Diatherix Eurofins is a unique laboratory providing accurate and actionable results in one day for infectious diseases and antibiotic resistance genes utilizing innovative molecular technologies, including proprietary
Diatherix Eurofins is CAP-accredited and CLIA certified and follows the guidelines established by CAP, CLIA, and the Clinical Laboratory Standards Institute (CLSI) for validation of molecular testing technologies.
Diatherix was founded in 2008.
More than 16,000 physicians have ordered Diatherix Eurofins Panels.
• Delivers one-day results • Reduced antibiotic utilization • Improved patient outcomes • Cost reduction and avoidance • Increased patient satisfaction • Greater clinical value
Polymerase chain reaction (PCR) is a molecular biology technique that amplifies a DNA base pair sequence that is unique to the organism being identified. The DNA or RNA region of interest (usually 150-230 base pairs) is extracted from the specimen and amplified to several orders of magnitude (billions of copies). TEM-PCR™ is a proprietary technology that accomplishes the task of DNA amplification in a multiplex format; e.g. amplifying the DNA or RNA of multiple organisms in a single reaction.
• Delivers one-day results • Identifies bacteria regardless of recent antibiotic use • Offers simplicity of single sample collection • Identifies difficult to culture pathogens • Yields a high level of sensitivity and specificity
When a gene is detected on a Diatherix Eurofins Panel, the clinician should consider the presence of the particular gene identified and adjust his/her choices of antibiotics accordingly. The presence of a gene that can produce a resistance mechanism may not always be seen in phenotypic assays that are a part of routine culture and antibiotic susceptibility testing. Many of the genes that Diatherix-Eurofins Panels detect are not always expressed and may be inducible when antibiotics are used for which there is a gene present. There is no way to predict the time required to induce resistance as this may be dependent upon the concentration of antibiotic used and the duration of coverage.
No. Diatherix Eurofins does molecular testing, not microbiological testing.
Call 1-800-GO-FEDEX (1-800-463-3339) to schedule a pickup. Once in the automated system press ‘0’ for the first three prompts to speak with a customer service representative. Tell the representative that you have a “Prepaid FedEx Express® Label Pickup” and provide them with your address information. Write down the confirmation number for the pickup and retain it for your records.
Our packages are accepted at FedEx® main facility locations and FedEx® Drop Boxes. FedEx® Office locations WILL NOT accept this type of package. Visit FedEx.com to find a location near you.
Call 877-820-8047 and request that more labels be shipped to you. If you require a label for a same day shipment, one can be emailed to you. FedEx® labels can not be faxed due to the poor reproduction quality of fax machines.
A FedEx® UN3373 Clinical Pak is required to ship a specimen to Diatherix. This type of packaging is not available at FedEx® locations and must be shipped to you from Diatherix. If you have run out of Clinical Paks, please call the Diatherix Logistics Department at 877-820-8047 to request an overnight shipment.
Always retain the *Keep for your records* shipping label copy from your FedEx Express® shipping label. Go to FedEx.com and type in the tracking number of your package to check the delivery status.
FedEx® routes may vary from location to location. Call 1-800-GO-FEDEX to obtain a pickup schedule for your area. Only request a FedEx Express® pickup schedule, as other FedEx® methods do not apply.
Only FedEx Express® drivers will accept UN3373 Clinical Paks. FedEx Ground® drivers will not accept packages classified as such.
Option #1: Complete this electronic PDF version of the Client Supply Order Form and click the submit button at the bottom and follow the steps listed to electronically submit your form. Option #2: Print the completed Client Supply Order Form and fax it to 256-327-0984. Option #3: Save the completed Client Supply Order Form and email it to: firstname.lastname@example.org. Option #4: Call our Diatherix Logistics Department at 877-820-8047.
Please contact Supplies at 877-820-8047.
Your client number is a three or four digit number in parenthesis next to your office name to the right of the barcode on your requisition form.
