The Problem

Antibiotic resistance is an emerging crisis. The overuse of antibiotics clearly drives the evolution of resistance. At Assurance Scientific Laboratories, we do not believe in faulting patients demanding antibiotics or prescribers writing them incorrectly. The tools to make the correct decision have not been readily available to them.

Interestingly, most if not all antibiotic stewardship programs fail to include the most important weapon to win this war – pathogen identification. Timely, accurate, and precise pathogen identification is the only way this war can be fought and won.

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“At least 30% of antibiotic courses prescribed in the outpatient setting are unnecessary meaning no antibiotic was needed at all.”

– CDC

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“Nearly one third of patients in hospital based outpatient wound centers may not heal their wounds even though they are cared for over a long period of time (outcomes include amputation, death, and uncertain).”

The Assurance Solution

At Assurance Scientific Laboratories, our solution is an antibiotic stewardship program designed to improve the appropriate use of antibiotics by promoting the identification of infectious pathogens. We believe our clinical lab services are second to none. Our vision of the ideal antimicrobial stewardship program begins with our testing. We offer a comprehensive identification solution using both genotype and phenotype to best understand the infectious pathogen. Our lab identifies the pathogen(s) present using very sensitive and specific PCR assays. In addition, if indicated, we perform a rapid culture to confirm the genotype while also confirming the phenotype.

Ultimately a treatment decision has to be made. Knowing the presence of any specific antimicrobial resistance genes guides the clinician to determine what NOT to use. In addition, phenotyping antimicrobial susceptibility is the definitive guide to direct what to use. Having both pathogen genotype and phenotype assures a timely, accurate diagnosis and sustainable treatment plan.

Wound Panel w/ ABX Resistance

  • Acinetobacter baumannii
  • Citrobacter freundii
  • Enterobacter aerogenes
  • Enterobacter cloacae
  • Enterococcus faecalis
  • Enterococcus faecium
  • Escherichia coli
  • Klebsiella pneumoniae
  • Morganella morganii
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Staphylococcus aureus
  • Staphylococcus pyogenes (Group A)
  • mecA (MRSA)
  • VRE; vanA
  • Class A β-lactamase (blaKPC)
  • Class A β-lactamase (CTX-M-Group 1)
  • Class B metallo-β-lactamase (blaNDM)

Our Process

1

Collect a patient specimen via a swab.

2

Send the specimen to our lab via overnight shipping or courier.

3

The sample arrives to our lab by noon and your results will be ready the same day.

4

Results are delivered on a one page summary that provides answers to most questions, without having to review pages of data.

Contact Us

We can answer any questions or concerns you may have!

Our Approach

Learn more about what Assurance Scientific Laboratories has to offer you!

Citations:

https://www.woundsresearch.com/article/wound-care-outcomes-and-associated-cost-among-patients-treated-us-outpatient-wound-centers-d

https://www.todayswoundclinic.com/articles/how-should-outpatient-wound-clinics-honestly-measure-success