人工智能技术在微生物耐药防控中的应用

Applications and Clinical Significance of Artificial Intelligence in Antimicrobial Resistance

  • 摘要: 抗微生物药物耐药性(antimicrobial resistance, AMR)已成为全球公共卫生领域面临的重大挑战, 传统防控手段在检测效率、数据处理及临床决策等方面存在明显不足。人工智能(artificial intelligence, AI)技术凭借其强大的数据分析和模式识别能力, 已被广泛应用于AMR防控的多个关键环节。现有证据表明, AI技术可有效提高耐药性诊断效率、优化个体化治疗策略并增强耐药菌传播的实时监测能力。尽管在实际应用中仍面临数据异质性、模型可解释性及伦理合规性等挑战, AI技术在精准感染控制管理和应对耐药性危机方面已展现出广阔前景。本文系统阐述AI在AMR防控中的临床应用, 包括基于质谱和基因组数据的耐药性检测与预测、临床决策支持系统在抗感染治疗中的应用, 以及AI在流行病学监测、病原追踪与早期预警、新型抗菌药物研发中的作用, 以期为临床实践提供参考依据。

     

    Abstract: Antimicrobial resistance (AMR) has emerged as a major global public health challenge, with traditional prevention and control methods exhibiting significant limitations in detection efficiency, data processing, and clinical decision-making. Leveraging its robust capabilities in data analysis and pattern recognition, artificial intelligence (AI) technology has been widely applied across multiple critical aspects of AMR containment. Current evidence demonstrates that AI technologies can significantly enhance the efficiency of resistancediagnosis, optimize personalized treatment strategies, and improve real-time monitoring of resistant pathogen transmission. Despite persistent challenges such as data heterogeneity, model interpretability, and ethical compliance in practical applications, AI holds immense promise in supporting precision infection management and addressing the growing crisis of antimicrobial resistance.This article systematically reviews the clinical applications of AI in AMR prevention and control, including resistance detection and prediction based on mass spectrometry and genomic data, the use of clinical decision support systems in anti-infective therapy, as well as the role of AI in epidemiological surveillance, pathogen tracking, early warning systems, and novel antimicrobial drug discovery aiming to provide reference for clinical practice.

     

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