Machine-learning-based risk assessment tool to rule out empirical use of ESBL-targeted therapy in endemic areas.

Journal: The Journal of hospital infection
PMID:

Abstract

BACKGROUND: Antimicrobial stewardship focuses on identifying patients who require extended-spectrum beta-lactamase (ESBL)-targeted therapy. 'Rule-in' tools have been researched extensively in areas of low endemicity; however, such tools are inadequate for areas with high prevalence of ESBL-producing pathogens, as almost all patients will be selected.

Authors

  • H D Ravkin
    Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
  • R M Ravkin
    Department of Medical Applications, Clalit Health Services, Tel-Aviv, Israel.
  • E Rubin
    Shraga Segal Department of Microbiology, Immunology and Genetics, Ben-Gurion University of the Negev, Beer Sheva, Israel.
  • L Nesher
    Goldman Medical School, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; Infectious Diseases Institute, Soroka University Medical Centre, Beer-Sheva, Israel. Electronic address: nesherke@bgu.ac.il.