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This function generates a plot showing summaries of phenotype results (assay distributions, phenotype category percentages, and/or predictive value for phenotype) for each combination of markers observed in the data.

Usage

ppv(
  binary_matrix = NULL,
  min_set_size = 2,
  order = "ppv",
  geno_table,
  pheno_table,
  antibiotic = NULL,
  drug_class_list,
  geno_sample_col = NULL,
  pheno_sample_col = NULL,
  sir_col = NULL,
  ecoff_col = "ecoff",
  marker_col = "marker",
  colours_ppv = c(R = "maroon", NWT = "navy"),
  SIR_col = c(S = "#3CAEA3", I = "#F6D55C", R = "#ED553B"),
  upset_grid = FALSE,
  marker_label_space = NULL,
  plot_category = TRUE,
  print_category_counts = TRUE,
  plot_ppv = TRUE,
  plot_assay = FALSE,
  assay = NULL,
  boxplot_col = "grey",
  species = NULL,
  bp_site = NULL,
  guideline = "EUCAST 2025",
  bp_S = NULL,
  bp_R = NULL,
  ecoff_bp = NULL,
  pd = position_dodge(width = 0.8)
)

Arguments

binary_matrix

A data frame containing the original binary matrix output from the get_binary_matrix() function. If not provided (or set to NULL), user must specify geno_table, pheno_table, antibiotic, drug_class_list and optionally geno_sample_col, pheno_sample_col, sir_col, ecoff_col, marker_col to pass to get_binary_matrix().

min_set_size

An integer specifying the minimum size for a gene set to be included in the analysis and plots. Default is 2. Only marker combinations with at least this number of occurrences are included in the plots.

order

A character string indicating the order of the combinations on the x-axis. Options are:

  • "": decreasing frequency of combinations

  • "genes": order by the number of genes in each combination

  • "value": order by the median assay value (MIC or disk zone) for each combination.

  • "ppv" (default): order by the PPV estimated for each combination

geno_table

(Required if binary_matrix not provided) A data frame containing genotype data, formatted with import_amrfp(). Only used if binary_matrix not provided.

pheno_table

(Required if binary_matrix not provided) A data frame containing phenotype data, formatted with import_ast(). Only used if binary_matrix not provided.

antibiotic

(Required if binary_matrix not provided) A character string specifying the antibiotic of interest to filter phenotype data (and optionally retrieve breakpoints). The value must match one of the entries in the drug_agent column of pheno_table. Only used if binary_matrix not provided or if breakpoints required.

drug_class_list

(Required if binary_matrix not provided) A character vector of drug classes to filter genotype data for markers related to the specified antibiotic. Markers in geno_table will be filtered based on whether their drug_class matches any value in this list. Only used if binary_matrix not provided.

geno_sample_col

A character string (optional) specifying the column name in geno_table containing sample identifiers. Defaults to NULL, in which case it is assumed the first column contains identifiers. Only used if binary_matrix not provided.

pheno_sample_col

A character string (optional) specifying the column name in pheno_table containing sample identifiers. Defaults to NULL, in which case it is assumed the first column contains identifiers. Only used if binary_matrix not provided.

sir_col

A character string specifying the column name in pheno_table that contains the resistance interpretation (SIR) data. The values should be "S", "I", "R" or otherwise interpretable by AMR::as.sir(). If not provided, the first column prefixed with "phenotype*" will be used if present, otherwise an error is thrown. Only used if binary_matrix not provided.

ecoff_col

A character string specifying the column name in pheno_table that contains resistance interpretations (SIR) made against the ECOFF rather than a clinical breakpoint. The values should be "S", "I", "R" or otherwise interpretable by AMR::as.sir(). Default ecoff. Set to NULL if not available. Only used if binary_matrix not provided.

marker_col

A character string specifying the column name in geno_table containing the marker identifiers. Default "marker". Only used if binary_matrix not provided.

colours_ppv

A named vector of colours for the plot of PPV estimates. The names should be "R", "I" and "NWT", and the values should be valid color names or hexadecimal color codes.

SIR_col

A named vector of colours for the percentage bar plot. The names should be the phenotype categories (e.g., "R", "I", "S"), and the values should be valid color names or hexadecimal color codes. Default values are those used in the AMR package AMR::scale_colour_sir().

upset_grid

Logical indicating whether to show marker combinations as an upset plot-style grid (default FALSE, so that each row is instead labelled with a printed list of markers).

marker_label_space

Relative width of plotting area to provide to the marker list/grid. (Default NULL, which results in a default value of 3 when upset_grid=FALSE and 1 otherwise).

plot_category

Logical indicating whether to include a stacked bar plot showing, for each marker combination, the proportion of samples with each phenotype classification (specified by the pheno column in the input file). Default is TRUE.

print_category_counts

Logical indicating whether, if plot_category=TRUE, to print the number of strains in each resistance category for each marker combination in the plot. Default is FALSE.

plot_ppv

Logical indicating whether to plot the estimates for positive predictive value, for each marker combination (default TRUE).

plot_assay

Logical indicating whether to plot the distribution of MIC/disk assay values, for each marker combination (default FALSE).

assay

A character string indicating whether to plot MIC or disk diffusion data. Must be one of:

  • NULL: (default) if no assay data is to be plotted

  • "mic": plot MIC data stored in column mic

  • "disk": plot disk diffusion data stored in column disk

boxplot_col

Colour for lines of the box plots summarising the MIC distribution for each marker combination. Default is "grey".

species

Optional. Species name used to retrieve clinical breakpoints for annotation of the assay distribution plot.

bp_site

Optional. Breakpoint site (e.g. "Non-meningitis") used when retrieving clinical breakpoints.

guideline

Guideline used for breakpoint lookup. Default is "EUCAST 2025".

bp_S

(optional) S breakpoint to add to assay distribution plot (numerical).

bp_R

(optional) R breakpoint to add to assay distribution plot (numerical).

ecoff_bp

(optional) ECOFF breakpoint to add to assay distribution plot (numerical).

pd

A ggplot2::position_dodge() object controlling horizontal spacing of points and confidence intervals in the PPV plot. Default is position_dodge(width = 0.8).

Value

A list containing the following elements:

  • plot: A grid of the requested plots

  • binary_matrix: A copy of the genotype-phenotype binary matrix (either provided as input or generated by the function)

  • summary: A data frame summarizing each marker combination observed, including number of resistant isolates, positive predictive values, and median assay values (and interquartile range) where relevant.

Examples

if (FALSE) { # \dontrun{
ecoli_geno <- import_amrfp(ecoli_geno_raw, "Name")

# Generate binary matrix
binary_matrix <- get_binary_matrix(
  geno_table = ecoli_geno,
  pheno_table = ecoli_ast,
  antibiotic = "Ciprofloxacin",
  drug_class_list = c("Quinolones"),
  sir_col = "pheno_clsi",
  keep_assay_values = TRUE,
  keep_assay_values_from = "mic"
)

# Run ppv analysis using this binary_matrix
ppv(binary_matrix)

# Alternatively, generate binary matrix and run ppv() in one step
ppv(
  geno_table = ecoli_geno,
  pheno_table = ecoli_ast,
  antibiotic = "Ciprofloxacin",
  drug_class_list = c("Quinolones"),
  sir_col = "pheno_clsi"
)
} # }