{
  "id": "medical/antibiotic-sensitivity-misread",
  "signature": "AI misreads an antibiogram report, interpreting 'R' as 'Resistant' for an organism that is actually susceptible to the antibiotic, leading to inappropriate antibiotic selection",
  "signature_zh": "AI误读抗菌药物敏感性报告，将‘R’解释为‘耐药’，而该菌株实际上对该抗生素敏感，导致抗生素选择不当",
  "regex": "antibiogram.*R.*resistant|antibiotic sensitivity.*misread|R.*susceptible.*confusion",
  "domain": "medical",
  "category": "data_error",
  "subcategory": null,
  "root_cause": "Antibiogram reports use standard abbreviations: S (susceptible), I (intermediate), R (resistant). AI may misinterpret 'R' as 'Resistant' when the report uses a different abbreviation scheme (e.g., 'R' for 'Reduced susceptibility' in some systems, or the organism is actually susceptible but the AI misaligns columns).",
  "root_cause_type": "generic",
  "root_cause_zh": "抗菌药物敏感性报告使用标准缩写：S（敏感）、I（中介）、R（耐药）。AI可能将‘R’误解为‘耐药’，而报告使用了不同的缩写方案（例如，某些系统中‘R’表示‘敏感性降低’，或者菌株实际上敏感但AI对齐了错误列）。",
  "versions": [],
  "os_specific": {},
  "dead_ends": [
    {
      "action": "",
      "why_fails": "In some systems (e.g., EUCAST), 'R' may indicate 'Reduced susceptibility' or the report may have a different column order; misinterpreting leads to using broader-spectrum antibiotics unnecessarily, promoting resistance.",
      "fail_rate": 0.9,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Empiric therapy may be inappropriate for the specific organism, leading to treatment failure or adverse effects.",
      "fail_rate": 0.85,
      "condition": "",
      "sources": []
    },
    {
      "action": "",
      "why_fails": "Delays treatment unnecessarily; the original report may be correct but misread.",
      "fail_rate": 0.7,
      "condition": "",
      "sources": []
    }
  ],
  "workarounds": [
    {
      "action": "Cross-check the antibiogram with the organism's known susceptibility patterns. Use a standard reference (e.g., CLSI M100 or EUCAST breakpoints) to verify. Example: if the report shows 'E. coli: Ampicillin R' but the organism is known to be susceptible, re-read the report carefully for column alignment or consult the lab for clarification.",
      "success_rate": 0.9,
      "how": "Cross-check the antibiogram with the organism's known susceptibility patterns. Use a standard reference (e.g., CLSI M100 or EUCAST breakpoints) to verify. Example: if the report shows 'E. coli: Ampicillin R' but the organism is known to be susceptible, re-read the report carefully for column alignment or consult the lab for clarification.",
      "condition": "",
      "sources": []
    },
    {
      "action": "If the report uses non-standard abbreviations (e.g., 'R' for 'Reduced'), re-interpret using the lab's specific key. Contact the microbiology lab if unsure.",
      "success_rate": 0.85,
      "how": "If the report uses non-standard abbreviations (e.g., 'R' for 'Reduced'), re-interpret using the lab's specific key. Contact the microbiology lab if unsure.",
      "condition": "",
      "sources": []
    }
  ],
  "workarounds_zh": [
    "Cross-check the antibiogram with the organism's known susceptibility patterns. Use a standard reference (e.g., CLSI M100 or EUCAST breakpoints) to verify. Example: if the report shows 'E. coli: Ampicillin R' but the organism is known to be susceptible, re-read the report carefully for column alignment or consult the lab for clarification.",
    "If the report uses non-standard abbreviations (e.g., 'R' for 'Reduced'), re-interpret using the lab's specific key. Contact the microbiology lab if unsure."
  ],
  "transition_graph": {
    "leads_to": [],
    "preceded_by": [],
    "frequently_confused_with": []
  },
  "official_doc_url": "https://clsi.org/standards/products/microbiology/documents/m100/",
  "official_doc_section": null,
  "error_code": "ANTIBIOGRAM_MISREAD_R",
  "verification_tier": "ai_generated",
  "confidence": 0.82,
  "fix_success_rate": 0.8,
  "resolvable": "true",
  "first_seen": "2023-12-05",
  "last_confirmed": "2024-06-01",
  "last_updated": "2024-06-01",
  "evidence_count": 1,
  "tags": [],
  "locale": "en",
  "aliases": []
}