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AdvanDx adds Enterococcal Bacteremia assay to U.S. and E.U. commercial launch of QuickFISHTM (20 Min. Pathogen ID) Platform
WOBURN, Mass. --(Business Wire)--
AdvanDx, Inc. today announced the commercial launch of Enterococcus
QuickFISH BC, a new rapid molecular diagnostic test that identifies
potentially life threatening bloodstream infections caused by Enterococcus.
This new QuickFISH assay is immediately available and
complements the September 2012 launch of Staphylococcus QuickFISH
BC for the identification of Staphylococcus aureus and
coagulase-negative staphylococci. With these new products, QuickFISH
can now be used to identify the causative pathogens of approximately 70%
(Ann Clin Microbiol Antimicrob. 2004 May 10;3:7) of hospital acquired
infections from blood cultures.
Enterococcus species are the fourth most common cause of
hospital-acquired bacteremia in the U.S. and fifth most common in
Europe. The vast majority of enteroccocal infections are caused by Enterococcus
faecalis and Enterococcus faecium. Treatment
decisions are difficult because these species exhibit differing
antibiotic resistance profiles. While E. faecalis is
generally susceptible to ampicillin, infections caused by other
enterococci, mainly E. faecium, are often resistant to
ampicillin or vancomycin, or both. Conventional identification methods
can take up to 3 days or longer, and patients withE. faecium bloodstream
infections often receive inappropriate antimicrobial therapy for days,
leading to higher mortality and significant hospital costs. With this
new test, clinicians may prescribe earlier and more appropriate therapy
for enterococcal infections. QuickFISH marks a significant
advance in time-to-result and ease-of-use that will help clinicians,
hospital pharmacists and clinical microbiologists optimize antibiotic
therapy much earlier for patients with bloodstream infections.
QuickFISH is a new, rapid, molecular diagnostic platform
developed by AdvanDx based on its clinically proven proprietary PNA
technology. The new platform enables unprecedented (20 minute) species
identification of bacteria directly from positive blood cultures
allowing the reporting of pathogen identification at the same time as
the reporting of Gram stain results.
QuickFISH Features
• 5 Minute Hands-on Time - Simplifies and streamlines
laboratory workflow.
• 20 Minute Turn-around Time - Fast enough to be reported with
Gram stain results.
• Built-in, Universal Controls - Ensures confidence
in test results.
• Limited Instrumentation and Capital Investment Required -
Easy and inexpensive to implement and start testing.
AdvanDx believes the speed and ease-of-use of QuickFISH
within the microbiology lab will provide positive clinical and financial
benefit to patients, health care providers and institutions by enabling
more targeted antibiotic therapy. "The unmatched speed and simplicity of
the QuickFISH procedure, which allows the laboratory to
report pathogen identification to clinicians with the Critical Value
Gram stain result, provides a much greater ability to optimize therapy
witin half an hour of receiving a positive blood culture." said Jim
Coull, Ph.D, Chief Technology Officer for AdvanDx. "Until this year, the
ability to provide pathogen identification in 20 minutes or less from a
positive blood culture was not possible. QuickFISH is
specifically designed to address laboratory workflow needs while
assuring that clinicians receive the critical information that enables
them to best optimize antibiotic therapy. We believe QuickFISH
is a major advance for patients and their health care providers and when
combined with a sound antimicrobial stewardship program, will provide
the quickest and most appropriate therapy for the patient."
As noted in an article by Debra A. Goff, PharmD, FCCP in the August
issue of Pharmacy Practice News, "During the past decade, the prevalence
of ASPs (antimicrobial stewardship programs) at US hospitals has greatly
increased, and the state of California now mandates that general acute
care hospitals develop a program to evaluate the judicious use of
antibiotics. Additionally, the Infectious Diseases Society of America
(IDSA) has made recommendations to the Centers for Medicare & Medicaid
Services (CMS) to require stewardship in all acute care hospitals in the
United States as part of infection control." It goes on to state "The
goal of antimicrobial stewardship is to optimize antimicrobial therapy
for improved patient outcomes, with maximal effect on subsequent
development of resistance". AdvanDx believes QuickFISH, when
combined with stewardship, can provide the most accurate and timely
therapy to assist with meeting the above goals.
QuickFISH assays for use with gram-negative rods and Candida
species from positive blood cultures are currently in development for
launch in 2013 following regulatory approval. AdvanDx has submitted the
510(k) application for the thirdQuickFISH assay for rapid
identification of Escherichia coli, Klebsiella pneumonia, and Pseudomonas
aeruginosa from gram-negative pathogen blood cultures. AdvanDx
believes these products will provide continued opportunities for health
care providers to work together to improve patient care and reduce
overall healthcare costs in the United States and Europe.
About AdvanDx
AdvanDx is a leading provider of rapid and accurate molecular diagnostic
tests for identification of pathogens that cause critical infections in
hospitalized patients. Our mission is to improve antibiotic
decision-making and patient outcomes while limiting unnecessary and
inappropriate antibiotic use and reducing healthcare costs.
AdvanDx employs a unique, Whole Cell Analysis (WCA) approach to pathogen
identification using our proprietary Peptide Nucleic Acid Fluorescence In
Situ Hybridization (PNA FISH®) technology platform. This technology
enables fast and highly accurate single cell analysis for bacterial
species identification in samples from patients with critical infections.
AdvanDx is the market leader in molecular testing of positive blood
cultures enabling clinical microbiology labs to report pathogen
identification results 48 to 72 hours earlier than with conventional
testing methods. When used by physicians and pharmacists to ensure
early, appropriate antibiotic therapy for patients with bloodstream
infections, including septicemia, AdvanDx's PNA FISH tests have been
shown in clinical studies to reduce mortality rates, shorten the length
of hospital stay, and lower hospital costs.
About Critical Values
Critical Values are laboratory results that indicate a condition likely
to have significant medical implications for the patient requiring
immediate clinical intervention. As outlined in the Joint Commission on
Accreditation of Healthcare Organizations (JCAHO) guidelines, the
communication of Critical Values to a health care provider must be
performed immediately. At most U.S. healthcare facilities, the Gram
stain Critical Value for a positive blood culture is required to be
reported and receipt confirmed by the clinician within one hour of the
blood culture turning positive. Today, nearly half of patients withStaphylococcus
aureus bloodstream infections receive suboptimal therapy(1) exposing
them to an increased risk of death as well as higher costs of treatment
and/or duration of hospital stay. Delay in administration of appropriate
antibiotics is associated with a 7.6% decrease in the survival rate of
patients for each hour therapy is delayed.(2) Given the life
threatening nature of bloodstream infections, QuickFISH, for
the first time, allows clinicians, laboratory technicians and
pharmacists, to work together to provide better targeted therapy, more
quickly than has previously been possible with other molecular
diagnostics tests and conventional methods of pathogen identification.
For more information visit www.AdvanDx.com
References:
1. Herzke, et al. Empirical antimicrobial therapy for bloodstream
infection due to methicillin-resistant Staphylococcus aureus: no better
than a coin toss. Infection Control and Hospital Epidemiology, 2009,
30:1057. http://www.ncbi.nlm.nih.gov/pubmed/19803766
2. Kumar A., Roberts D., Wood Ke. Duration of hypotension before
initiation of effective antimicrobial therapy is the critical
determinant of survival in human septic shock. Critical Care Med.
2006;34(6):1589-96. http://www.ncbi.nlm.nih.gov/pubmed/16625125

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