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Extended-spectrum β-lactamase (ESBL) detection in bacterial isolates via gene sequencing (qualitative)

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

This test checks if bacteria in your sample carry genes that make them resistant to certain antibiotics, including extended-spectrum penicillin drugs.

Quick summary

["Determines antibiotic resistance patterns to guide treatment choices."]

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

Key facts at a glance

LOINC
98063-1
Short code
ESBL blaCTX-M-15 gene Islt/Spm Ql
Synonyms
ESBL blaCTX-M-15 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

Why This Test Is Done

Your healthcare provider may order this test if you’ve been treated with antibiotics and symptoms persist, or if you’ve been exposed to bacteria known to produce ESBL. It helps identify infections caused by bacteria resistant to common antibiotics, ensuring more effective treatment options.

How the Test Works

A small sample of bacteria is taken from your body (e.g., blood, urine, or wound) and analyzed for specific genes (ESBL genes) using advanced sequencing technology. This confirms whether the bacteria carry resistance markers.

Sample Collection and Preparation

You’ll likely provide a sample (e.g., blood draw, urine collection, or swab) during a routine visit. The lab processes the sample to isolate bacteria, then tests for the ESBL gene using genetic sequencing.

What to Expect After the Test

Results are typically ready within 2–5 business days. Your provider will discuss findings and recommend next steps, such as adjusting antibiotic therapy if needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

ESBL Gene Screening (Qualitative)

Frequently asked questions

This test is critical for managing infections caused by bacteria like *E. coli* or *Klebsiella*, which can spread in hospitals or communities. Detecting ESBL helps prevent unnecessary antibiotic use and reduces resistance risks.
ESBL detection ensures your doctor can choose the most effective antibiotics to treat infections, improving recovery outcomes and reducing complications.
How does this test differ from a routine urine or blood culture?
This test specifically looks for *only* the genetic markers (ESBL genes) that cause antibiotic resistance. A routine culture identifies the bacteria itself but doesn’t directly detect resistance genes unless sequenced.
What if my test comes back positive for ESBL?
A positive result means the bacteria carry genes that make them resistant to certain antibiotics. Your doctor will adjust treatment plans to use alternatives, such as carbapenems or other broad-spectrum drugs, to effectively fight the infection.
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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