1 | Timothy Sullivan [99] | United States (Single Center) | 2018 | Hospital setting | EHR data, Klebsiella pneumoniae bacteremia cases | Multiple logistic regression | AUROC: 0.731, Sensitivity: 73%, Specificity: 59%, PPV: 16%, NPV: 95% | Klebsiella pneumoniae (Carbapenem-resistant) |
2 | Ariane Khaledi [71] | Germany, Spain | 2020 | Clinical settings, multicenter | Whole genome sequencing (WGS), transcriptomic data, gene presence/absence, expression profiles | Machine Learning (unspecified classifiers) | Sensitivity: 0.8–0.9, Predictive values: >0.9 | Pseudomonas aeruginosa (Carbapenem-resistant) |
3 | Ed Moran [97] | United Kingdom (Single Center) | 2020 | Hospital setting | Blood and urine cultures, demographics, microbiology and prescribing data | XGBoost | AUROC: 0.70, Point-scoring tools: AUROC 0.61 to 0.67, estimated reduction in broad-spectrum antibiotic use by 40% | Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa |
4 | Ryan J. McGuire [80] | United States (Single Center) | 2021 | Tertiary-care academic medical center | Demographics, medications, vital signs, procedures, lab results, cultures | Extreme gradient boosting (XGBoost) | AUROC: 0.846, Sensitivity: 30%, PPV: 30%, NPV: 99% | Carbapenem-resistant bacteria |
5 | Maddalena Giannella [90] | Multinational | 2021 | Liver transplantation units (multicenter) | Demographics, clinical data, mechanical ventilation, acute renal injury, surgical reintervention | Multivariable logistic regression, Fine-Gray subdistribution hazard model | AUROC: 74.6 (derivation), AUROC: 73.9 (bootstrapped validation), Brier Index: 16.6 | Carbapenem-resistant Enterobacteriaceae (CRE) |
6 | Qiqiang Liang [79] | China (Single Center) | 2022 | Intensive care unit (ICU) | Demographics, screening records, clinical data, vitals | Random forest, XGBoost, decision tree, logistic regression | AUROC: 0.91 (random forest), 0.89 (XGBoost, decision tree), 0.78 (logistic regression) | Carbapenem-resistant Gram-negative bacteria (CRGNB) |
7 | Maristela Pinheiro Freire [91] | Brazil, Italy | 2022 | Liver transplantation units (multicenter) | Antibiotic use, hepato-renal syndrome, CLIF-SOFA scores, cirrhosis complications | Machine learning (unspecified) | Sensitivity: 66%, Specificity: 83%, NPV: 97% | Carbapenem-resistant Enterobacterales (CRE) |
8 | Çaǧlar Çaǧlayan [92] | United States (Single Center) | 2022 | Intensive care unit (ICU) | EHR, MDRO screening program, sociodemographic and clinical factors | Logistic regression (LR), random forest (RF), XGBoost | Sensitivity: VRE 80%, CRE 73%, MRSA 76%, MDRO 82%; Specificity: VRE 66%, CRE 77%, MRSA 59%, MDRO 83% | MRSA, VRE, Carbapenem-resistant Enterobacteriaceae (CRE) |
9 | Qiqiang Liang [63] | China (Single Center) | 2024 | Intensive care unit (ICU) | Demographics, mechanical ventilation, invasive catheterization, carbapenem use history | Random forest, XGBoost, SVM | AUROC: random forest 0.86, XGBoost (infection): 0.86, SVM: 0.88, RF (CRGNB): 0.87 | Carbapenem-resistant Gram-negative bacteria (CRGNB) |
10 | Yun Li [65] | China/USA | 2024 | Intensive care unit (ICU) | Electronic health record data (PLAGH-ICU, MIMIC-IV) | Machine learning models | AUROC: 0.786 (PLAGH-ICU), 0.744 (MIMIC-IV) | Multidrug-resistant organisms (MDRO), including carbapenem-resistant species |
11 | Bing Liu [64] | China (Single Center) | 2024 | Multiple hospital settings | Whole-genome sequencing (WGS) data, metagenomic sequencing (MGS), genomic features | Machine learning (unspecified algorithms) | AUROC: 0.906 (IPM), 0.925 (MEM), PPV: 0.897 (IPM), 0.889 (MEM) | Pseudomonas aeruginosa (Carbapenem-resistant) |