Understanding Your Laboratory Test: What It Is and Why It Matters
A molecular test that detects the presence of Bacteroides fragilis bacteria DNA in blood to confirm it as the cause of a bloodstream infection.
{"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"}
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
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?
How long does it take to get results?
What happens if the test is positive?
Can this bacteria spread to others?
Do I need to do anything special to prepare for this test?
Sources
- 1
- 2May Clinic - BacteremiaSource
- 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.
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