HealthTrackRx Syndromic Menu, Symptoms and Order Chart

HealthTrackRx is an industry leading infectious disease laboratory providing accurate, targeted molecular diagnostics. With over 4,000,000 samples processed and a turn around time within 24 hours of sample receipt, our technological advances in PCR testing reshape patient care by mobilizing faster clinical decisions and helping providers treat patients quickly and accurately.

OPHTHALMOLOGY OTOLARYNGOLOGY INFECTION SAMPLE TYPE: Eye Swab, Lacrimal Fluid, Vitreous Fluid SAMPLE TYPE: Ear Swab, Tympanocentesis Fluid, Nasopharynx Swab, Throat Swab Acinetobacter baumanii Moraxella catarrhalis Acinetobacter baumanii Klebsiella pneumoniae, oxytoca Adenovirus HAdV-B genitalium, Adenovirus HAdV-B Moraxella catarrhalis Aspergillus flavus, fumigatus, hominis Aspergillus flavus, fumigatus, Mycoplasma genitalium, hominis niger, terreus niger, terreus Mycoplasma pneumoniae Candida albicans, glabrata, Candida albicans, glabrata, Neisseria gonorrhoeae parapsilosis, tropicalis Parainfluenza virus (types 1, 2, 3, 4) parapsilosis, tropicalis Parainfluenza virus (types 1, 2, 3, 4) Candida auris Proteus mirabilis, vulgaris Candida auris Proteus mirabilis, vulgaris Chlamydia pneumoniae Pseudomonas aeruginosa Chlamydia pneumoniae Pseudomonas aeruginosa Respiratory syncytial virus Chlamydia trachomatis Respiratory syncytial virus Coronavirus (229E, NL63, OC43, Rhinovirus A, C Coronavirus (229E, NL63, OC43, Rhinovirus A,C and HKU1) Rhizopus spp., Mucor spp. and HKU1) Rhizopus spp., Mucor spp. Enterobacter aerogenes, cloacae Serratia marcescens COVID-19 Coronavirus (SARS- CoV-2) Serratia marcescens Enterovirus A,B,C Enterobacter aerogenes, cloacae Staphylococcus aureus Enterovirus D68 Staphylococcus spp.2 Enterovirus A,B,C Staphylococcus spp.2 agalactiae3 Enterovirus D68 Streptococcus agalactiae3 Escherichia coli Streptococcus pneumoniae Herpes simplex virus 1 & 21 Streptococcus pyogenes4 Haemophilus influenzae Streptococcus pyogenes4 metapneumovirus Ureaplasma urealytcum, parvum Human metapneumovirus , parvum Influenza virus A, B Varicella zoster virus5 Influenza virus A, B Varicella zoster virus5 Klebsiella pneumoniae, oxytoca

RESPIRATORY TRACT INFECTION PLUS SAMPLE TYPE: Nasopharynx Swab, Cough Sputum Swab, Throat Swab GASTROINTESTINAL INFECTION SAMPLE TYPE: Rectal Swab, Stool Swab Acinetobacter baumanii Mycoplasma pneumoniae Adenovirus HAdV-F, HAdV-G monocytogenes Adenovirus HAdV-B Parainfluenza virus Astrovirus, Sapovirus G1, G2 Microsporidium (Enterocytozoon Aspergillus flavus, fumigatus, (types 1, 2, 3, 4) Bacteroides fragilis bieneusi, Encephalitozoon niger, terreus Proteus mirabilis, vulgaris Campylobacter jejuni, coli intestinalis) Bordetella pertussis, Clostridioides difficile (toxins A, B) Norovirus (Genogroup 1, 2) parapertussis, bronchiseptica Pseudomonas aeruginosa perfringens, novyi, O157 (STEC 0157) Candida albicans, glabrata, Respiratory syncytial virus septicum Rotavirus A, B parapsilosis, tropicalis Rhinovirus A, C Cryptosporidium hominis, parvum, felis Salmonella enterica Chlamydia pneumoniae Rhizopus spp., Mucor spp. Cyclospora cayetanensis, Shigella spp. Coronavirus (229E, NL63, OC43, Serratia marcescens Cystoisospora belli Shiga toxin-producing E. coli (STEC) and HKU1) Staphylococcus aureus Dientamoeba fragilis, Entamoeba Shiga toxin-producing E. coli COVID-19 Coronavirus (SARS-CoV-2) Streptococcus agalactiae3 histolytica Vibrio parahaemolyticus, vulnificus, Enterobacter aerogenes, cloacae Enteroaggregative E. coli (EAEC) cholerae Streptococcus pneumoniae Enterovirus A, B, C 4 Enteroinvasive E. coli (EIEC) / Yersinia enterocolitica Enterovirus D68 Enteropathogenic E. coli (EPEC) Escherichia coli Enterotoxigenic E. coli (ETEC) Haemophilus influenzae Add-on Only Enterovirus A, B, C Human metapneumovirus Mycobacterium avium-intracellulare, Enterovirus D68 Influenza virus A, B kansasii Giardia intestinalis Klebsiella pneumoniae, oxytoca Mycobacterium tuberculosis Helicobacter pylori Legionella pneumophila Candida auris Moraxella catarrhalis

