Agent skill
bio-epidemiological-genomics-amr-surveillance
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.
Install this agent skill to your Project
npx add-skill https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills/tree/main/skills/bio-epidemiological-genomics-amr-surveillance
SKILL.md
Version Compatibility
Reference examples tested with: AMRFinderPlus 3.12+, pandas 2.2+
Before using code patterns, verify installed versions match. If versions differ:
- Python:
pip show <package>thenhelp(module.function)to check signatures - CLI:
<tool> --versionthen<tool> --helpto confirm flags
If code throws ImportError, AttributeError, or TypeError, introspect the installed package and adapt the example to match the actual API rather than retrying.
AMR Surveillance
"Screen my isolates for resistance genes and track AMR trends" → Detect antimicrobial resistance determinants in bacterial genomes and monitor resistance patterns over time for surveillance programs.
- CLI:
amrfinder -n assembly.fasta --plus --organism Klebsiella
AMRFinderPlus
# 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
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
# 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
Goal: Monitor how AMR gene prevalence changes over time across a surveillance cohort.
Approach: Group samples by time period, count AMR gene occurrences per period, and normalize to prevalence percentages for trend analysis.
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
# 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
Goal: Generate a summary report of AMR prevalence by drug class with alerts for critical resistance types.
Approach: Aggregate AMR detections by drug class, calculate per-class prevalence as percentage of total samples, and flag carbapenem, colistin, and vancomycin resistance specifically.
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
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