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基于机器学习技术,利用结核病患者临床特征预测耐药性的模型。

Model for predicting drug resistance based on the clinical profile of tuberculosis patients using machine learning techniques.

作者信息

Falcao Igor Wenner Silva, Cardoso Diego Lisboa, Coutinho Dos Santos Santos Albert Einstein, Paixao Erminio, Costa Fernando Augusto R, Figueiredo Karla, Carneiro Saul, Seruffo Marcos César da Rocha

机构信息

Institute of Technology, Federal University of Para, Belém, PA, Brazil.

Center for Higher Amazon Studies, Federal University of Para, Belém, PA, Brazil.

出版信息

PeerJ Comput Sci. 2024 Oct 14;10:e2246. doi: 10.7717/peerj-cs.2246. eCollection 2024.

DOI:10.7717/peerj-cs.2246
PMID:39650511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11623081/
Abstract

Tuberculosis (TB) is a disease caused by the bacterium and despite effective treatments, still affects millions of people worldwide. The advent of new treatments has not eliminated the significant challenge of TB drug resistance. Repeated and inadequate exposure to drugs has led to the development of strains of the bacteria that are resistant to conventional treatments, making the eradication of the disease even more complex. In this context, it is essential to seek more effective approaches to fighting TB. This article proposes a model for predicting drug resistance based on the clinical profile of TB patients, using machine learning techniques. The model aims to optimize the work of health professionals directly involved with tuberculosis patients, driving the creation of new containment strategies and preventive measures, as it specifies the clinical data that has the greatest impact and identifies the individuals with the greatest predisposition to develop resistance to anti-tuberculosis drugs. The results obtained show, in one of the scenarios, a probability of development of 70% and an accuracy of 84.65% for predicting drug resistance.

摘要

结核病(TB)是一种由细菌引起的疾病,尽管有有效的治疗方法,但仍影响着全球数百万人。新治疗方法的出现并未消除结核病耐药性这一重大挑战。反复且不充分地接触药物导致了对传统治疗有耐药性的细菌菌株的出现,使得根除该疾病变得更加复杂。在这种背景下,寻求更有效的结核病防治方法至关重要。本文提出了一种基于结核病患者临床特征,利用机器学习技术预测耐药性的模型。该模型旨在优化直接参与结核病患者治疗工作的医护人员的工作,推动制定新的控制策略和预防措施,因为它明确了具有最大影响的临床数据,并识别出最易产生抗结核药物耐药性的个体。在其中一种情况下,所获得的结果显示预测耐药性的发生概率为70%,准确率为84.65%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/9461d01193d5/peerj-cs-10-2246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/4da3501c1120/peerj-cs-10-2246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/5463f86d8370/peerj-cs-10-2246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/9461d01193d5/peerj-cs-10-2246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/4da3501c1120/peerj-cs-10-2246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/5463f86d8370/peerj-cs-10-2246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61d/11623081/9461d01193d5/peerj-cs-10-2246-g003.jpg

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Antibiotic Resistance and Its Impact on Disease Management.抗生素耐药性及其对疾病管理的影响。
Cureus. 2023 Apr 28;15(4):e38251. doi: 10.7759/cureus.38251. eCollection 2023 Apr.
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Development of CART model for prediction of tuberculosis treatment loss to follow up in the state of São Paulo, Brazil: A case-control study.巴西圣保罗州建立预测结核病治疗失访的 CART 模型:一项病例对照研究。
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Machine Learning Predicts Accurately Drug Resistance From Whole Genome Sequencing Data.机器学习可根据全基因组测序数据准确预测耐药性。
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