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Fluoroquinolone Resistance Phenotype by Mass Spectrometry (Serum/Plasma)

Published: August 9, 2026Updated: August 17, 2026

This test measures how certain bacteria respond to fluoroquinolone antibiotics, which are used to treat infections like urinary tract infections, pneumonia, or skin infections. It helps doctors determine if a specific bacteria strain is resistant to these drugs.

Quick summary

["Helps guide antibiotic treatment to avoid ineffective or unnecessary medications."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
109691-6
Short code
FLUAV Ag Msmt Nph
Synonyms
FLUAV Ag Msmt Nph
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
7.35
Ref high
7.45
Critical range
7.2 N/A – 7.6 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 Matters in Your Care

Fluoroquinolones are a class of antibiotics that work by stopping bacteria from replicating. However, some bacteria can develop resistance over time, making these drugs less effective. This test helps identify if a particular bacteria sample is resistant to fluoroquinolones, ensuring your treatment is as effective as possible.

How the Test Works

The test involves collecting a blood sample (serum or plasma) and analyzing it using mass spectrometry. This advanced technique detects the presence of specific genetic markers or proteins that indicate bacterial resistance to fluoroquinolones. It’s not a routine blood test but is used when doctors suspect resistance in a specific infection.

What to Expect Before the Test

You may not need special preparation for this test. If you’re having a blood draw for another reason, inform your healthcare provider about this test. Avoid eating or drinking for a short time before the blood draw if instructed, but this is not always required.

Common Uses and When It’s Ordered

This test is typically ordered when doctors suspect bacterial resistance to fluoroquinolones in infections such as urinary tract infections, pneumonia, or skin infections. It’s often used in cases where symptoms don’t improve with standard fluoroquinolone treatment or when bacteria have been previously exposed to these antibiotics.

Reference range

NCBI: pH 7.35-7.45N/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Fluoroquinolone Resistance Testing

Frequently asked questions

What does a positive result mean?
A positive result indicates that the bacteria in your sample are resistant to fluoroquinolone antibiotics. This means the specific antibiotic you might have been prescribed may not work effectively. Your doctor will adjust your treatment plan based on these findings.
What if my test result is negative?
A negative result suggests that the bacteria in your sample are sensitive to fluoroquinolone antibiotics. This means the medication you’re being treated with is likely to be effective. However, always follow your doctor’s instructions carefully, as resistance can develop over time with repeated or improper use.
Can this test be done on other specimens?
This test is primarily performed on blood serum or plasma samples. If you have a urine or other specimen infection, your doctor may use different testing methods to assess antibiotic resistance, such as culture and sensitivity testing.
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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 17, 2026. · Read our editorial policy