NAIL/PARONYCHIA, HAIR Nail Clipping, Paronychial Tissue, Hair PLUS SAMPLE TYPE: SAMPLE TYPE: Urine Swab, Catheter Swab Bacterial/Viral Fungal Bacteroides fragilis, vulgatus Aspergillus flavus, fumigatus, Acinetobacter baumanii Serratia marcescens Enterobacter aerogenes, niger, terreus Candida albicans, glabrata, Staphylococcus aureus 2 cloacae Blastomyces dermatitidis parapsilosis, tropicalis Staphylococcus spp. faecalis, Candida albicans, glabrata, Citrobacter freundii Streptococcus agalactiae3 4 faecium parapsilosis, tropicalis Enterobacter aerogenes, cloacae Streptococcus pyogenes Escherichia coli Epidermophyton floccosum , faecium Trichomonas vaginalis Klebsiella pneumoniae, Fusarium oxysporum, solani Escherichia coli Ureaplasma urealyticum, oxytoca Malassezia furfur, restricta, Klebsiella pneumoniae, oxytoca parvum sympodialis, globosa Morganella morganii anaerobius, Microsporum audouinii, canis, Mycoplasma genitalium, hominis asaccharolyticus, magnus, gypseum Proteus mirabilis, vulgaris prevotii Trichophyton Pseudomonas aeruginosa Add-on Only Proteus mirabilis, vulgaris mentagraphophytes/ Candida auris Pseudomonas aeruginosa interdigitale, rubrum, Serratia marcescens soudanense, terrestre, Staphylococcus aureus tonsurans, verrucosum, Staphylococcus spp.2 violaceum Streptococcus agalactiae3 Trichosporon mucoides, GENITO/STI Streptococcus pyogenes4 asahii SAMPLE TYPE: Urine Swab, Prostatic Fluid, Penile Swab, Anorectal Swab, Vaginal Swab, Pelvic Abscess Material, Endometrial Sampling, Cervical Brushing, Genital Region Ulcer Add-on Only Swab, Endocervical Brushing, Urethral Swab Candida auris Acinetobacter baumanii Klebsiella pneumoniae, oxytoca Actinomyces israelii Megasphaera (Types 1, 2) Atopobium vaginae Morganella morganii Bacteroides fragilis Mycoplasma genitalium, hominis WOUND BVAB 2, 3 ( Neisseria gonorrhoeae SAMPLE TYPE: Wound Swab, Joint Aspiration, Wound Tissue associated 2, 3); Peptostreptococcus anaerobius, Bacterial/Viral Staphylococcus aureus Mobiluncus spp. asaccharolyticus, magnus, prevotii Acinetobacter baumanii Staphylococcus spp.2 Candida albicans, glabrata, Proteus mirabilis, vulgaris Bacteroides fragilis, vulgatus Stenotrophomonas maltophilia parapsilosis, tropicalis Pseudomonas aeruginosa Burkholderia cepacia, Streptococcus agalactiae3 Chlamydia trachomatis Serratia marcescens pseudomallei Streptococcus pneumoniae Citrobacter freundii Staphylococcus aureus Citrobacter freundii Streptococcus pyogenes4 Enterobacter aerogenes, cloacae Staphylococcus spp.2 , novyi, Varicella zoster virus5 Enterococcus faecalis, faecium Streptococcus agalactiae3 septicum Vibrio cholerae, Escherichia coli Streptococcus pyogenes4 Corynebacterium jeikeium, parahaemolyticus, vulnificus Gardnerella vaginalis Treponema pallidum striatum, tuberculostearicum Fungal Haemophilus ducreyi Trichomonas vaginalis Cutibacterium (Propionibacterium) Aspergillus flavus, fumigatus, Herpes simplex virus 1 & 21 Ureaplasma urealyticum, parvum acnes niger, terreus High Risk HPV Types 16, 18, 26, Enterobacter aerogenes, cloacae Blastomyces dermatitidis 31, 33, 35, 39, 45, 51, 52, 53, 56, Add-on Only Enterococcus faecalis, faecium Candida albicans, glabrata, 58, 59, 66, 67, 68, 69, 70, 73, 82 Candida auris Escherichia coli parapsilosis, tropicalis Klebsiella (Calymmatobacterium) Cytomegalovirus magna Epidermophyton floccosum granulomatis (CMV, Human Herpesvirus 5) Haemophillus influenzae Fusarium oxysporum, solani Herpes simplex virus 1 & 21 Malassezia furfur, restricta, Klebsiella pneumoniae, oxytoca sympodialis, globosa Mycobacterium abscessus, Microsporum audouinii, canis, chelonae, fortuitum gypseum Mycobacterium avium-intracellulare, Sporothrix schenckii kansasii Trichophyton Not Typically Detected By Culture Mycobacterium marinum, mentagraphophytes/ ulcerans interdigitale, rubrum, FUNGAL STREPTOCOCCUS SPECIES Mycoplasma genitalium, hominis soudanense, terrestre, tonsurans, Peptostreptococcus anaerobius, verrucosum, violaceum asaccharolyticus, magnus, prevotii Trichosporon mucoides, asahii PROTOZOAL ANAEROBE Proteus mirabilis, vulgaris Pseudomonas aeruginosa Add-on Only SLOW GROWING NOT TYPICALLY Salmonella enterica Candida auris TESTED BY CULTURE Serratia marcescens

