Understanding Your Laboratory Test: A Patient's Guide to Diagnostic Blood Testing and What to Expect Before, During, and After Your Appointment
A laboratory test that determines whether the bacteria causing tuberculosis (TB) is sensitive or resistant to bedaquiline, an antibiotic used to treat drug-resistant TB.
{"This test checks if TB bacteria can be killed by bedaquiline medicine","It helps doctors choose the right treatment for drug-resistant tuberculosis","A blood sample is needed for this test","Results help determine if bedaquiline will work for your infection"}
Key facts at a glance
- LOINC
- 94274-8
- Short code
- BDQ-SUSC
- Synonyms
- Bedaquiline Susc Islt
- Category
- chemistry
- Sample
- serum
- Container
- Serum separator tube (SST) or sterile red-top tube
- Units
- N/A
- Ref low
- 0.25
- Ref high
- 0.5
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 12 years
- Method
- Broth Microdilution Minimum Inhibitory Concentration (MIC)
- CPT
- 87188
- SNOMED
- 448970001
- Specimen volume
- 2-5 mL of serum
- Stability
- Refrigerated (2-8°C): 7 days; Frozen (-70°C or below): 30 days; Room temperature (15-25°C): 24 hours
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 72–336 hours
- Order
- routine
This laboratory test is a diagnostic procedure that analyzes a sample collected from your body, most often a small amount of blood, to help your doctor evaluate your overall health, screen for medical conditions, and monitor how well a current treatment is working for you.
The bedaquiline susceptibility test is a laboratory test that checks whether the tuberculosis (TB) bacteria in your body are sensitive or resistant to a medication called bedaquiline. Bedaquiline is a special antibiotic used to treat forms of TB that are resistant to other standard TB medicines (called multidrug-resistant TB or MDR-TB).
The test is usually performed in a clinic, hospital laboratory, or outpatient draw station. A trained phlebotomist cleans the site, typically the inside of your elbow, places a tourniquet on your arm, and collects a small blood sample into a sterile tube using a thin needle. The process takes only a few minutes, and most people describe it as a quick pinch. Afterward, a small bandage is applied, and you can return to your normal activities right away.
A blood sample will be collected from your arm by a healthcare professional. The sample is then sent to a laboratory where scientists will grow the TB bacteria from your sample and test it against bedaquiline to see if the bacteria are killed by the medicine.
This test is important because it gives your healthcare team objective information about how your body is functioning. It can detect diseases in their earliest stages, sometimes before you notice any symptoms, which allows treatment to begin sooner. It also helps your doctor track chronic conditions, adjust medication doses safely, and make well-informed decisions about your ongoing care.
This test is crucial because it helps your doctor determine whether bedaquiline will be an effective treatment for your specific TB infection. If the bacteria are resistant to bedaquiline, your doctor will need to choose different antibiotics to treat your TB effectively.
Your results are compared against established reference ranges, which are values considered typical for healthy people. Values within these ranges generally suggest normal function, while results higher or lower than expected may point to an underlying condition that needs further evaluation. Many factors, including diet, medications, and hydration, can influence the numbers, so always review your report with your doctor, who can interpret the findings in the context of your symptoms, medical history, and overall health.
The test result will show either 'susceptible' or 'resistant'. 'Susceptible' means the TB bacteria can be killed by bedaquiline, so this medicine may be part of your treatment plan. 'Resistant' means the bacteria are not affected by bedaquiline, and your doctor will need to prescribe other medications.
Reference range
Susceptible: MIC ≤ 0.12 mcg/mL; Intermediate: MIC 0.25-0.5 mcg/mL; Resistant: MIC ≥ 1.0 mcg/mL (per CLSI M100 guidelines)N/A
No special patient preparation required. Sample should be collected prior to next dose for trough-level correlation if therapeutic drug monitoring is requested.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The bedaquiline susceptibility test is essential for guiding personalized treatment of drug-resistant tuberculosis. It helps prevent treatment failure by ensuring patients receive effective medications. The test is particularly important because bedaquiline is a key drug for treating multidrug-resistant and extensively drug-resistant TB, and knowing susceptibility helps avoid ineffective treatments that could lead to further drug resistance.
This test is typically ordered when a patient has been diagnosed with drug-resistant TB or when standard TB treatment is not working. Results help tuberculosis specialists design an appropriate treatment regimen based on which antibiotics will effectively combat the specific strain of TB bacteria.
Frequently asked questions
Is the test painful?
How long does it take to get results?
Do I need to fast before this test?
What happens if my test shows resistance?
Can this test be done during pregnancy?
Sources
- 1
- 2WHO - TB Drug ResistanceSource
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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