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ESBL Detection by Phenotypic Screening (e.g., Modified Hodge Test or Disk Diffusion)

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

This test checks for extended-spectrum beta-lactamase (ESBL) producing bacteria, which may make certain antibiotics less effective. ESBL is a type of enzyme that can make bacteria resistant to common antibiotics used to treat infections.

Quick summary

["ESBL bacteria may require different treatment approaches; results help guide antibiotic choices."]

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

Key facts at a glance

LOINC
85831-6
Short code
ESBL blaBEL gene Islt/Spm Ql
Synonyms
ESBL blaBEL gene Islt/Spm Ql
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
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

ESBL is an enzyme produced by some bacteria that can break down certain antibiotics, such as penicillin and cephalosporins. This test detects bacteria that produce ESBL, which can lead to harder-to-treat infections. The test uses a specific method to identify these bacteria in a blood or urine sample.

Why It’s Done

Your healthcare provider may order this test if you have symptoms of an infection (like fever, pain, or drainage) and are being treated with antibiotics that might be affected by ESBL. It helps determine if the bacteria causing your infection are resistant to common antibiotics, guiding treatment decisions.

Sample Collection

A blood or urine sample is collected for testing. Blood samples are typically drawn from a vein in your arm, while urine samples are collected in a clean container. The sample is then sent to a lab for analysis.

Test Process

The test involves growing bacteria from your sample on a special medium and exposing it to specific antibiotics. If ESBL-producing bacteria are present, they may grow differently or show resistance patterns that indicate ESBL production. Results are interpreted by a healthcare professional.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

ESBL Screen

Frequently asked questions

Why might I need this test?
This test helps identify if the bacteria causing your infection are resistant to certain antibiotics, which is important for choosing the right treatment. ESBL-producing bacteria can spread in healthcare settings and may require alternative antibiotics or additional monitoring.
What do my results mean?
Positive results indicate the presence of ESBL-producing bacteria. This means your infection may not respond well to standard antibiotics like ampicillin or third-generation cephalosporins. Your doctor will adjust treatment accordingly, possibly using different antibiotics or stronger ones.
How often is this test repeated?
This test is usually done once if symptoms are present and antibiotics are being considered. If you have recurring infections or are in a healthcare setting, your doctor may repeat the test as needed to monitor resistance patterns.
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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