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EntericPlex


Research Use Only


SpeeDx has developed four concise EntericPlex panels that target common parasitic, bacterial or viral pathogens that cause gastroenteritis.

  • Panels currently available are:

    • EntericPlex Parasite

    • EntericPlex Bacteria I

    • EntericPlex Bacteria II

    • EntericPlex Virus

  • These right-sized qPCR panels are cost-effective and provide rapid results whilst maximizing your sample throughput

  • With up to five carefully selected targets, each EntericPlex panel will suit your investigative needs


Why research gastroenteritis?

Gastroenteritis is a leading cause of mortality in children under four, especially in the developing world[1], and within the United States it is estimated to cause 179 million illnesses annually[2].

In otherwise healthy adults, it is usually uncomfortable but self-limiting. Treatment recommendations vary by pathogen, with some requiring only supportive care, and others requiring antibiotics or specific avoidance of antibiotics [3].

Infection may be accompanied by abdominal cramps, fever, nausea, vomiting and fatigue and caused by a variety of pathogens with overlapping syndromes (see table 1).

High risk individuals that develop complications of acute diarrhoea include infants, young children, immuno-compromised and the elderly [4].



Organism

Clinical Features

Epidemiology

Recommended Treatment

Shigella

Fever, prostration, bloody diarrhea, vomiting

Fecal-oral transmission, contaminated food or surfaces

Ciprofloxacin or Azithromycin

Salmonella enterica

Fever, prostration, bloody diarrhea

Contact with infected animals, contaminated food or water

Supportive care in most cases

Shiga toxin-producing E. coli

Abdominal cramps, watery diarrhea followed by bloody diarrhea, low-grade fever or no fever

Contaminated food, fecal-oral transmission

Antibiotics are contraindicated, Supportive care

Campylobacter

Fever, watery or bloody diarrhea, abdominal pain

Contact with infected animals, contaminated food or water

Ciprofloxacin or Azithromycin

Vibrio spp.

Watery diarrhea

Contaminated water or shellfish   

Ciprofloxacin, Doxycycline, or Azithromycin

Yersinia enterocolitica

Abdominal pain mimicking appendicitis, diarrhea

Contact with infected animals, contaminated food (particularly undercooked pork, raw milk) or water

Supportive care

Plesiomonas shigelloides

Watery diarrhea, nausea, vomiting, abdominal pain

Contaminated water or shellfish

Supportive care in most cases

Aeromonas spp.

Persistent watery diarrhea, abdominal pain, fever

Fecal-oral transmission, contaminated food

Supportive care in most cases

Entamoeba histolytica

Intermittent diarrhea, abdominal pain

Often associated with travel

Metranidazole or Tinidazole

Giardia intestinalis

Watery diarrhea, abdominal pain, intermittent nausea

Typically waterborne transmission

Tinidazole, Metronidazole, or Nitazoxanide

Cryptosporidium spp.

Watery diarrhea

Contaminated food or water (often swimming pools, hot tubs, etc), contact with infected people or animals

Nitazoxanide

Source: Merck Manual, Professional Version, 2025









Panels available

The EntericPlex Parasite panel focuses on the most common parasitic causes of acute infectious diarrheal syndrome: Giardia intestinalis and Cryptosporidium spp., as well as Entamoeba histolytica, Dientamoeba fragilis and Blastocystis spp.


EntericPlex Bacteria I panel detects organisms that account for 95% of bacterial infectious gastroenteritis [5]. Bacteria cause about 15% of gastroenteritis cases in children, the most common types being Escherichia coli, Salmonella, Shigella, and Campylobacter species [6].


To supplement the EntericPlex Bacteria I assay, SpeeDx offers EntericPlex Bacteria II as an extended panel. These targets are designed to further support your research.


The final puzzle piece for our comprehensive Gastrointenstional panel is the EntericPlex Virus panel which simultaneously detects and differentiates: norovirus (GI/GII), rotavirus A, sapovirus (I, II, IV, V), astrovirus, and adenovirus (F40/41).










References:

1. https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-under-5-mortality-in-2020#:~:text=Globally%2C%20infectious%20diseases%2C%20including%20pneumonia,for%20children%20under%205%20years.

2. Schmidt MA, Groom HC, Rawlings AM, Mattison CP, Salas SB, Burke RM, Hallowell BD, Calderwood LE, Donald J, Balachandran N, Hall AJ. Incidence, Etiology, and Healthcare Utilization for Acute Gastroenteritis in the Community, United States. Emerg Infect Dis. 2022 Nov;28(11):2234-2242. doi: 10.3201/eid2811.220247. PMID: 36285882; PMCID: PMC9622243.

3.Guerrant RL, Van Gilder T, Steiner TS, et al. Practice guidelines for the management of infectious diarrhea. Clin Infect Dis. 2001;32:331-50.

4. Hewison CJ, Heath CH, Ingram PR. Stool culture. Australian Family Physician vol. 41, no. 10, October 2012

5. MMWR, CDC, April 19, 2013, Vol 62:15

6. Webb, A; Starr, M (April 2005). “Acute gastroenteritis in children”. Australian Family Physician. 34 (4): 227–31. PMID 15861741



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We are committed to supporting continued scientific discovery and generation of clinically relevant data. Collaborations with key researchers and clinicians around the globe help us improve diagnostics and address urgent clinical needs.

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