Routine Blood Tests Outperform CRP for Distinguishing Bacterial From Viral Infection in Children
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ARMD‑Predict is a multi‑site machine‑learning system trained on 7.5 million culture‑antibiotic records from four academic medical centers to forecast antibiotic resistance before culture results are available. It offers two tiers of models: one set predicts susceptibility to individual antibiotics, while a hierarchical set first identifies the infecting organism and then its resistance profile. In internal testing, the models achieved median AUROCs of 0.77 for inpatient urine and 0.70 for inpatient blood cultures, and could flag a substantial proportion of ceftriaxone‑susceptible and resistant cases for narrower or broader therapy, respectively.
arXiv:2605.22611v2 Announce Type: replace Abstract: Antimicrobial stewardship (AMS) is critical in pediatric intensive care units (PICUs), where diagnostic uncertainty often drives broad-spectrum ant...
The study presents a cost‑sensitive XGBoost model that predicts ESBL‑producing Enterobacteriaceae at the time of culture ordering using 45 pre‑culture EHR features from 132,955 cultures across 12 hospitals. At 90% sensitivity the model achieves a 95.8% negative predictive value, potentially allowing carbapenem‑sparing therapy in non‑ICU settings while avoiding unnecessary broad‑spectrum treatment for 307 out of every 1,000 cultures, at the expense of 14 missed ESBL cases per 1,000. SHAP analysis highlights prior ESBL colonization as the strongest predictor, with minimal performance loss when socioeconomic deprivation features are omitted, supporting equitable bedside deployment.
arXiv:2607. 04486v1 Announce Type: new Abstract: Diagnosing and monitoring diseases frequently involves the analysis of human biological samples, with blood analysis being pivotal.
arXiv:2602. 22673v2 Announce Type: replace Abstract: Background: Antimicrobial resistance (AMR) is a global health threat.
arXiv:2606. 26561v1 Announce Type: new Abstract: Hepatitis C is a liver infection caused by a virus, which results in mild to severe inflammation of the liver.