Antibiotic resistant bacteria, a growing health crisis, arise due to antibiotic overuse and misuse. Resistant infections endanger the lives of patients and are financially burdensome. Aggregate antimicrobial susceptibility reports, called antibiograms, are critical for tracking antibiotic susceptibility and evaluating the likelihood of the effectiveness of different antibiotics to treat an infection prior to the availability of patient specific susceptibility data. This research leverages the Massachusetts Statewide Antibiogram database, a rich dataset composed of antibiograms for $754$ antibiotic-bacteria pairs collected by the Massachusetts Department of Public Health from $2002$ to $2016$. However, these antibiograms are at least a year old, meaning antibiotics are prescribed based on outdated data which unnecessarily furthers resistance. Our objective is to employ data science techniques on these antibiograms to assist in developing more responsible antibiotic prescription practices. First, we use model selectors with regression-based techniques to forecast the current antimicrobial resistance. Next, we develop an assistant to immediately identify clinically and statistically significant changes in antimicrobial resistance between years once the most recent year of antibiograms are collected. Lastly, we use k-means clustering on resistance trends to detect antibiotic-bacteria pairs with resistance trends for which forecasting will not be effective. These three strategies can be implemented to guide more responsible antibiotic prescription practices and thus reduce unnecessary increases in antibiotic resistance.
| Identifer | oai:union.ndltd.org:wpi.edu/oai:digitalcommons.wpi.edu:etd-theses-2339 |
| Date | 31 May 2018 |
| Creators | Tlachac, Monica |
| Contributors | Elke Rundensteiner, Advisor, Jian Zou |
| Publisher | Digital WPI |
| Source Sets | Worcester Polytechnic Institute |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Masters Theses (All Theses, All Years) |
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