人工智能在感染预防中的应用

Fidelma Fitzpatrick, Aaron Doherty, Gerard Lacey
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引用次数: 34

摘要

综述目的:人工智能(AI)在感染预防和控制(IPC)方面具有巨大潜力。我们探讨其在流行病学、实验室感染诊断和手卫生方面的潜在IPC益处。最近的发现:人工智能有可能在疫情期间发现传播事件或预测高危患者,从而能够制定量身定制的IPC干预措施。人工智能提供了机会,可以通过客观模式识别来加强诊断,使感染的诊断标准化,并促进IPC专业知识的传播。人工智能手部卫生应用程序可以改变行为,尽管它需要在不同的临床环境中进一步评估。然而,员工可能变得依赖于自动提醒,如果取消反馈,绩效就会恢复到基线水平。摘要:IPC的优势包括速度、一致性和处理无限大数据集的能力。然而,许多挑战依然存在;提高高质量代表性数据集的可用性和考虑现有数据库中的偏差是未来发展的重要挑战。人工智能本身不会改善IPC;这需要文化和行为的改变。迄今为止,大多数研究都是回顾性地评估表现,因此需要在现实生活中进行前瞻性评估,通常是混乱的临床环境。与IPC专家密切合作以解释产出并确保临床相关性至关重要。
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Using Artificial Intelligence in Infection Prevention.

Purpose of review: Artificial intelligence (AI) offers huge potential in infection prevention and control (IPC). We explore its potential IPC benefits in epidemiology, laboratory infection diagnosis, and hand hygiene.

Recent findings: AI has the potential to detect transmission events during outbreaks or predict high-risk patients, enabling development of tailored IPC interventions. AI offers opportunities to enhance diagnostics with objective pattern recognition, standardize the diagnosis of infections with IPC implications, and facilitate the dissemination of IPC expertise. AI hand hygiene applications can deliver behavior change, though it requires further evaluation in different clinical settings. However, staff can become dependent on automatic reminders, and performance returns to baseline if feedback is removed.

Summary: Advantages for IPC include speed, consistency, and capability of handling infinitely large datasets. However, many challenges remain; improving the availability of high-quality representative datasets and consideration of biases within preexisting databases are important challenges for future developments. AI in itself will not improve IPC; this requires culture and behavior change. Most studies to date assess performance retrospectively so there is a need for prospective evaluation in the real-life, often chaotic, clinical setting. Close collaboration with IPC experts to interpret outputs and ensure clinical relevance is essential.

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