Application of artificial intelligence to the in silico assessment of antimicrobial resistance and risks to human and animal health presented by priority enteric bacterial pathogens

Each year, approximately one in eight Canadians are affected by foodborne illness, either through outbreaks or sporadic illness, with animals being the major reservoir for the pathogens. Whole genome sequence analyses are now routinely implemented by public and animal health laboratories to define epidemiological disease clusters and to identify potential sources of infection. Similarly, a number of bioinformatics tools can be used to identify virulence and antimicrobial resistance (AMR) determinants in the genomes of pathogenic strains. Many important clinical and phenotypic characteristics of these pathogens can now be predicted using machine learning algorithms applied to whole genome sequence data. In this overview, we compare the ability of support vector machines, gradient-boosted decision trees and artificial neural networks to predict the levels of AMR within Salmonella enterica and extended-spectrum β-lactamase (ESBL) producing Escherichia coli. We show that minimum inhibitory concentrations (MIC) for each of 13 antimicrobials for S. enterica strains can be accurately determined, and that ESBL-producing E. coli strains can be accurately classified as susceptible, intermediate or resistant for each of seven antimicrobials. In addition to AMR and bacterial populations of greatest risk to human health, artificial intelligence algorithms hold promise as tools to predict other clinically and epidemiologically important phenotypes of enteric pathogens.