PMID- 25480675 OWN - NLM STAT- MEDLINE DCOM- 20151023 LR - 20181202 IS - 1471-2334 (Electronic) IS - 1471-2334 (Linking) VI - 14 DP - 2014 Dec 6 TI - Forecasting ESKAPE infections through a time-varying auto-adaptive algorithm using laboratory-based surveillance data. PG - 634 LID - 10.1186/s12879-014-0634-9 [doi] LID - 634 AB - BACKGROUND: Mathematical or statistical tools are capable to provide a valid help to improve surveillance systems for healthcare and non-healthcare-associated bacterial infections. The aim of this work is to evaluate the time-varying auto-adaptive (TVA) algorithm-based use of clinical microbiology laboratory database to forecast medically important drug-resistant bacterial infections. METHODS: Using TVA algorithm, six distinct time series were modelled, each one representing the number of episodes per single 'ESKAPE' (E nterococcus faecium, S taphylococcus aureus, K lebsiella pneumoniae, A cinetobacter baumannii, P seudomonas aeruginosa and E nterobacter species) infecting pathogen, that had occurred monthly between 2002 and 2011 calendar years at the Universita Cattolica del Sacro Cuore general hospital. RESULTS: Monthly moving averaged numbers of observed and forecasted ESKAPE infectious episodes were found to show a complete overlapping of their respective smoothed time series curves. Overall good forecast accuracy was observed, with percentages ranging from 82.14% for E. faecium infections to 90.36% for S. aureus infections. CONCLUSIONS: Our approach may regularly provide physicians with forecasted bacterial infection rates to alert them about the spread of antibiotic-resistant bacterial species, especially when clinical microbiological results of patients' specimens are delayed. FAU - Ballarin, Antonio AU - Ballarin A AD - Arkegos International Study Centre, Rome, Italy. fsbba@libero.it. AD - Advanced Research Centre for Applied Science, Rome, Italy. fsbba@libero.it. FAU - Posteraro, Brunella AU - Posteraro B AD - Institute of Public Health (Section of Hygiene), Universita Cattolica del Sacro Cuore, Rome, Italy. bposteraro@rm.unicatt.it. FAU - Demartis, Giuseppe AU - Demartis G AD - Arkegos International Study Centre, Rome, Italy. g.demartis@arkegos.org. FAU - Gervasi, Simona AU - Gervasi S AD - Advanced Research Centre for Applied Science, Rome, Italy. siger21@libero.it. FAU - Panzarella, Fabrizio AU - Panzarella F AD - Arkegos International Study Centre, Rome, Italy. f.panzarella@arkegos.org. FAU - Torelli, Riccardo AU - Torelli R AD - Institute of Microbiology, Universita Cattolica del Sacro Cuore, 00168 Largo F. Vito 1, Rome, Italy. riccardo.torelli@rm.unicatt.it. FAU - Paroni Sterbini, Francesco AU - Paroni Sterbini F AD - Institute of Microbiology, Universita Cattolica del Sacro Cuore, 00168 Largo F. Vito 1, Rome, Italy. francisco.paronisterbini@rm.unicatt.it. FAU - Morandotti, Grazia AU - Morandotti G AD - Institute of Microbiology, Universita Cattolica del Sacro Cuore, 00168 Largo F. Vito 1, Rome, Italy. morandotti@rm.unicatt.it. FAU - Posteraro, Patrizia AU - Posteraro P AD - Clinical Laboratory, Ospedale San Carlo, Rome, Italy. p.posteraro@idi.it. FAU - Ricciardi, Walter AU - Ricciardi W AD - Institute of Public Health (Section of Hygiene), Universita Cattolica del Sacro Cuore, Rome, Italy. wricciardi@rm.unicatt.it. FAU - Gervasi Vidal, Kristian A AU - Gervasi Vidal KA AD - IMT Institute for Advanced Studies, Lucca, Italy. krisgerv@gmail.com. FAU - Sanguinetti, Maurizio AU - Sanguinetti M AD - Institute of Microbiology, Universita Cattolica del Sacro Cuore, 00168 Largo F. Vito 1, Rome, Italy. msanguinetti@rm.unicatt.it. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141206 PL - England TA - BMC Infect Dis JT - BMC infectious diseases JID - 100968551 RN - 0 (Anti-Bacterial Agents) SB - IM MH - *Algorithms MH - Anti-Bacterial Agents/therapeutic use MH - Bacterial Infections/drug therapy/epidemiology/*microbiology MH - Drug Resistance, Bacterial MH - Female MH - Forecasting/methods MH - Gram-Negative Bacteria/*isolation & purification MH - Gram-Positive Bacteria/*isolation & purification MH - Humans MH - Italy/epidemiology MH - Male MH - Middle Aged MH - Models, Statistical MH - Population Surveillance MH - Staphylococcus aureus MH - Time Factors PMC - PMC4266976 EDAT- 2014/12/07 06:00 MHDA- 2015/10/24 06:00 PMCR- 2014/12/06 CRDT- 2014/12/07 06:00 PHST- 2014/02/17 00:00 [received] PHST- 2014/11/13 00:00 [accepted] PHST- 2014/12/07 06:00 [entrez] PHST- 2014/12/07 06:00 [pubmed] PHST- 2015/10/24 06:00 [medline] PHST- 2014/12/06 00:00 [pmc-release] AID - s12879-014-0634-9 [pii] AID - 634 [pii] AID - 10.1186/s12879-014-0634-9 [doi] PST - epublish SO - BMC Infect Dis. 2014 Dec 6;14:634. doi: 10.1186/s12879-014-0634-9.