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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During peak flu season, 12% of all samples tested are positive for flu. 88% have something else. Of the 12% positive, 30% have a bacterial co-infection.

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“Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics.”

– CDC

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 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.

Pediatric Panels

  • Adenovirus
  • Bocavirus
  • Bordetella pertussis
  • Chlamydophila pneumoniae
  • Coronavirus (229E, HKU1, NL63, OC43)
  • EBV (mononucleosis)
  • Enterovirus
  • Haemophilus influenzae
  • HMPV A
  • HMPV B
  • Influenza A
  • Influenza B
  • Moraxella catarrhalis
  • Mycoplasma pneumoniae
  • Parainfluenza virus (type 1-4)
  • Rhinovirus (types A & B)
  • RSV A
  • RSV B
  • Staphylococcus aureus
  • Streptococcus pneumoniae
  • Streptococcus pyogenes (Group A)
  • Acinetobacter baumannii
  • Adenovirus
  • Bocavirus
  • Bordetella pertussis
  • Chlamydophila pneumoniae
  • Coronavirus (229E, HKU1, NL63, OC43)
  • EBV (mononucleosis)
  • Enterobacter cloacae
  • Enterovirus
  • Haemophilus influenzae
  • HMPV A
  • HMPV B
  • Influenza A
  • Influenza B
  • Klebsiella aerogenes
  • Klebsiella pneumoniae
  • Legionella pneumophila
  • Moraxella catarrhalis
  • Mycoplasma pneumoniae
  • Parainfluenza virus (type 1-4)
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Rhinovirus (types A & B)
  • RSV A
  • RSV B
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Streptococcus pneumoniae
  • Streptococcus pyogenes (Group A)

ABX Resistance Marker:

  • Methicillin/Oxaxillin (mecA)
  • Acinetobacter baumannii
  • Bacteroides fragilis
  • Citrobacter braakii/freundii
  • Citrobacter koseri
  • Enterobacter aerogenes
  • Enterobacter cloacae
  • Enterococcus spp.
  • Escherichia coli
  • Klebsiella aerogenes
  • Klebsiella oxytoca/michiganensis
  • Klebsiella pneumoniae
  • Morganella morganii
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Serratia marcescens
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Staphylococcus saprophyticus
  • Streptococcus pyogenes (Group A)

ABX Resistance Markers:

  • Class A β-lactamase (blaKPC)
  • Class A β-lactamase (CTX-M-Group 1)
  • Class B metallo-β-lactamase (blaNDM)
  • Fluoroquinolones
  • Methicillin/Oxacillin (mecA)
  • Sulfonamides
  • Trimethoprim
  • Vancomycin (vanA, vanB)
  • Acinetobacter baumannii
  • Bacteroides fragilis
  • Citrobacter braakii/freundii
  • Citrobacter koseri
  • Enterobacter aerogenes
  • Enterobacter cloacae
  • Enterococcus spp.
  • Escherichia coli
  • Klebsiella aerogenes
  • Klebsiella oxytoca/michiganensis
  • Klebsiella pneumoniae
  • Morganella morganii
  • Proteus mirabilis
  • Pseudomonas aeruginosa
  • Serratia marcescens
  • Staphylococcus aureus
  • Staphylococcus epidermidis
  • Staphylococcus saprophyticus
  • Streptococcus pyogenes (Group A)

ABX Resistance Markers:

  • Class A β-lactamase (blaKPC)
  • Class A β-lactamase (CTX-M-Group 1)
  • Class B metallo-β-lactamase (blaNDM)
  • Fluoroquinolones
  • Methicillin/Oxacillin (mecA)
  • Sulfonamides
  • Trimethoprim
  • Vancomycin (vanA, vanB)
  • Atopobium vaginae
  • Bacteroides fragilis
  • BVAB-2
  • Candida albicans
  • Candida dubliniensis
  • Candida glabrata
  • Candida krusei
  • Candida lusitaniae
  • Candida parapsilosis
  • Candida tropicalis
  • Chlamydia trachomatis
  • Escherichia coli
  • Gardnerella vaginalis
  • Haemophilus ducreyi
  • HHV-1 (Herpes Simplex)
  • HHV-2 (Herpes Simplex)
  • Lactobacillus crispatus
  • Lactobacillus gasseri
  • Lactobacillus iners
  • Lactobacillus jensenii
  • Megasphaera Type 1
  • Megasphaera Type 2
  • Mobiluncus curtisii
  • Mobiluncus mulieris
  • Mycoplasma genitalium
  • Mycoplasma hominis
  • Neisseria gonorrhoeae
  • Prevotella bivia
  • Staphylococcus aureus
  • Streptococcus agalactiae (Group B)
  • Treponema pallidum
  • Trichomonas vaginalis
  • Ureaplasma urealyticum
  • Atopobium vaginae
  • Chlamydia trachomatis
  • Gardnerella vaginalis
  • Haemophilus ducreyi
  • HHV-1 (Herpes Simplex)
  • HHV-2 (Herpes Simplex)
  • Neisseria gonorrhoeae
  • Treponema pallidum
  • Trichomonas vaginalis
  • Adenovirus
  • Astrovirus
  • Campylobacter coli/jejuni/lari
  • Clostridium difficile
  • E. coli (VTEC, O157)
  • Norovirus (GI/GII)
  • Rotavirus
  • Salmonella spp.
  • Sapovirus
  • Shigella spp.
  • Yersinia enterocolitica

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Our Approach

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