基于非碳青霉烯类药敏谱的耐碳青霉烯肺炎克雷伯菌血流感染机器学习早期预警模型的开发与验证

基于中国60家医院13,072株肺炎克雷伯菌血流分离株的非碳青霉烯药敏数据,开发并验证CRKP血流感染机器学习早期预警模型。

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表格耐碳青霉烯肺炎克雷伯菌血流感染表格数据
Development and Validation of a Machine Learning-Based Early Warning Model for Carbapenem-Resistant Klebsiella pneumoniae Bloodstream Infections Using Non-Carbapenem Susceptibility Profiles

基本信息

模态
表格
大小
0.000013973 GB
创建/更新时间
2026-10-10

资源简介

该数据集/研究围绕耐碳青霉烯肺炎克雷伯菌(CRKP)血流感染早期预警,分析中国60家医院2014—2023年收集的13,072株肺炎克雷伯菌血流分离株多中心监测数据。模型输入为非碳青霉烯类抗菌药物药敏解释,排除碳青霉烯类结果,并按时间划分为训练集(2014—2021)、验证集(2022)和测试集(2023)。研究开发并比较Logistic回归、XGBoost和CatBoost模型,采用判别能力、校准、决策曲线分析(DCA)和SHAP可解释性进行评估。XGBoost整体表现最佳,测试集ROC-AUC为0.993、PR-AUC为0.973,Brier分数最低(0.018);在约0.95敏感度目标阈值下,敏感度0.924、特异度0.989、阳性预测值0.944、阴性预测值0.986。SHAP分析识别了关键非碳青霉烯药敏特征。数据模态为表格型药敏监测数据,任务为机器学习二分类风险预测/早期预警,用途是支持实验室层面的CRKP血流感染风险分层并补充常规药敏检测。

官方服务

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下载信息

注册下载

需要注册 Kaggle 账号并登录后下载,适合需要跟踪下载记录和使用 API 的用户。

暂未开放

公开下载

无需注册即可直接获取公开样本或文档,适合快速预览和评估数据集质量。

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公开数据集受托下载与技术交付服务。

提供高速下载与技术交付服务(收技术服务费,非数据销售)

暂未开放

当前数据集主要来源为 Kaggle 公开托管,完整影像包建议通过原始链接或 Kaggle API 获取。

使用方式

数据集获取(Figshare)

命令行下载

curl -L -o "Table 1_Development and validation of a machine learning–based early warning model for carbapenem-resistant Klebsiella pneumoniae bloodstream infectio.docx" "https://ndownloader.figshare.com/files/63378363"

文件清单

  • Table 1_Development and validation of a machine learning–based early warning model for carbapenem-resistant Klebsiella pneumoniae bloodstream infectio.docx(13.97 KB)

文件总体积 13.97 KB(源站 API 实测)。

数据加载示例(图像类)

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Carbapenem-resistant Klebsiella pneumoniae (CRKP) is a major cause of bloodstream infections with limited therapeutic options. Definitive carbapenem susceptibility results are often obtained late in the laboratory workflow, highlighting the need for early warning tools to support timely risk stratification. We analyzed multicenter surveillance data from the Bloodstream Infection Resistance Surveillance Consortium, including 13,072 K. pneumoniae bloodstream isolates collected from 60 hospitals in China between 2014 and 2023. Non-carbapenem antimicrobial susceptibility interpretations were used as model inputs, while carbapenem results were excluded. Data were split chronologically into training (2014–2021), validation (2022), and test (2023) sets. Logistic regression, XGBoost, and CatBoost models were developed and evaluated using discrimination, calibration, decision curve analysis (DCA), and SHAP-based interpretability. XGBoost demonstrated the best overall performance, achieving higher discrimination with a ROC-AUC of 0.993 and a PR-AUC of 0.973 on the test set, along with superior calibration as reflected by the lowest Brier score (0.018). At a sensitivity-targeted threshold (~0.95), XGBoost maintained high sensitivity (0.924), excellent specificity (0.989), and a favorable positive predictive value (0.944), while preserving a high negative predictive value (0.986). SHAP analysis identified key non-carbapenem susceptibility features contributing to CRKP risk prediction. Non-carbapenem susceptibility profiles enable early identification of CRKP bloodstream infections. A machine learning–based early warning model, particularly XGBoost, may support laboratory-based risk stratification and complement conventional susceptibility testing.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.3389/fmicb.2026.1807076.s002(source: https://frontiersin.figshare.com/articles/dataset/Table_1_Development_and_validation_of_a_machine_learning_based_early_warning_model_for_carbapenem-resistant_Klebsiella_pneumoniae_bloodstream_infections_using_non-carbapenem_susceptibility_profiles_docx/31916121)。

数据缺失?

依托陕西、四川两大基地,我们与超过十家三甲医院建立直接合作关系,覆盖合规授权、采集治理、专业标注、数据交付的全流程,为AI医疗团队提供即拿即用的高质量临床数据。

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