Antibiotic Resistance Additional Menus O ered VanA, VanB6 tet B, tet M12 Sexually Transmi�ed Infec�on Influenza, COVID-19 & RSV ermB, C; mefA� IMP, NDM, VIM Groups13 Vagini�s Onychomycosis SHV, KPC Groups8 ACT, MIR, FOX, ACC Groups14 Chlamydia, Gonorrhea & Trichomonas Bacterial Pneumonia dfr (A1, A5), sul (1, 2)9 OXA-48,-5115 Urinary Tract Infec�on MRSA mecA10 CTX-M1 (15), M2 (2), M9 (9), Viral Respiratory Infec�on qnrA1, qnrA2, qnrB211 M8/25 Groups8

Customer Care: 866-287-3218 1. HSV-1, HSV-2 3. Group B Strep (GBS) 7. , Lincosamide, Streptogramin 11. Fluoroquinolone 15. Class D oxacillinase 2. negative species: S. 4. Group A Strep 8. Class A beta-lactamase 12. Tetracycline www.HealthTrackRx.com epidermidis, S. haemolyticus, S. 5. VZV, Human Herpesvirus 3 9. Trimethoprim/Sulfamethoxazole 13. Class B metallo-beta-lactamase V1117 © Copyright 2021 AIT Laboratories, a HealthTrackRx Company lugdunensis, S. saprophyticus 6. Vancomycin 10. Methicillin 14. AmpC beta-lactamase HealthTrackRx Syndromic Menu, Symptoms and Order Chart

HealthTrackRx is an industry leading infectious disease laboratory providing accurate, targeted molecular diagnostics. With over 4,000,000 samples processed and a turn around time within 24 hours of sample receipt, our technological advances in PCR testing reshape patient care by mobilizing faster clinical decisions and helping providers treat patients quickly and accurately.

