Evidence map›Paper›PMID 39572574›Full record

ArticleNature communications2024

Personalised antimicrobial susceptibility testing with clinical prediction modelling informs appropriate antibiotic use.

Alex Howard, David M Hughes, Peter L Green, Anoop Velluva, Alessandro Gerada, Simon Maskell, Iain E Buchan, William Hope

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Predicting macrolide resistance in pediatric Mycoplasma pneumoniae pneumonia: A machine learning modeling study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alex HowardDepartment of Clinical Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, William Henry Duncan Building, 6 West Derby Street, University of Liverpool, Liverpool, L7 8TX, UK. alexander.howard@liverpool.ac.uk.ORCID 0000-0002-4195-6821
David M HughesDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Waterhouse Building Block B, Brownlow Street, Liverpool, L69 3GF, UK.
Peter L GreenCivic Health Innovation Labs, University of Liverpool, Liverpool Science Park, 131 Mount Pleasant, Liverpool, L3 5TF, UK.ORCID 0000-0002-6279-3769
Anoop VelluvaDepartment of Clinical Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, William Henry Duncan Building, 6 West Derby Street, University of Liverpool, Liverpool, L7 8TX, UK.
Alessandro GeradaDepartment of Clinical Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, William Henry Duncan Building, 6 West Derby Street, University of Liverpool, Liverpool, L7 8TX, UK.ORCID 0000-0002-6743-4271
Simon MaskellDepartment of Electrical Engineering and Electronics, School of Electrical Engineering, Electronics, and Computer Science, University of Liverpool, The Quadrangle, Brownlow Hill, L69 3GH, Liverpool, UK.ORCID 0000-0003-1917-2913
Iain E BuchanCivic Health Innovation Labs, University of Liverpool, Liverpool Science Park, 131 Mount Pleasant, Liverpool, L3 5TF, UK.ORCID 0000-0003-3392-1650
William HopeDepartment of Clinical Pharmacology and Therapeutics, Institute of Systems, Molecular and Integrative Biology, William Henry Duncan Building, 6 West Derby Street, University of Liverpool, Liverpool, L7 8TX, UK.ORCID 0000-0001-6187-878X

Funding

Wellcome TrustWellcome Trust (Wellcome) 226691/Z/22/Z
6 · The paper itself

Abstract

Antimicrobial susceptibility testing is a key weapon against antimicrobial resistance. Diagnostic microbiology laboratories use one-size-fits-all testing approaches that are often imprecise, inefficient, and inequitable. Here, we report a personalised approach that adapts laboratory testing for urinary tract infection to maximise the number of appropriate treatment options for each patient. We develop and assess susceptibility prediction models for 12 antibiotics on real-world healthcare data using an individual-level simulation study. When combined with decision thresholds that prioritise selection of World Health Organisation Access category antibiotics (those least likely to induce antimicrobial resistance), the personalised approach delivers more susceptible results (results that encourage prescription of that antibiotic) per specimen for Access category antibiotics than a standard testing approach, without compromising provision of susceptible results overall. Here, we show that personalised antimicrobial susceptibility testing could help tackle antimicrobial resistance by safely providing more Access category antibiotic treatment options to clinicians managing urinary tract infection.

Indexed as

Anti-Bacterial AgentsMicrobial Sensitivity TestsUrinary Tract InfectionsComputer SimulationDrug Resistance, BacterialFemaleHumansMalePrecision MedicineAnti-Bacterial Agents

Identifiers

PMID39572574
PMCPMC11582675

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.