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Typhoid fever remains a significant public health challenge, especially in developing countries where diagnostic resources are limited. Accurate and timely diagnosis is crucial for effective treatment and disease containment. Traditional diagnostic methods, while effective, can be time-consuming and resource-intensive. This study aims to develop a lightweight machine learning-based diagnostic tool for the early and efficient detection of typhoid fever using clinical data. A custom dataset comprising 14 clinical and demographic parameters-including age, gender, headache, muscle pain, nausea, diarrhea, cough, fever range (°F), hemoglobin (g/dL), platelet count, urine culture bacteria, calcium (mg/dL), and potassium (mg/dL)-was analyzed. A machine learning metamodel, integrating Support Vector Machine (SVM), Gaussian Naive Bayes (GNB), and Decision Tree classifiers with a Light Gradient Boosting Machine (LGBM), was trained and evaluated using k-fold cross-validation. Performance was assessed using precision, recall, F1-score, and area under the receiver operating characteristic curve (AUC). The proposed metamodel demonstrated superior diagnostic performance, achieving a precision of 99%, recall of 100%, and an AUC of 1.00. It outperformed traditional diagnostic methods and other standalone machine learning algorithms, offering high accuracy and generalizability. The lightweight machine learning metamodel provides a cost-effective, non-invasive, and rapid diagnostic alternative for typhoid fever, particularly suited for resource-limited settings. Its reliance on accessible clinical parameters ensures practical applicability and scalability, potentially improving patient outcomes and aiding in disease control. Future work will focus on broader validation and integration into clinical workflows to further enhance its utility.
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http://dx.doi.org/10.3390/diagnostics15050562 | DOI Listing |
Arch Microbiol
September 2025
Medical and Biological Computing Laboratory, School of Biosciences and Technology (SBST), Vellore Institute of Technology (VIT), Vellore, 632014, India.
Salmonella enterica serovar Typhi, the etiological agent of Typhoid fever, remains a critical public health concern associated with high morbidity in many developing countries. The widespread emergence of multidrug-resistant (MDR) Salmonella Typhi strains against the fluoroquinolone group of antibiotics, particularly ciprofloxacin, poses a significant global therapeutic challenge with underlying resistance due to mutations in quinolone-resistance determining region (QRDR) of gyrA gene, encoding DNA gyrase subunit A (GyrA). In pursuit of alternative therapeutic candidates, the present study was designed to evaluate ciprofloxacin analogues against prevalent GyrA mutations (S83F, D87G, and D87N) to overcome fluoroquinolone resistance through machine learning (ML)-based approach.
View Article and Find Full Text PDFFront Med (Lausanne)
August 2025
School of Medicine, Universidad Norbert Wiener, Lima, Peru.
Introduction: Vaccination against COVID-19 has generated a dramatic reduction in deaths and infections worldwide. However, there may be cross-reactivity with numerous biochemical and immunological markers. The Widal test for the detection of typhoid fever is an antigen-antibody test that can be affected by vaccination, causing errors in the results, so we determined the frequency of false positive results of the Widal test in adults vaccinated with Commirnaty (Pfizer -BioNtech) and BBIBP-CorV (Sinopharm) vaccines.
View Article and Find Full Text PDFInfect Disord Drug Targets
September 2025
Department of Microbiology, AIIMS, Jodhpur, India.
Introduction: Typhoid fever, caused by Salmonella Typhi and Paratyphi, remains a sig-nificant public health concern, particularly in developing countries. The emergence of antimicrobial resistance, including resistance to first-line drugs, fluoroquinolones, and the development of re-sistance to ceftriaxone, poses a significant threat to effective treatment.
Methods: This study investigated extended-spectrum β-lactamase (ESBL)-producing Salmonella Typhi isolates from blood samples of patients with suspected typhoid fever at a tertiary care hospital in Western Rajasthan, India, between April 2022 and May 2024.
Lancet
September 2025
Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool. Electronic address:
Enteric fever, caused by the human-restricted bacteria Salmonella enterica serovar Typhi (typhoid) and Salmonella enterica serovar Paratyphi A, B, and C (paratyphoid), affects persons residing in, or travelling from, areas lacking safe water, sanitation, and hygiene infrastructure. Transmission is by the faecal-oral route. A gradual fever onset over 3-7 days with malaise, headache, and myalgia is typical.
View Article and Find Full Text PDFCureus
July 2025
Department of General Medicine, Mufti Mehmood Memorial Teaching Hospital, Medical Teaching Institute, Dera Ismail Khan, PAK.
Background Dengue fever significantly burdens healthcare systems, particularly in resource-limited settings such as Dera Ismail Khan, Khyber Pakhtunkhwa, Pakistan. Mufti Mehmood Memorial Teaching Hospital, the designated Dengue Isolation Unit in the region, continues to receive a steady influx of patients. This study analyzed the epidemiological profile of dengue cases admitted to the hospital to support public health planning and guide resource allocation.
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