All supply orders are shipped via FedEx Ground® and may take up to 3 business days to arrive. If you are out of supplies, please request FedEx Priority Overnight® delivery. Supply orders must be received by 3:00 p.m. (CST) to be processed on the same business day.
Diatherix ships a 60 day supply based on your previous 30 day volume. This ensures proper rotation of stock and minimizes your time required to order.
Amies media in Eswab™ tubes, and guanidine thiocyanate in the Genital Health tube.
Please call the Supplies line at 877-820-8047 if you have not received your supplies in 2-4 days. Diatherix is located in North Alabama. The farther away you are, the longer it will take for supplies to reach you. However, you should receive your orders within four days maximum.
If you have not received your results within 48 hours, please call Client Services at 877-820-8047
Please call your Territory Manager with any issues. They will notify the Logistics Department to help resolve the issue. In most cases you will hear back from our FedEx Representative.
You may use any sturdy box that you can find while we are shipping you more boxes.
You have the option to call 877-820-8047, fax 256.327.9858, or email your order to email@example.com. You can fi nd an order form at www.diatherix.com. In the top right corner you will see a Resources tab, from there you will select Resource Directory. There you will find, and select, the Supply Order. You can fill out the form on your computer, then email to us at firstname.lastname@example.org. You may also print from here if you would to keep blank forms on hand or if you prefer fax.
Diagnostic tests such as
Multiplex molecular technology (
Although quantitation is important for certain infections such as determining viral load in Hepatitis C and HIV to adjust antiviral dosing, quantitation in bacterial infections can vary with the particular infection and the patient involved. In effect, the number of organisms infecting one patient may not be the same with another. Establishing some arbitrary threshold to determine whether someone is infected would not be accurate or practical.
Yields a high level of sensitivity and specificity.
There are multiple reasons for a negative result. First, not all potential pathogens are tested on our panels. Our panels are designed to capture the most common causes of infection at a particular anatomic site. The value of a negative result provides the information that the most common pathogens for that particular site could be excluded. Second, infections in sterile sites such as the bloodstream or synovial fluid have a very low number of organisms, and could be below the limit of detection of our test for a particular target. Lastly, the collection of the specimen is key in obtaining an accurate result. For example, if a lower respiratory infection is suspected, then the specimen source should be from lower airway secretions instead of a nasopharyngeal (NP) swab.
When a gene is found on one of the Diatherix Eurofins panels, the clinician should consider avoiding the particular antibiotic class targeted by the gene that is detected. This is particularly true if therapy is to cover an extended period of time; e.g. 1 to 2 weeks or more. The concept of class avoidance is different from conventional antibiotic susceptibility in that it suggests the ‘exclusion’ of an antibiotic (based upon genotype) rather that ‘inclusion’ which is the basis for conventional antibiotic susceptibility testing (phenotype).
The upper respiratory tract is heavily colonized with a variety of bacteria that are part of our natural flora; now being referred to as our microbiota. It is now recognized that several bacteria and viruses that cause infections such as otitis media, pharyngitis, and sinusitis can be found in both symptomatic and asymptomatic patients. Making a diagnosis of infection is dependent upon getting a comprehensive accounting of the organisms present, associating them with compatible clinical signs, and the use of companion diagnostics to better evaluate any infection that may be present. The identification of multiple detections may reflect a more problematic course of infection for a patient with significant symptoms.
While the exact significance of a given combination of detected pathogens is hard to determine, we do know that there is often synergy between pathogens. This can be between viruses and viruses, viruses with bacteria, and bacteria with bacteria. For example, at least 90% of all pneumonia cases begin with an antecedent viral illness. The interaction between multiple organisms (both viruses and bacteria) is the rule rather than the exception. As with all diagnostic reports, the provider should consider the results as indication of the presence of the pathogen(s), rather than proof of active infection. Considering the reported organism(s) with respect to the clinical presentation to arrive at the diagnosis.
