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Erythromycin Resistance Screening in Slow-Growing Mycobacteria (e.g., *Mycobacterium ulcerans*)

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

This test checks whether certain slow-growing bacteria, like those that cause skin ulcers or lung infections, may be resistant to the antibiotic erythromycin. Resistance means the bacteria could grow even with this medication.

Quick summary

["Helps guide treatment choices for infections caused by slow-growing mycobacteria."]

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

Key facts at a glance

LOINC
20380-2
Short code
Erythromycin Islt SlowMyco
Synonyms
Erythromycin Islt SlowMyco
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
method-for-slow-growing-mycobacteria
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test detects genetic markers that indicate whether the slow-growing mycobacteria in your sample may resist erythromycin. This is done through a specialized laboratory method that identifies changes in the bacteria’s DNA related to antibiotic resistance.

Why It’s Ordered

Your healthcare provider may order this test if you have symptoms of slow-growing mycobacterial infections (e.g., skin ulcers, persistent lung infections) and erythromycin is being considered as part of treatment. It helps ensure the right antibiotics are chosen to effectively treat the infection.

Sample Collection and Preparation

The test uses a sample of slow-growing mycobacteria cultured from a bodily fluid or tissue (e.g., skin lesion, sputum, or biopsy). The bacteria are grown in the lab, and genetic testing is performed on a small sample of these cultures.

What to Expect Before the Test

No special preparation is needed beyond following your healthcare provider’s instructions for collecting the sample (e.g., avoiding certain medications or procedures). If you’re taking antibiotics, let your lab know to avoid false results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results suggest the bacteria may not respond to erythromycin, which could mean your treatment plan needs adjustment. Negative results indicate the bacteria are likely sensitive to erythromycin, supporting its use. This testing helps prevent unnecessary antibiotic resistance and improves infection outcomes.

Short name

Erythromycin Resistance Test (Slow-Growing Mycobacteria)

Frequently asked questions

What does a positive result mean?
A positive result means the test suggests the bacteria may be resistant to erythromycin, which could affect how your infection is treated. Your doctor will discuss alternative antibiotics or treatment strategies with you.
What if my test is negative?
A negative result means the test suggests the bacteria are likely sensitive to erythromycin, so this antibiotic may be effective in your treatment plan. Your doctor will confirm this with you and adjust your care as needed.
Can I take antibiotics before this test?
Yes, but inform your healthcare provider and lab team immediately. Some antibiotics may interfere with the test results, so they may need to be adjusted or stopped temporarily.
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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