Differentiating Viral and Bacterial Infections: A Machine Learning Model Based on Routine Blood Test Values

The growing threat of antibiotic resistance necessitates accurate differentiation between bacterial and viral infections for proper antibiotic administration. In this study, a Virus vs. Bacteria machine learning model was developed to discern between these infection types using 16 routine blood test results, C-reactive protein levels, biological sex, and age. With a dataset of 44,120 cases from a single medical center, the Virus vs. Bacteria model demonstrated remarkable accuracy of 82.2%, a Brier score of 0.129, and an area under the ROC curve of 0.91, surpassing the performance of traditional CRP decision rule models. The model demonstrates substantially improved accuracy within the CRP range of 10 40 mg/L, an interval in which CRP alone offers limited diagnostic value for distinguishing between bacterial and viral infections. These findings underscore the importance of considering multiple blood parameters for diagnostic decision-making and suggest that the Virus vs. Bacteria model could contribute to the creation of innovative diagnostic tools. Such tools would harness machine learning and relevant biomarkers to support enhanced clinical decision-making in managing infections.