AgentSkillsCN

bio-epidemiological-genomics-amr-surveillance

借助AMRFinderPlus和ResFinder,在流行病学背景下检测并追踪抗菌药物耐药基因,监测耐药趋势,识别新兴耐药模式。适用于在基因组筛查中寻找AMR基因,或在监测项目中追踪耐药性变化时使用。

SKILL.md
--- frontmatter
name: bio-epidemiological-genomics-amr-surveillance
description: Detect and track antimicrobial resistance genes using AMRFinderPlus and ResFinder with epidemiological context. Monitor resistance trends and identify emerging resistance patterns. Use when screening genomes for AMR genes or tracking resistance in surveillance programs.
tool_type: cli
primary_tool: AMRFinderPlus

AMR Surveillance

AMRFinderPlus

bash
# Install AMRFinderPlus
conda install -c bioconda ncbi-amrfinderplus

# Update database
amrfinder -u

# Basic AMR detection from genome
amrfinder -n genome.fasta -o results.tsv

# With protein input (faster, more sensitive)
amrfinder -p proteins.faa -o results.tsv

# Specify organism for point mutations
amrfinder -n genome.fasta --organism Salmonella -o results.tsv

# Available organisms: Acinetobacter_baumannii, Campylobacter,
# Clostridioides_difficile, Enterococcus_faecalis, Enterococcus_faecium,
# Escherichia, Klebsiella, Neisseria, Pseudomonas_aeruginosa,
# Salmonella, Staphylococcus_aureus, Staphylococcus_pseudintermedius,
# Streptococcus_agalactiae, Streptococcus_pneumoniae, Streptococcus_pyogenes,
# Vibrio_cholerae

Parse AMRFinder Results

python
import pandas as pd

def parse_amrfinder(results_file):
    '''Parse AMRFinderPlus output

    Key columns:
    - Gene symbol: AMR gene name
    - Sequence name: Contig/protein where found
    - Element type: AMR, STRESS, VIRULENCE
    - Element subtype: AMR mechanism
    - Class: Drug class affected
    - Subclass: Specific drug affected
    - % Coverage: Alignment coverage (>90% typical cutoff)
    - % Identity: Sequence identity (>90% typical cutoff)
    '''
    df = pd.read_csv(results_file, sep='\t')

    # Filter high-confidence hits
    df = df[(df['% Coverage of reference sequence'] >= 90) &
            (df['% Identity to reference sequence'] >= 90)]

    return df


def summarize_amr_profile(results_df):
    '''Summarize AMR profile by drug class'''
    amr_only = results_df[results_df['Element type'] == 'AMR']

    summary = {
        'total_genes': len(amr_only),
        'drug_classes': amr_only['Class'].nunique(),
        'by_class': amr_only.groupby('Class')['Gene symbol'].apply(list).to_dict()
    }

    return summary

ResFinder Alternative

bash
# ResFinder for acquired resistance genes
# Web: https://cge.cbs.dtu.dk/services/ResFinder/

# Command line via KMA
kma -i reads_1.fq reads_2.fq -o output -t_db resfinder_db -1t1

# Or use CGE Docker
docker run --rm -v $(pwd):/data cgetools/resfinder \
    -i /data/genome.fasta -o /data/results -db_res /db/resfinder_db

Track Resistance Trends

python
def analyze_amr_trends(samples_df, date_col='collection_date', gene_col='Gene symbol'):
    '''Analyze AMR gene prevalence over time

    For surveillance programs tracking:
    - Emergence of new resistance
    - Increasing prevalence of known resistance
    - Geographic spread patterns
    '''
    # Group by time period
    samples_df['period'] = pd.to_datetime(samples_df[date_col]).dt.to_period('M')

    # Calculate prevalence by period
    prevalence = samples_df.groupby(['period', gene_col]).size().unstack(fill_value=0)

    # Normalize to percentage
    total_per_period = samples_df.groupby('period').size()
    prevalence_pct = prevalence.div(total_per_period, axis=0) * 100

    return prevalence_pct


def detect_emerging_resistance(historical_df, new_samples_df):
    '''Flag novel or increasing resistance patterns

    Alerts for:
    1. New AMR gene not seen before
    2. Significant increase in prevalence
    3. New combinations of resistance
    '''
    historical_genes = set(historical_df['Gene symbol'].unique())
    new_genes = set(new_samples_df['Gene symbol'].unique())

    novel = new_genes - historical_genes

    if novel:
        print(f'ALERT: Novel resistance genes detected: {novel}')

    return novel

Clinical Interpretation

python
# Drug-gene relationships for interpretation
AMR_INTERPRETATION = {
    'bla_CTX-M': {
        'class': 'Beta-lactam',
        'affects': ['Cephalosporins (3rd gen)', 'Penicillins'],
        'clinical': 'ESBL producer - avoid cephalosporins'
    },
    'bla_KPC': {
        'class': 'Beta-lactam',
        'affects': ['Carbapenems', 'Cephalosporins', 'Penicillins'],
        'clinical': 'Carbapenemase - limited treatment options'
    },
    'mcr-1': {
        'class': 'Polymyxin',
        'affects': ['Colistin'],
        'clinical': 'Plasmid-mediated colistin resistance - critical'
    },
    'vanA': {
        'class': 'Glycopeptide',
        'affects': ['Vancomycin', 'Teicoplanin'],
        'clinical': 'VRE - infection control measures required'
    }
}

def interpret_amr_profile(genes):
    '''Generate clinical interpretation of AMR profile'''
    interpretations = []

    for gene in genes:
        for pattern, info in AMR_INTERPRETATION.items():
            if pattern in gene:
                interpretations.append({
                    'gene': gene,
                    **info
                })
                break

    return interpretations

Surveillance Report

python
def generate_surveillance_report(samples_df, period='month'):
    '''Generate AMR surveillance summary report

    Standard surveillance metrics:
    - Prevalence by drug class
    - Trends over time
    - Geographic distribution
    - Emerging threats
    '''
    report = {
        'period': period,
        'total_samples': len(samples_df['sample_id'].unique()),
        'total_amr_genes': samples_df['Gene symbol'].nunique()
    }

    # Prevalence by class
    class_counts = samples_df.groupby('Class')['sample_id'].nunique()
    report['prevalence_by_class'] = (class_counts / report['total_samples'] * 100).to_dict()

    # Critical resistance
    critical = ['Carbapenem', 'Colistin', 'Vancomycin']
    for drug in critical:
        matching = samples_df[samples_df['Class'].str.contains(drug, case=False, na=False)]
        report[f'{drug.lower()}_resistance'] = len(matching['sample_id'].unique())

    return report

Related Skills

  • metagenomics/amr-detection - AMR from metagenomic samples
  • epidemiological-genomics/pathogen-typing - Strain context for AMR
  • variant-calling/variant-annotation - Point mutation resistance