Based on a large amount of matrix-assisted laser desorption ionization–time-of-flight mass spectrometry (MALDI-TOF MS) clinical data, comprising 37,918
Escherichia coli
isolates, a data-driven two-stage framework was established to evaluate the antimicrobial resistance of
E. coli
. Five antibiotics, including amoxicillin (AMC), ceftazidime (CAZ), ciprofloxacin (CIP), ceftriaxone (CRO), and cefuroxime (CXM), were considered for the two-stage model training, and the values of the area under the receiver operating characteristic curve (AUC) were 0.62 for AMC, 0.72 for CAZ, 0.87 for CIP, 0.72 for CRO, and 0.72 for CXM.