Search arXiv⌕ Search
Home/Archive/arXiv

arXiv · 2609.21332

Routine Blood Tests Outperform CRP for Distinguishing Bacterial From Viral Infection in Children

Mihaela Demireva·Zhecho Mitev·Djuna Chinareva-Klimentova·Svetoslav Ivanov·Georgi Nalbantov·Dimitar Mitev
View original source ↗Read source document ↗Export metadata ↓

Abstract

Acute infectious diseases are among the leading causes of medical consultations and hospitalizations in children worldwide. These infections are predominantly caused by viruses or bacteria, yet differentiating between the two remains a common clinical challenge. As a result, pediatricians often default to the safer option of prescribing antibiotics contributing to the growing problem of antimicrobial resistance. The objective is to assess the additional predictive value of CBC towards determining the current infection. This retrospective study used data from 906 pediatric patients aged between 2 and 14 years who were tested positive either for viral or bacterial infection between 2022 and 2026. Inclusion criteria further required availability of CBC results and CRP level measurements. These laboratory parameters as well as age were used as input features for several supervised classification models. Model performance was evaluated using AUC, sensitivity and specificity. The best performing model is XGBoost, which included all features, achieving out of-sample performance of AUC of 81.7% and sensitivity of 70.8%, specificity of 79.2%. All trained models outperform a CRP-based only decision-rule model in terms of AUC. We suggest that the decision to prescribe antibiotics should be based on a number of factors, including but not limited to CBC, some of which are not currently incorporated into routine practice.

Explore related subjects

cs.LG

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

Mihaela Demireva, Zhecho Mitev, Djuna Chinareva-Klimentova, Svetoslav Ivanov, Georgi Nalbantov, Dimitar Mitev. 2026-09-18. Routine Blood Tests Outperform CRP for Distinguishing Bacterial From Viral Infection in Children. https://arxiv.org/abs/2609.21332

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

Online Regularized Statistical Learning in Reproducing Kernel Hilbert Space With Non-Stationary Data

We study recursive regularized learning algorithms in the reproducing kernel Hilbert space (RKHS) with non-stationary online data streams. We introduce the concept of a random Tikhonov regularization path and decompose the tracking error of the algorithm's output for the regularization path into random difference equations in RKHS. We show that the tracking error vanishes in mean square and almost surely if the regularization path is slowly time-varying. Then, leveraging the monotonicity of inverse operators and the spectral decomposition of compact operators, and introducing the RKHS persistence of excitation condition, we develop a dominated convergence method to prove the mean square and almost sure consistency between the regularization path and the unknown function to be learned. Especially, for independent and non-identically distributed data streams, the mean square and almost sure consistency between the algorithm's output and the unknown function is achieved if the input data's marginal probability measures are slowly time-varying and the average measure over each fixed-length time period is uniformly above a strictly positive finite Borel measure.

cs.LG↗
arXiv2026

Reflective Policy Optimization

On-policy reinforcement learning methods, like Trust Region Policy Optimization (TRPO) and Proximal Policy Optimization (PPO), often demand extensive data per update, leading to sample inefficiency. This paper introduces Reflective Policy Optimization (RPO), a novel on-policy extension that amalgamates past and future state-action information for policy optimization. This approach empowers the agent for introspection, allowing modifications to its actions within the current state. Theoretical analysis confirms that policy performance is monotonically improved and contracts the solution space, consequently expediting the convergence procedure. Empirical results demonstrate RPO's feasibility and efficacy in two reinforcement learning benchmarks, culminating in superior sample efficiency. The source code of this work is available at https://github.com/Edgargan/RPO.

cs.LG↗
arXiv2026

Transductive Off-policy Proximal Policy Optimization

Proximal Policy Optimization (PPO) is a popular model-free reinforcement learning algorithm, esteemed for its simplicity and efficacy. However, due to its inherent on-policy nature, its proficiency in harnessing data from disparate policies is constrained. This paper introduces a novel off-policy extension to the original PPO method, christened Transductive Off-policy PPO (ToPPO). Herein, we provide theoretical justification for incorporating off-policy data in PPO training and prudent guidelines for its safe application. Our contribution includes a novel formulation of the policy improvement lower bound for prospective policies derived from off-policy data, accompanied by a computationally efficient mechanism to optimize this bound, underpinned by assurances of monotonic improvement. Comprehensive experimental results across six representative tasks underscore ToPPO's promising performance.

cs.LG↗