BIOTIA-ID, the next generation of urinary tract infection diagnostics
The BIOTIA-ID Urine NGS Assay is a qualitative next-generation sequencing (NGS)-based in vitro diagnostic test powered by BIOTIA-DX software. The assay detects clinically-relevant urogenital pathogens from a comprehensive database of 7000+ clinically-curated microbes.
Problems we solve
#1
UTIs are the most common microbial infections.
30%
of sepsis cases originate from the urogenital tract.
Immunocompromised patients having a higher risk for developing urosepsis.
Existing methods are slow and miss many pathogens (fastidious bacteria, anaerobes, and fungi)
30%
of cases go undiagnosed.
UTI Recurrence
1M+
emergency dept. visits annually.
Cost increase
3.2B
annual emergency department bill for complicated UTIs.
Healthcare Burden
$450M
in costs to the US annually.
A single test for comprehensive pathogen diagnostics
Clinical use-cases include patients with symptoms of urogenital tract infections who have been experiencing recurrent and complicated UTIs, or are immunocompromised with high risk to develop sepsis.

At a glance
Optimized antimicrobial treatment
Allows for an optimized therapeutic approach based on the unique microbial profile found in your patient’s sample.
More accurate and sensitive than culture
With 97% sensitivity, 99% specificity and a limit of detection similar to culture with no overdiagnosis.
Reflex test for culture negative samples
Designed for high-risk patients with recurrent and complicated UTIs as a reflex test for culture negative specimens.
Comprehensive
Detects 40+ pathogens known to cause urinary tract infections, including fastidious bacteria and anaerobes, fungi, as well as polymicrobial infections.
BIOTIA-ID Urine NGS Assay features
View sample reportBiotia operates from a NYS CLIA/CLEP Laboratory located in Long Island City, Queens, NY.
Easy ordering through our user friendly online portal for clinicians and patients.
The BIOTIA-ID Urine NGS Assay is a qualitative next-generation sequencing (NGS)-based in vitro diagnostic test powered by BIOTIA-DX software. The assay detects clinically-relevant urogenital pathogens from a comprehensive database of 7000+ clinically-curated microbes.
Optimized with standard urine collection methods. Samples should be collected as clean catch midstream urine specimen collected in a sterile urine cup and transferred into a urine culture transport tube (UTT). Invasively collected specimens, such as those collected by a suprapubic catheter or from the renal pelvis, are also acceptable.
Gram-Negative Enterobacteriales
Citrobacter species
Enterobacter cloacae complex
Escherichia coli
Klebsiella (Enterobacter) aerogenes
Klebsiella oxytoca
Klebsiella pneumoniae
Klebsiella variicola
Morganella morganii
Proteus mirabilis
Proteus vulgaris
Providencia rettgeri
Providencia stuartii
Raoultella ornithinolytica
Serratia marcescens
Gram-Negative Non-Enterobacteriales
Acinetobacter baumannii
Acinetobacter Iwoffii
Pseudomonas aeruginosa
Stenotrophomonas maltophilia
Gram-Positive Bacteria
Aerococcus species
Anginosus-Group Streptococci
Corynebacterium urealyticum
Enterococcus faecalis
Enterococcus faecium
Staphylococcus aureus
Staphylococcus epidermidis
Staphylococcus lugdunensis
Staphylococcus saprophyticus
Other Staphylococcus species
Streptococcus agalactiae
Mitis-Group Streptococci
Anaerobic Bacteria
Anaerococcus vaginalis
Bacteroides fragilis
Prevotella species
Other Bacteria
Gardnerella vaginalis
Fungal Species
Candida albicans
Candida auris
Candida dubliniensis
Candida glabrata
Candida kefyr
Candida krusei
Candida lusitaniae
Candida parapsilosis
Candida tropicalis
Candida guilliermondii
Featured publications
ASM 2023: Highly Accurate and Reliable Next-Generation Sequencing-Based Urine Assay Overperforms Conventional Diagnostics
Utilization of Clinical-Grade Metagenomics in Urinary Tract Infection Diagnostics: Improving High-Risk Patients’ Outcomes with a Genomic-Based Assay
ID Week 2022: Clinical-Grade Metagenomics in Urinary Tract Infections: Improving Performance of Next-Generation Sequencing Assays Using Internal Controls and Machine Learning
"This cutting-edge technology allows for more precise and timely identification of atypical urogenital pathogens that often evade standard testing methods. By bridging this diagnostic gap, NGS technology may become an invaluable tool in tailoring targeted and effective treatment plans, ultimately elevating the standard of care for our most vulnerable patients suffering from complicated and recurrent UTI."

