BIOTIA-DX RESISTANCE Achieved the Best Antimicrobial Resistance Phenotype Prediction Accuracy at CAMDA 2026

Abstract

We present BIOTIA-DX RESISTANCE (BDXR), our submission to the CAMDA 2026 AMR Challenge. This work extends our CAMDA 2025 submission [1] to a new set of six species-drug pairs and adds k-mer-based feature engineering (both targeted and whole-genome) for pairs where the 2025 gene-presence base model underperforms. BDXR achieved a mean accuracy of 86.1% across the six pairs on the CAMDA 2026 test set, ranking first on four pairs, tied for first on Streptococcus pneumoniae (penicillin), and second on Campylobacter jejuni (nalidixic acid); per-pair test accuracy ranged from 69.9% (C. jejuni, nalidixic acid) to 98.8% (S. pneumoniae, penicillin). We refer the reader to our 2025 preprint [1] for the underlying workflow, dataset curation, and clinical motivation; this preprint focuses on the results and methodological changes that are new in 2026.