Modeling MRSA decolonization: Interactions between body sites and the impact of site-specific clearance

MRSA colonization is a critical public health concern. Decolonization protocols have been designed for the clearance of MRSA. Successful decolonization protocols reduce disease incidence; however, multiple protocols exist, comprising diverse therapies targeting multiple body sites, and the optimal protocol is unclear. Here, we formulate a machine learning model using data from a randomized controlled trial (RCT) of MRSA decolonization, which estimates interactions between body sites, quantifies the contribution of each therapy to successful decolonization, and enables predictions of the efficacy of therapy combinations. This work shows how a machine learning model can help design and improve complex clinical protocols.