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Understanding Your Laboratory Test: A Patient's Guide to Diagnostic Blood Testing and What to Expect Before, During, and After Your Appointment

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

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.

Quick summary

{"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"}

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

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

Specimen: serum

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?
You may feel a brief sting or pinch when the blood sample is taken, but the procedure is generally well-tolerated. The amount of blood taken is small and safe.
How long does it take to get results?
TB bacteria grow slowly in the laboratory, so it may take several weeks to get complete results. Your doctor will discuss the results with you as soon as they become available.
Do I need to fast before this test?
No, you do not need to fast before the blood test. You can eat and drink normally unless your doctor instructs otherwise.
What happens if my test shows resistance?
If the test shows resistance to bedaquiline, your doctor will work with a team of TB specialists to design an alternative treatment plan using other effective antibiotics. This may involve combination therapies tailored to your specific case.
Can this test be done during pregnancy?
Yes, this test can be performed during pregnancy if needed. It is important to treat drug-resistant TB during pregnancy to protect both the mother and baby, and your doctor will carefully select the safest and most effective treatment options.
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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