Explainable and Interpretable Machine Learning for Antimicrobial Stewardship : Opportunities and Challenges

Copyright © 2024 Elsevier Inc. All rights reserved..

There is growing interest in exploiting the advances in artificial intelligence and machine learning (ML) for improving and monitoring antimicrobial prescriptions in line with antimicrobial stewardship principles. Against this background, the concepts of interpretability and explainability are becoming increasingly essential to understanding how ML algorithms could predict antimicrobial resistance or recommend specific therapeutic agents, to avoid unintended biases related to the "black box" nature of complex models. In this commentary, we review and discuss some relevant topics on the use of ML algorithms for antimicrobial stewardship interventions, highlighting opportunities and challenges, with particular attention paid to interpretability and explainability of employed models. As in other fields of medicine, the exponential growth of artificial intelligence and ML indicates the potential for improving the efficacy of antimicrobial stewardship interventions, at least in part by reducing time-consuming tasks for overwhelmed health care personnel. Improving our knowledge about how complex ML models work could help to achieve crucial advances in promoting the appropriate use of antimicrobials, as well as in preventing antimicrobial resistance selection and dissemination.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Clinical therapeutics - (2024) vom: 21. März

Sprache:

Englisch

Beteiligte Personen:

Giacobbe, Daniele Roberto [VerfasserIn]
Marelli, Cristina [VerfasserIn]
Guastavino, Sabrina [VerfasserIn]
Mora, Sara [VerfasserIn]
Rosso, Nicola [VerfasserIn]
Signori, Alessio [VerfasserIn]
Campi, Cristina [VerfasserIn]
Giacomini, Mauro [VerfasserIn]
Bassetti, Matteo [VerfasserIn]

Links:

Volltext

Themen:

Antibiotics
Antimicrobial stewardship
Artificial intelligence
CDSS
Explainable AI
Journal Article
Machine learning

Anmerkungen:

Date Revised 22.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.clinthera.2024.02.010

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370089375