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Understanding This Laboratory Test: What It Measures, Why It Is Ordered, and How to Interpret Your Results

Published: August 9, 2026Updated: August 16, 2026

This test detects the DNA of Bacillus anthracis (anthrax bacteria) in blood samples using advanced genetic testing methods when a blood culture has already shown growth of the bacteria.

Quick summary

{"This test confirms anthrax infection when bacteria are already growing in blood culture","It uses genetic testing (NAA) to detect anthrax DNA, not the bacteria itself","Results help doctors confirm diagnosis and guide appropriate treatment","A positive result means you have anthrax infection requiring immediate treatment","This is a specialized test performed in reference laboratories"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
101368-9
Short code
BANNAA
Synonyms
B anthracis DNA Bld Pos Ql NAA+n-prb
Category
chemistry
Sample
whole-blood
Container
Positive blood culture bottle (aerobic and/or anaerobic) submitted to laboratory for subculture and molecular testing
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
non-probe-amp-tar
CPT
87149
SNOMED
415684004
Specimen volume
Not applicable; testing performed on aliquot taken from positive blood culture broth
Stability
Blood culture bottles should be incubated immediately upon collection. Positive cultures should be processed for molecular testing within 24 hours of signaling positive. Subcultured isolates stable at 2-8°C for up to 7 days.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

This test is a laboratory analysis performed on a sample of your blood, urine, or other body specimen to help your healthcare provider evaluate how well certain organs and body systems are functioning and to look for signs of disease, infection, or other abnormalities.

The Bacillus anthracis DNA test is a molecular test that detects the genetic material (DNA) of anthrax bacteria in your blood. This test is specifically ordered when a blood culture has already shown growth of Bacillus anthracis bacteria. The test uses a method called Nucleic Acid Amplification (NAA) with non-probe detection, which means it can identify the specific genetic signature of anthrax bacteria without using probe-based methods.

Your healthcare provider may order this test to help diagnose the cause of symptoms you are experiencing, monitor an ongoing medical condition, screen for health risks before symptoms develop, or check how well a prescribed treatment or medication is working over time.

This test is ordered when your blood culture has already indicated possible growth of Bacillus anthracis. The DNA test serves as a confirmatory test to definitively identify whether the bacteria growing in your blood culture is indeed anthrax. This is important because anthrax is a serious infection that requires specific treatment, and confirming the exact type of bacteria helps doctors provide the most appropriate care.

The test is usually performed by drawing a small sample of blood from a vein in your arm, although some versions use a urine sample, a throat or nasal swab, or another specimen; the collection typically takes only a few minutes, and the sample is then sent to a laboratory for analysis.

A healthcare professional will collect a blood sample from a vein in your arm. The sample is then sent to a specialized laboratory where technicians extract the genetic material and use Nucleic Acid Amplification techniques to detect the specific DNA sequence of Bacillus anthracis. The 'non-probe detection' method means the test identifies the bacterial DNA through a different technical approach than traditional probe methods.

Your results are compared against established reference ranges, and values that fall within the normal range generally suggest typical body function, while higher or lower values may indicate infection, inflammation, organ stress, or another condition that your healthcare provider will interpret together with your symptoms, examination findings, and medical history.

A positive result confirms that Bacillus anthracis DNA is present in your blood, which means you have an anthrax infection. This is a serious condition that requires immediate medical treatment with antibiotics specifically effective against anthrax. A negative result would indicate that despite initial culture growth, anthrax DNA was not detected, which may suggest a different bacteria or require further investigation.

Reference range

Negative (Bacillus anthracis DNA not detected). A positive result indicates the presence of Bacillus anthracis DNA in the blood culture.N/A

Specimen: whole-blood

No special patient preparation required. Specimen should be collected prior to initiation of antimicrobial therapy whenever possible. Standard blood culture collection protocols should be followed with strict aseptic technique.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test has critical clinical significance in confirming anthrax infection. Anthrax is caused by Bacillus anthracis bacteria and can occur in three main forms: cutaneous (skin), inhalational (lungs), and gastrointestinal (digestive system). When bacteria enter the bloodstream (septicemia), it becomes life-threatening. This DNA test provides definitive confirmation of anthrax when blood culture suggests its presence, allowing physicians to immediately begin appropriate antibiotic therapy. The test is particularly important because anthrax requires specific antibiotics (such as ciprofloxacin or doxycycline) rather than standard antibiotics, making accurate identification essential for successful treatment.

Frequently asked questions

Why is this test needed if my blood culture already showed bacteria growth?
While blood culture can detect that bacteria are growing, it may not always definitively identify the exact species. This DNA test provides molecular confirmation that the specific bacteria is Bacillus anthracis, which is crucial because anthrax requires specialized treatment different from other bacterial infections.
Is this test painful?
The test requires a standard blood draw, which may cause brief discomfort like any blood test. The actual DNA analysis is performed in a laboratory and causes no additional discomfort.
How long does it take to get results?
Since this is a specialized molecular test performed in reference laboratories, results typically take 1-3 days after the blood sample is collected. Your healthcare provider will inform you of the results as soon as they are available.
What happens if my test is positive?
If positive, your doctor will immediately begin anthrax-specific antibiotic treatment. Anthrax is a serious infection that requires prompt treatment, often with intravenous antibiotics. Your doctor will determine the best treatment plan based on your specific condition.
Can I have anthrax without this test being positive?
Yes, this test is specifically used when anthrax is already suspected from blood culture growth. Anthrax can also be diagnosed through other methods including other blood tests, tissue biopsies, or imaging studies depending on the type and stage of infection.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy