Molecular Resistance Testing by Sequencing (Plasma/Serum)
This test analyzes genetic variations in bacteria or viruses to determine if they may cause antibiotic resistance. It helps doctors choose the best treatment for infections.
["Genetic testing to guide antibiotic use for infections."]
Key facts at a glance
- LOINC
- 89201-8
- Short code
- Molecular resistance method Islt/Spm
- Synonyms
- Molecular resistance method Islt/Spm
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Critical range
- 0.5 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
What This Test Measures
This test examines specific genes (such as those in bacteria or viruses) that may contribute to resistance against common antibiotics. By identifying these genetic markers, healthcare providers can tailor treatment plans to target the most effective drugs for your infection.
Why It’s Done
Doctors may order this test if you have a bacterial or viral infection that doesn’t respond to standard treatments, or if you’re at higher risk of antibiotic-resistant infections (e.g., frequent infections, hospital stays, or immune conditions). It helps prevent unnecessary antibiotic use and reduces the spread of resistant bacteria.
Sample Collection and Preparation
A blood sample (plasma or serum) is collected during a routine venipuncture. The sample is then processed in a lab to extract genetic material (DNA/RNA) for sequencing. Results are generated based on the presence of resistance-associated genes.
How Results Are Interpreted
Results show whether specific resistance genes are present in the pathogen causing your infection. If resistance genes are detected, doctors will adjust treatment to use antibiotics that are more likely to work effectively.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
This test is critical for managing infections where traditional antibiotics fail or are ineffective. By identifying resistance markers early, doctors can prevent unnecessary antibiotic exposure, reduce the risk of further resistance, and improve patient outcomes. It’s especially important in cases of complex or recurrent infections.
Frequently asked questions
What does a positive result mean?
How long does it take to get results?
Is this test covered by insurance?
Sources
- 1
- 2Lab Tests OnlineSource
- 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 17, 2026. · Read our editorial policy