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Table 6 A summary on the details of ML, strengths and limitations of the studies on pathogens of periprosthetic joint infection

From: Application of machine learning in the prevention of periprosthetic joint infection following total knee arthroplasty: a systematic review

First author [Ref.]

ML application

Algorithm

Statistical performance

Strengths

Limitations

Davis, J.J. (2016) [14]

Used ML-based NGS-based pAST method to predict the antibiotic susceptibility status of Staphylococcus aureus on methicillin

Adaptive boosting

Area under the receiver operating characteristic curve: 0.991. Accuracy: 99.5%. F1 score: 0.995

_

No external validation

Drouin, A. (2019) [15]

Used ML-based NGS-based pAST method to predict the antibiotic susceptibility status of:

Staphylococcus aureus: Methicillin, Enterococcus faecium: Vancomycin, Escherichia coli: Amoxicillin/Clavulanic acid, Klebsiella pneumoniae: Gentamicin, Pseudomonas aeruginosa: Levofloxacin

Set Covering Machine

Accuracy: Staphylococcus aureus: 98.7%; Enterococcus faecium: 100.0%; Escherichia coli: 81.8%; Klebsiella pneumoniae: 95.0%; Pseudomonas aeruginosa: 93.9%

No prior knowledge of the genome was needed; some comprehensive tutorials were provided for visualization and annotation of the model

No external validation

Moradigaravand, D. (2018) [16]

Used ML-based NGS-based pAST method to predict the antibiotic susceptibility status of Escherichia coli to 11 antibiotics

Gradient-boosting decision tree

Average accuracy: 91.0% (range: 81.0%–97.0%)

The ML model’s performance was compared with a rule-based model; ML outperformed the rule-based model; no prior knowledge of the biological mechanism was needed

No external validation

  1. ML Machine learning, NGS Next-generation sequencing, PAST Predictive antimicrobial susceptibility testing