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Applications of Machine Learning on Electronic Health Record Data to Combat Antibiotic Resistance
Samuel E Blechman1, Erik S Wright1,2
1Department of Biomedical Informatics, University of Pittsburgh, Pennsylvania.
Artificial intelligence (AI) and machine learning (ML) show promise for improving antimicrobial resistance strategies using electronic health records. However, practical challenges limit widespread clinical adoption of these powerful predictive models.
Area of Science:
- Biomedical Informatics
- Computational Biology
- Clinical Research
Background:
- Growing interest in artificial intelligence (AI) and machine learning (ML) for clinical applications.
- Advancements in computing and ML frameworks facilitate predictive model training with electronic health record (EHR) data.
Purpose of the Study:
- To provide a primer on ML techniques applicable to EHR data.
- To explore the application of ML in addressing antimicrobial resistance (AMR).
Main Methods:
- Review of ML approaches for EHR data challenges.
- Case studies on using EHR data for ML models in AMR: predicting pathogen carriage/infection, optimizing empiric therapy, and supporting antimicrobial stewardship.
Main Results:
- ML models can be constructed using EHR data for various AMR-related tasks.
- Demonstrated potential of ML in promoting appropriate antimicrobial use.
Conclusions:
- ML holds significant promise for enhancing antimicrobial stewardship and combating resistance.
- Clinical deployment of ML models faces limitations due to practical and implementation barriers.
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