Eili Klein

Rituparna Datta, Methun Kamruzzaman, Eili Y. Klein et al.

The US Centers for Disease Control and Prevention (CDC), in 2019, designated Methicillin-resistant Staphylococcus aureus (MRSA) as a serious antimicrobial resistance threat. The risk of acquiring MRSA and suffering life-threatening consequences due to it remains especially high for hospitalized patients due to a unique combination of factors, including: co-morbid conditions, immuno suppression, antibiotic use, and risk of contact with contaminated hospital workers and equipment. In this paper, we present a novel generative probabilistic model, GenHAI, for modeling sequences of MRSA test results outcomes for patients during a single hospitalization. This model can be used to answer many important questions from the perspectives of hospital administrators for mitigating the risk of MRSA infections. Our model is based on the probabilistic programming paradigm, and can be used to approximately answer a variety of predictive, causal, and counterfactual questions. We demonstrate the efficacy of our model by comparing it against discriminative and generative machine learning models using two real-world datasets.

Trung Phung, Jaron J. R. Lee, Opeyemi Oladapo-Shittu et al.

A common type of zero-inflated data has certain true values incorrectly replaced by zeros due to data recording conventions (rare outcomes assumed to be absent) or details of data recording equipment (e.g. artificial zeros in gene expression data). Existing methods for zero-inflated data either fit the observed data likelihood via parametric mixture models that explicitly represent excess zeros, or aim to replace excess zeros by imputed values. If the goal of the analysis relies on knowing true data realizations, a particular challenge with zero-inflated data is identifiability, since it is difficult to correctly determine which observed zeros are real and which are inflated. This paper views zero-inflated data as a general type of missing data problem, where the observability indicator for a potentially censored variable is itself unobserved whenever a zero is recorded. We show that, without additional assumptions, target parameters involving a zero-inflated variable are not identified. However, if a proxy of the missingness indicator is observed, a modification of the effect restoration approach of Kuroki and Pearl allows identification and estimation, given the proxy-indicator relationship is known. If this relationship is unknown, our approach yields a partial identification strategy for sensitivity analysis. Specifically, we show that only certain proxy-indicator relationships are compatible with the observed data distribution. We give an analytic bound for this relationship in cases with a categorical outcome, which is sharp in certain models. For more complex cases, sharp numerical bounds may be computed using methods in Duarte et al.[2023]. We illustrate our method via simulation studies and a data application on central line-associated bloodstream infections (CLABSIs).

Xingbo Fu, Chen Chen, Yushun Dong et al.

An antibiogram is a periodic summary of antibiotic resistance results of organisms from infected patients to selected antimicrobial drugs. Antibiograms help clinicians to understand regional resistance rates and select appropriate antibiotics in prescriptions. In practice, significant combinations of antibiotic resistance may appear in different antibiograms, forming antibiogram patterns. Such patterns may imply the prevalence of some infectious diseases in certain regions. Thus it is of crucial importance to monitor antibiotic resistance trends and track the spread of multi-drug resistant organisms. In this paper, we propose a novel problem of antibiogram pattern prediction that aims to predict which patterns will appear in the future. Despite its importance, tackling this problem encounters a series of challenges and has not yet been explored in the literature. First of all, antibiogram patterns are not i.i.d as they may have strong relations with each other due to genomic similarities of the underlying organisms. Second, antibiogram patterns are often temporally dependent on the ones that are previously detected. Furthermore, the spread of antibiotic resistance can be significantly influenced by nearby or similar regions. To address the above challenges, we propose a novel Spatial-Temporal Antibiogram Pattern Prediction framework, STAPP, that can effectively leverage the pattern correlations and exploit the temporal and spatial information. We conduct extensive experiments on a real-world dataset with antibiogram reports of patients from 1999 to 2012 for 203 cities in the United States. The experimental results show the superiority of STAPP against several competitive baselines.