Skip to content

Understanding Your Laboratory Test: What It Is and Why It Matters

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

A molecular test that detects the presence of Bacteroides fragilis bacteria DNA in blood to confirm it as the cause of a bloodstream infection.

Quick summary

{"This test identifies Bacteroides fragilis bacteria in blood using DNA detection methods","It is performed on samples from a positive blood culture to confirm the specific bacteria causing infection","Results help doctors choose the right antibiotics for treatment","Bacteroides fragilis is normally found in the gut but can cause serious infections if it enters the bloodstream","Early identification helps guide appropriate antibiotic therapy"}

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

Key facts at a glance

LOINC
93405-9
Short code
BFRDNA
Synonyms
B fragilis DNA Bld Pos Ql NAA+probe
Category
chemistry
Sample
whole-blood
Container
Positive blood culture bottle (aerobic or anaerobic) submitted in its original container; or aliquot transferred to a sterile, leak-proof, DNA-free molecular transport tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
probe-amp-tar
CPT
87153 (Culture, typing; identification by nucleic acid sequencing method, each isolate) or 87798 (Infectious agent detection by nucleic acid, not otherwise specified)
SNOMED
415303004 | Bacteroides fragilis (organism)
Specimen volume
1-3 mL aliquot from a flagged positive blood culture bottle; volume is dependent on the testing platform's minimum input requirement
Stability
Stable for up to 24 hours at 2-8°C after blood culture flags positive; for prolonged delays, storage at -70°C or below is recommended. Avoid repeated freeze-thaw cycles.
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
1–8 hours
Order
routine

This test is a laboratory analysis performed on a sample collected from your body, most often blood or urine. Your healthcare provider orders it to gather detailed information about how your body is functioning and to help identify, confirm, or monitor a medical condition.

This test uses a method called Nucleic Acid Amplification (NAA) with probe detection to find the genetic material (DNA) of Bacteroides fragilis bacteria in blood. Bacteroides fragilis is a type of bacteria that normally lives in the human gut without causing harm. However, if it enters the bloodstream, it can cause a serious infection called bacteremia or sepsis.

Your doctor may order this test to help diagnose the cause of symptoms you are experiencing, to screen for a disease before symptoms appear, to check how well a current treatment is working, or to monitor an ongoing condition such as diabetes, thyroid disease, or kidney problems.

This test is performed when a blood culture has already shown signs of bacterial growth. It helps identify the specific type of bacteria causing the infection. Knowing the exact cause is important because different bacteria require different antibiotics for effective treatment. Bacteroides fragilis infections often require specific antibiotics because this bacteria can be resistant to some common antibiotics.

Your results are compared against established reference ranges. Values within the normal range usually suggest that no abnormality was detected, while values that are too high or too low can point to infection, inflammation, organ dysfunction, or another condition requiring follow-up. Only your healthcare provider can interpret your results in the context of your full medical history.

A positive result means that Bacteroides fragilis DNA was detected in your blood culture, confirming this specific bacteria as the cause of your bloodstream infection. This information helps your healthcare team select the most appropriate antibiotics to treat the infection effectively. A negative result means that Bacteroides fragilis was not detected, and your infection may be caused by a different organism.

A trained healthcare professional will collect your sample, usually by drawing a small amount of blood from a vein in your arm with a sterile needle, or by asking you to provide a urine specimen in a clean container. The collection takes only a few minutes, and you can typically return to your normal activities right away.

The test is performed on a blood sample that has already been collected for a blood culture. When a blood culture shows bacterial growth, additional testing like this one is done to identify the specific organism. No additional blood draw is typically needed for this specific test.

Reference range

Negative (Target DNA not detected). Result reported as Detected or Not Detected. This is a qualitative molecular assay; quantitative reference ranges do not apply.N/A

Specimen: whole-blood

No special patient preparation or fasting is required. Specimen is collected as part of standard blood culture collection when bloodstream infection is suspected.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Bacteroides fragilis is one of the most common anaerobic bacteria causing bloodstream infections. These infections can occur after gastrointestinal surgery, abdominal trauma, or in people with weakened immune systems. Identifying this organism quickly through DNA testing helps doctors start targeted antibiotic therapy sooner, which can improve patient outcomes and reduce complications.

Bacteroides fragilis infections often require specific antibiotic treatment because this bacteria produces enzymes called beta-lactamases that can break down certain antibiotics like penicillin. The results of this test help doctors choose antibiotics that will effectively kill this specific bacteria.

Frequently asked questions

Is this test painful?
No. This test is performed on a blood sample that was already collected for a blood culture. No additional needle stick is needed for this specific DNA test.
How long does it take to get results?
This is a rapid molecular test that can provide results within a few hours once the blood culture shows growth. This is much faster than traditional culture methods that can take days.
What happens if the test is positive?
If positive, your healthcare team will know that Bacteroides fragilis is causing your infection. They will likely start or adjust antibiotics specifically effective against this type of bacteria. You will be monitored closely for response to treatment.
Can this bacteria spread to others?
Bacteroides fragilis is normally found in everyone's gut and is not considered contagious. It does not spread from person to person. Infections occur when the bacteria enters sterile areas of the body like the bloodstream, usually due to a medical procedure or condition.
Do I need to do anything special to prepare for this test?
No special preparation is needed. The test is performed on blood that was already drawn for your blood culture. Your doctor will discuss any specific instructions related to your overall care.
  1. 1
  2. 2
  3. 3

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.

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