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Record W4392545376 · doi:10.1016/s2666-5247(24)00003-x

System-wide approaches to antimicrobial therapy and antimicrobial resistance in the UK: the AMR-X framework

2024· review· en· W4392545376 on OpenAlexafffund
Kathryn M. Abel, Emily Agnew, James Amos, Natalie Armstrong, Darius Armstrong‐James, Stephen Aston, J. Kenneth Baillie, Steve Baldwin, Gavin Barlow, Victoria Bartle, Julia Bielicki, Colin Brown, Enitan D. Carrol, Michelle Clements, G Cooke, Aaron Dane, Paul Dark, Jeremy Day, Anthony De Soyza, Andrew W. Dowsey, Stephanie Evans, David W. Eyre, Timothy Felton, Tom Fowler, Robbie Foy, K.S. Gannon, Alessandro Gerada, Anna L. Goodman, Tracy Harman, Gail Hayward, Alison Holmes, Susan Hopkins, Philip Howard, Alexander Howard, Yingfen Hsia, Gwenan M. Knight, James Koh, Alasdair MacGowan, Charis Marwick, Catrin E. Moore, Seamus O’Brien, Raymond Oppong, Sharon J. Peacock, Sarah Pett, Koen B. Pouwels, Chris Queree, Najib M. Rahman, Mark Sculpher, Laura Shallcross, Jasvinder A. Singh, Karen Stoddart, Emma Thomas‐Jones, Andrew Townsend, Andrew Ustianowski, Tjeerd van Staa, Sarah Walker, Peter J White, Paul Wilson, Iain Buchan, Beth Woods, Peter Bower, Martin Llewelyn, William Hope

Bibliographic record

VenueThe Lancet Microbe · 2024
Typereview
Languageen
FieldImmunology and Microbiology
TopicAntibiotic Use and Resistance
Canadian institutionsSt. Thomas Hospital
FundersNorth Bristol NHS TrustUniversity of BristolQueen's University BelfastMedical Research CouncilCardiff UniversityUniversity College LondonQueen Mary University of LondonUniversity of DundeeImperial College LondonQueen's UniversityNIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer ResearchUniversity of LeicesterMarie CurieUniversity of LeedsNational Institute for Health and Care ResearchNational Institute for Health and Care ExcellenceJohns Hopkins UniversityPfizer
KeywordsAntimicrobialAntibiotic resistanceMedicineMicrobiologyBiologyAntibiotics

Abstract

fetched live from OpenAlex

Antimicrobial resistance (AMR) threatens human, animal, and environmental health. Acknowledging the urgency of addressing AMR, an opportunity exists to extend AMR action-focused research beyond the confines of an isolated biomedical paradigm. An AMR learning system, AMR-X, envisions a national network of health systems creating and applying optimal use of antimicrobials on the basis of their data collected from the delivery of routine clinical care. AMR-X integrates traditional AMR discovery, experimental research, and applied research with continuous analysis of pathogens, antimicrobial uses, and clinical outcomes that are routinely disseminated to practitioners, policy makers, patients, and the public to drive changes in practice and outcomes. AMR-X uses connected data-to-action systems to underpin an evaluation framework embedded in routine care, continuously driving implementation of improvements in patient and population health, targeting investment, and incentivising innovation. All stakeholders co-create AMR-X, protecting the public from AMR by adapting to continuously evolving AMR threats and generating the information needed for precision patient and population care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.005
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.007
Threshold uncertainty score0.037

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0050.005
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0030.004
Science and technology studies0.0000.003
Scholarly communication0.0030.003
Open science0.0020.002
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.0040.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.105
GPT teacher head0.293
Teacher spread0.188 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designSystematic review
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations17
Published2024
Admission routes2
Has abstractyes

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Same venueThe Lancet MicrobeSame topicAntibiotic Use and ResistanceFrench-language works237,207