One sample, eleven pathogens — Designed for today’s lab

Jessica Palomino, PhD

Introduction

Gastrointestinal (GI) infections remain a common cause of illness (1), yet overlapping symptoms and diverse etiologies can complicate timely diagnosis and treatment (2). Laboratories are being asked to deliver faster, more definitive answers — without adding complexity to already stretched workflows. The Xpert® GI Panel is designed to meet that need with a single, multiplex PCR test built for clarity and efficiency.

What the Xpert® GI Panel does

Xpert® GI Panel is a multiplex, sample to answer PCR test that identifies 11 clinically relevant GI pathogens — bacterial, viral, and parasitic — from a single stool sample. Its design reflects a targeted approach: covering high value pathogens implicated in acute gastroenteritis, while avoiding organisms with negligible impact on clinical management or high rates of colonization which increase rates of co-detection that complicates interpretation (3).

The case for rapid, reliable GI detection

Traditional diagnostic workups can involve culture, antigen tests, microscopy, and multiple specimen collections. These methods are time consuming and labor-intensive. Sensitivity also varies across techniques. Delayed results can contribute to unnecessary imaging, empiric antibiotic use, and extended isolation days (4).

How the panel works

The panel runs on GeneXpert® systems with 10-color technology that enables multiplex detection of 10 or more PCR targets. GeneXpert systems automate sample extraction, nucleic acid amplification, and detection, with a load-and-go workflow that requires less than 1 minute of hands on time.

Key features

  • 11 GI pathogens (bacteria, parasites, viruses)
  • <1 minute hands on time
  • ~74 minute time to result
  • Closed cartridge system to reduce contamination risk
  • Designed to consolidate multi step traditional workflows
  • Stool samples in Cary Blair transport media

Benefits for clinical laboratories

The panel consolidates multi day, multi method investigations into a single standardized workflow. With timely and appropriate diagnostic testing, labs can potentially reduce culture burden and multiple reflex assays, and lessen reliance on microscopy specific expertise. The simple workflow is designed to help streamline operations with convenient on demand testing. And for clinicians relying on lab outputs, clinically relevant information can guide isolation decisions and promote antimicrobial stewardship, allowing teams to respond promptly to suspected outbreaks and high-risk cases.

References

  1. CDC Emerging Infectious Diseases. Volume 28, Number 11, November 2022. Incidence, Etiology, and Healthcare Utilization for Acute Gastroenteritis in the Community, United States. .
  2. Shane AL et al., 2017. 2017 Infectious Diseases Society of America Clinical Practice Guidelines for the Diagnosis and Management of Infectious Diarrhea, Clinical Infectious Diseases, Volume 65, Issue 12, 15 December 2017, Pages e45–e80, https://doi.org/10.1093/cid/cix669
  3. Chase J, Mohandas A, Devani D, Manning B, Schulz L, Goss T., 2025. Comparison of Target Detection Rates of Multiplex Gastrointestinal PCR Panels: A Systematic Literature Review & Meta‑Analysis. Poster presented at IDWeek 2025, USA. Cepheid & BeaconOne Healthcare Partners.
  4. Beal SG, Tremblay EE, Toffel S, Velez L, Rand KH2018.A Gastrointestinal PCR Panel Improves Clinical Management and Lowers Health Care Costs. J Clin Microbiol56:10.1128/jcm.01457-17.https://doi.org/10.1128/jcm.01457-17

Industry Insights articles are created and paid for by advertisers. The views expressed in these articles do not necessarily represent ADLM's views, and their inclusion in CLN is not an endorsement by CLN or ADLM.

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