Vice Chair, Department of Medicine
Director, Division of Infectious Diseases
SUNY Downstate Health Sciences University,
Kings County Hospital Center
Contact us for more information

Have questions?
Instructions and materials
Our test is indicated for symptomatic patients with no known risk factors for complicated UTI who test negative by traditional urine culture methods, immunocompromised patients, and patients with recurrent or complicated UTIs.
- The BIOTIA-ID Urine NGS Assay is a qualitative next-generation sequencing (NGS)-based in vitro diagnostic test powered by BIOTIA-DX software. The assay detects nucleic acid of a panel of common, clinically-relevant uropathogens in unpreserved urine. The identification of specific pathogen DNA in samples from patients with signs and symptoms of urinary tract infection caused by bacteria helps to diagnose these infections in conjunction with other clinical or laboratory findings. Detection of the reported microbial organisms should be interpreted within the context of clinical information, medical history, epidemiological findings, and other laboratory results.
- BIOTIA-ID Urine NGS Assay detects: Gram-Negative Enterobacteriales Citrobacter species, Enterobacter cloacae complex, Escherichia coli, Klebsiella (Enterobacter) aerogenes, Klebsiella oxytoca, Klebsiella pneumoniae complex, Klebsiella variicola, Morganella morganii, Proteus mirabilis, Proteus vulgaris, Providencia rettgeri, Providencia stuartii, Raoultella ornithinolytica, Serratia marcescens; Gram-Negative Non-Enterobacteriales Acinetobacter calcoeticus-baumannii complex (ACB complex), Acinetobacter lwoffii, Pseudomonas aeruginosa, Stenotrophomonas maltophilia; Gram-Positive Bacteria Aerococcus species, Anginosus-Group Streptococci, Corynebacterium urealyticum, Enterococcus faecalis, Enterococcus faecium, Staphylococcus aureus, Staphylococcus epidermidis, Staphylococcus lugdunensis, Staphylococcus saprophyticus, Other Staphylococcus species, Streptococcus agalactiae, Mitis-Group Streptococci; Anaerobic Bacteria Anaerococcus vaginalis, Bacteroides fragilis, Prevotella species; Other Bacteria Gardnerella vaginalis; Fungal Species Candida albicans, Candida auris, Candida dubliniensis, Candida glabrata, Candida kefyr, Candida krusei, Candida lusitaniae, Candida parapsilosis, Candida tropicalis, Candida guilliermondii.
- Proper collection, preparation and handling of specimen is required to ensure accurate test results.
- Samples should be collected as clean catch midstream urine specimen collected in a sterile urine cup and transferred into a urine culture transport tube (UTT). Invasively collected specimens, such as those collected by a suprapubic catheter or from the renal pelvis, are also acceptable, and should be transported in a UTT.
- Specimens in UTT are stable for up to 48 hours at room temperature or for up to 1 week when stored at 2°C to 8°C.
- Place specimen in a biohazard bag with absorbent paper and place it into a secondary container before transporting.
- Place the bag in a UN3373 Category B Pack if mailing specimen.
- Transportation of patient samples must comply with all applicable governing regulations for the transport of etiologic agents.
- Specimens must be received within 48 hours of collection if shipped at room temperature or within a week if maintained and shipped on ice packs (2℃-8℃).
- Contact Biotia to arrange a courier service, or ship specimens to our lab using the laboratory address.
Disclaimer
The BIOTIA-ID Urine NGS Assay has been approved by New York State Department of Health’s Clinical Laboratory Evaluation Program as an in vitro diagnostic laboratory developed test (LDT). This assay was developed and its performance characteristics determined by Biotia. The assay has not been cleared or approved by the FDA, nor is it required to be. The Biotia Laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA ’88) and is accredited to perform high-complexity clinical laboratory testing.