A significant number of patients have, as a part of their microbiota, organisms that can cause significant disease when found in a sterile site such as the blood or spinal fluid. One such organism is Neisseria meningiditis. It is now recognized that between 10 to 20 percent of children may harbor this organism as a part of their microbiota intermittently or continually and remain asymptomatic. Detecting the presence of ‘would-be pathogens’ is important in that the patient can be a reservoir of infection for immune-compromised family members or friends. In addition, the patient’s immune competence is not always a constant and knowing that a potentially problematic organism is a part of the patient’s microflora can be important for early recognition of significant disease downstream.
Recurrent or chronic UTIs are sometimes the result of more than just a single infectious organism. Urine culture is biased towards a single infectious organism based on CFU (colony-forming unit) count, possibly leading to inappropriate therapy. Some problematic organisms are not readily grown in culture which may lead to incorrect treatment or non-treatment. The advantage of
The patient’s clinical symptoms and presentation must dictate the type of specimen and collection technique used. Although urine is an acceptable method of collecting STD specimens, the selection of a specimen type should be considered based on the patient symptoms and clinical presentation. Please refer to the recommended collection techniques for STD specimen collection published by Diatherix Eurofins.
Bordetella parapertussis is similar to B. pertussis and causes a pertussis-like illness. However, B. parapertussis does not produce the pertussis toxin and therefore the infections are typically milder and often asymptomatic. The CDC estimate is that B. parapertussis produces 1%-35% of infections that are ‘pertussis-like’. Given the symptoms and prevalence, our focus is on B. pertussis.
Laminar flow immunoassays that are in place in most hospitals and physician offices detect the hemagglutinin (H) only and not only lack sensitivity but, also, lack the ability to determine the specific neuraminidase (N) component. In that regard, we are one of the only laboratories in the country that can accurately determine both the hemagglutinin and the neuraminidase of the H1N1 strain.
MRSA often colonizes the external nares, the axilla, and the perineum of a growing number of people. When the organism produces disease, it is often mechanically introduced into healthy tissue by self-inoculation (scratching mosquito bites, contact with cuts or scratches, etc.), or during surgical procedures when patients are not effectively decolonized before the surgery is performed. Whether a patient has MRSA disease and is in need of treatment is a clinical decision and is based upon whether the specimen is properly collected and if the patient is symptomatic.
Anti-herpes medications disrupt the process by which the virus makes copies of itself and spreads to new cells. The antiviral works by inhibiting an enzyme that the virus has, but human cells do not, and therefore interrupts the virus’ ability to synthesize its DNA. By reducing the replication of the Herpes virus, the number of virus particles shed by the host is reduced and tests (even molecular assays) may not always be able to detect viral shedding.
HKU1, 229E, OC43 and NL63
Yes. The Gastrointestinal Panel includes Giardia lamblia and Cryptosporidium parvum.
Current research suggests that Toxin B, and not Toxin A is required for virulence. Given the evidence for the role of tcdB (not tcdA) in the pathophysiology of pseudomembranous colitis, we have excluded the Toxin A target from the panel. Some labs have chosen to combine Toxin A/B, and do not differentiate between the two.
Not at the present time.
Not at the present time.
With the understanding that pharyngitis is most often caused by viruses, the Pharyngitis Panel includes Group A Strep as well as other organisms that either cause or contribute to the severity of symptoms. The Pharyngitis Plus Panel detects other bacteria that can cause pharyngitis, including those that can cause serious disease in adolescents and young adults.
Atypical Pneumonia Panel
Multiplex PCR tests (including TEM-PCR) can be used to assess sexual activity and confirm suspicion of the presence of sexually transmitted infections in the routine clinical setting. However, in cases of rape or sexual abuse in children under the age of 15, confirmatory testing (along with appropriate chain of custody as outlined by the CDC) should be used.
Yes, under the appropriate clinical circumstances.
Not at this time.
Tissue can be accepted as a specimen source but it is recommended that the tissue be pulverized/ground up before placing in collection tube. If a tissue specimen is to be submitted, please notify the laboratory prior to sending.
No, urine can only be tested for an STD in the orange cap tube.
Add approximately 1mls of urine to the 1mL of fluid already in tube.