OPHTHALMOLOGY OTOLARYNGOLOGY INFECTION INFECTION

WHEN TO ORDER TEST WHEN TO ORDER TEST Indicated for patients experiencing symptoms of eye infection This test is indicated for ENT settings where symptoms of including swelling, redness, discharge, itchiness or signs of infection include acute or chronic sinusitis, in the corneal ulcers. ear, nose, or throat, loss of balance or hearing, and congestion. SYMPTOMS SYMPTOMS Pain or itching of the eye, sensitivity to light, burning, painful Headache, facial pain, runny nose, nasal congestion, inflammation lump on the eyelid or the base of the eyelash tenderness, of the nasal passage, sore or dry throat, dry cough, hoarseness, overproduction of tears, discharge from the eye, pink color of weak or loss of voice, raw throat, difficulty swallowing, unusual the eye, swollen or red eyelids taste, pain in the ear, swelling of the ear, loss of hearing, loss of balance, drainage from the ear and vertigo RESPIRATORY TRACT INFECTION PLUS GASTROINTESTINAL INFECTION WHEN TO ORDER TEST Testing is indicated in immunocompromised patients, either by WHEN TO ORDER TEST age, diagnosed condition, or suppressive medication with fever Testing is indicated for patients exhibiting symptoms of diarrhea, and/or productive cough. Commonly used in high-risk patients vomiting, and acute or chronic abdominal pain. exposed to nosocomial infection in Long Term Care facilities, Pulmonology practices, Pediatric care (under age 5), and for SYMPTOMS Diarrhea, vomiting, abdominal pain patients in other high-risk categories. SYMPTOMS Nasal congestion, runny nose, sneezing, cough, painful swallowing, headache, fatigue, body aches, acute sinusitis

URINARY TRACT INFECTION PLUS

WHEN TO ORDER TEST Indicated in patients with dysuria and classic UTI symptoms without discharge, who fall in a low-risk, non-sexually active age group, or patients with one sexual partner. Commonly ordered in Urology, Long Term Care, Urgent Care and Family Practice. SYMPTOMS Urge to urinate, burning while urinating, frequent urination, cloudy urine, colored urine, pelvic pain, vaginitis ONYCHOMYCOSIS GENITO/STI WHEN TO ORDER TEST WHEN TO ORDER TEST Typically indicated in Podiatry and Long-term Care settings. For any Commonly indicated in OB-GYN, to screen patients who have a nail discoloration, brittle nails, nail dystrophy, or suspected fungal variety of symptomatic . This test should be infection of the nail without involvment of the paronychia. performed when non-gonococcal STI’s are present in males. SYMPTOMS Yellow, green or white discolored nail, nail thickening, brittle or SYMPTOMS crumbling nail, separation from the nail bed Discharge from the genitals or anus, painful urination, rash, blisters, sores, bumps, growths on the genitals or anus, unusual vaginal bleeding, itchy genitals or anus, acute vaginitis VAGINITIS WHEN TO ORDER TEST CHLAMYDIA, GONORRHEA & Primarily used in OB-GYN, Women’s Health and when patient presents with vaginitis and is non-sexually active or has only one TRICHOMONAS sexual partner. WHEN TO ORDER TEST SYMPTOMS This is indicated test for sexually active adults without symptoms White, grey, or yellow discharge, unpleasant vaginal smell, itchy of an STI, especially if considered high-risk. genital region, inflammation, burning or stinging during urination, painful intercourse, menopause, new sexual partner SYMPTOMS Discharge from the genitals or anus, pain while urinating, unusual vaginal bleeding, itchy genitals/anus, WOUND WHEN TO ORDER TEST This test should be ordered when or soft tissue exhibit any of the symptoms of infection, or a wound or ulcer is non-healing. SEXUALLY TRANSMITTED SYMPTOMS INFECTION Pain, swelling, redness, discharge, foul odor, itchiness, hot to the touch in skin or soft tissue WHEN TO ORDER TEST Indicated for patients with symptoms of an STI, including discharge, urethritis, and pain. SYMPTOMS Discharge from the genitals or anus, painful urination, rash, blisters, sores, bumps, growths on the genitals or anus, unusual vaginal bleeding, itchy genitals or anus, acute vaginitis

Customer Care: 866-287-3218 www.HealthTrackRx.com V1117 © Copyright 2021 AIT Laboratories, a HealthTrackRx Company