbr", "trade_name")) {
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# stop("only possible for abbr and trade_name")
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# }
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#
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# value <- gsub(ab_df[which(ab_df$atc == atc),] %>% pull("official"), "", value, fixed = TRUE)
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# value <- gsub("||", "|", value, fixed = TRUE)
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# value <- gsub("[äáàâ]", "a", value)
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# value <- gsub("[ëéèê]", "e", value)
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# value <- gsub("[ïíìî]", "i", value)
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# value <- gsub("[öóòô]", "o", value)
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# value <- gsub("[üúùû]", "u", value)
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# if (!atc %in% ab_df$atc) {
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# message("SKIPPING - UNKNOWN ATC: ", atc)
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# }
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# if (is.na(value)) {
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# message("SKIPPING - VALUE MISSES: ", atc)
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# }
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# if (atc %in% ab_df$atc & !is.na(value)) {
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# current <- ab_df[which(ab_df$atc == atc),] %>% pull(property)
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# if (!is.na(current)) {
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# value <- paste(current, value, sep = "|")
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# }
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# value <- strsplit(value, "|", fixed = TRUE) %>% unlist() %>% unique() %>% paste(collapse = "|")
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# value <- gsub("||", "|", value, fixed = TRUE)
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# # print(value)
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# ab_df[which(ab_df$atc == atc), property] <- value
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# message("Added ", value, " to ", ab_official(atc), " (", atc, ", ", ab_certe(atc), ")")
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# }
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# ab_df
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# }
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#
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"antibiotics"
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#' Data set with human pathogenic microorganisms
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#'
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#' A data set containing 2,664 (potential) human pathogenic microorganisms. MO codes can be looked up using \code{\link{guess_mo}}.
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#' @format A \code{\link{tibble}} with 2,664 observations and 12 variables:
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#' \describe{
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#' \item{\code{mo}}{ID of microorganism}
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#' \item{\code{bactsys}}{Bactsyscode of microorganism}
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#' \item{\code{family}}{Family name of microorganism}
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#' \item{\code{genus}}{Genus name of microorganism, like \code{"Echerichia"}}
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#' \item{\code{species}}{Species name of microorganism, like \code{"coli"}}
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#' \item{\code{subspecies}}{Subspecies name of bio-/serovar of microorganism, like \code{"EHEC"}}
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#' \item{\code{fullname}}{Full name, like \code{"Echerichia coli (EHEC)"}}
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#' \item{\code{type}}{Type of microorganism, like \code{"Bacteria"} and \code{"Fungus/yeast"}}
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#' \item{\code{gramstain}}{Gram of microorganism, like \code{"Negative rods"}}
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#' \item{\code{aerobic}}{Logical whether bacteria is aerobic}
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#' \item{\code{type_nl}}{Type of microorganism in Dutch, like \code{"Bacterie"} and \code{"Schimmel/gist"}}
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#' \item{\code{gramstain_nl}}{Gram of microorganism in Dutch, like \code{"Negatieve staven"}}
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#' }
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# source MOLIS (LIS of Certe) - \url{https://www.certe.nl}
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# new <- microorganisms %>% filter(genus == "Bacteroides") %>% .[1,]
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# new[1, 'mo'] <- "DIAPNU"
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# new[1, 'bactsys'] <- "DIAPNU"
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# new[1, 'family'] <- "Veillonellaceae"
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# new[1, 'genus'] <- "Dialister"
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# new[1, 'species'] <- "pneumosintes"
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# new[1, 'subspecies'] <- NA
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# new[1, 'fullname'] <- paste(new[1, 'genus'], new[1, 'species'])
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# microorganisms <- microorganisms %>% bind_rows(new) %>% arrange(mo)
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#' @seealso \code{\link{guess_mo}} \code{\link{antibiotics}} \code{\link{microorganisms.umcg}}
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"microorganisms"
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#' Translation table for UMCG with ~1,100 microorganisms
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#'
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#' A data set containing all bacteria codes of UMCG MMB. These codes can be joined to data with an ID from \code{\link{microorganisms}$mo} (using \code{\link{left_join_microorganisms}}). GLIMS codes can also be translated to valid \code{MO}s with \code{\link{guess_mo}}.
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#' @format A \code{\link{tibble}} with 1,090 observations and 2 variables:
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#' \describe{
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#' \item{\code{umcg}}{Code of microorganism according to UMCG MMB}
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#' \item{\code{mo}}{Code of microorganism in \code{\link{microorganisms}}}
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#' }
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# source MOLIS (LIS of Certe) - \url{https://www.certe.nl} \cr \cr GLIMS (LIS of UMCG) - \url{https://www.umcg.nl}
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#' @seealso \code{\link{guess_mo}} \code{\link{microorganisms}}
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"microorganisms.umcg"
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#' Data set with 2000 blood culture isolates of septic patients
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#'
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#' An anonymised data set containing 2,000 microbial blood culture isolates with their full antibiograms found in septic patients in 4 different hospitals in the Netherlands, between 2001 and 2017. It is true, genuine data. This \code{data.frame} can be used to practice AMR analysis. For examples, press F1.
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#' @format A \code{\link{tibble}} with 2,000 observations and 49 variables:
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#' \describe{
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#' \item{\code{date}}{date of receipt at the laboratory}
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#' \item{\code{hospital_id}}{ID of the hospital, from A to D}
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#' \item{\code{ward_icu}}{logical to determine if ward is an intensive care unit}
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#' \item{\code{ward_clinical}}{logical to determine if ward is a regular clinical ward}
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#' \item{\code{ward_outpatient}}{logical to determine if ward is an outpatient clinic}
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#' \item{\code{age}}{age of the patient}
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#' \item{\code{sex}}{sex of the patient}
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#' \item{\code{patient_id}}{ID of the patient, first 10 characters of an SHA hash containing irretrievable information}
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#' \item{\code{mo}}{ID of microorganism, see \code{\link{microorganisms}}}
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#' \item{\code{peni:rifa}}{40 different antibiotics with class \code{rsi} (see \code{\link{as.rsi}}); these column names occur in \code{\link{antibiotics}} data set and can be translated with \code{\link{abname}}}
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#' }
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# source MOLIS (LIS of Certe) - \url{https://www.certe.nl}
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#' @examples
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#' # ----------- #
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#' # PREPARATION #
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#' # ----------- #
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#'
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#' # Save this example data set to an object, so we can edit it:
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#' my_data <- septic_patients
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#'
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#' # load the dplyr package to make data science A LOT easier
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#' library(dplyr)
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#'
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#' # Add first isolates to our data set:
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#' my_data <- my_data %>%
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#' mutate(first_isolates = first_isolate(my_data, "date", "patient_id", "mo"))
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#'
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#' # -------- #
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#' # ANALYSIS #
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#' # -------- #
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#'
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#' # 1. Get the amoxicillin resistance percentages (p)
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#' # and numbers (n) of E. coli, divided by hospital:
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#'
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#' my_data %>%
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#' filter(mo == guess_mo("E. coli"),
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#' first_isolates == TRUE) %>%
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#' group_by(hospital_id) %>%
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#' summarise(n = n_rsi(amox),
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#' p = portion_IR(amox))
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#'
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#'
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#' # 2. Get the amoxicillin/clavulanic acid resistance
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#' # percentages of E. coli, trend over the years:
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#'
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#' my_data %>%
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#' filter(mo == guess_mo("E. coli"),
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#' first_isolates == TRUE) %>%
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#' group_by(year = format(date, "%Y")) %>%
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#' summarise(n = n_rsi(amcl),
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#' p = portion_IR(amcl, minimum = 20))
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"septic_patients"
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