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Near-patient molecular UTI testing

Six common uropathogens identified from a 10 µL urine sample, in 35 minutes.

The result usually arrives after the decision

Laboratory urine culture takes 24 to 48 hours for a provisional result and 48 to 72 hours for a full report with antibiotic susceptibilities. In pre-operative pathways this could mean receiving a positive result immediately before the day of planned surgery, leading to cancellation. In outpatient clinics, the antibiotic has usually been chosen and started before the report arrives.

Before culture begins, the sample has to reach the laboratory. In one UK series, urine samples were tested a mean of 31 hours after collection.

Drazich-Taylor S, Moore J, McCann B. JAC-Antimicrob Resist 2025;dlaf128. Eastern Pathology Alliance, non-pregnant adults, n=379.

A pathogen result inside the appointment

The Lodestar UTI testing system is a UKCA-marked molecular analyser for near-patient settings for the identification of common uropathogens. From a 10 µL urine sample, the device identifies one or more of six target pathogens in 35 minutes — informing the prescribing decision before the patient receives treatment.

It is used alongside laboratory urine culture, not in place of it. Culture remains the reference standard and the route to antibiotic susceptibility testing.

Llusern Scientific HUTI-10 IFU v4.

Lodestar DX six-pathogen panel: Escherichia coli, Enterococcus species, Staphylococcus saprophyticus, Proteus mirabilis, Pseudomonas aeruginosa, Klebsiella pneumoniae

Performance against laboratory urine culture.

35 minutes

from sample to answer

86% / 84%

sensitivity and specificity against laboratory culture, n=657

92%

negative predictive value, pre-operative urology screening, n=189

Llusern Scientific HUTI-10 IFU v4, March 2026, Section 14. Overall sensitivity 85.8% (95% CI 82–89%), specificity 83.7% (95% CI 79–88%).

Where Lodestar DX is used

Pre-operative assessment

A pathogen result at the point of pre-operative urology screening, informing targeted antibiotic selection where bacteriuria is present.

Nurse at a pre-operative assessment desk

Outpatient and specialist clinics

A result within the appointment, so the prescribing decision can be informed before the patient leaves.

Microbiology laboratories

Used alongside laboratory urine culture, which remains the reference standard and the route to susceptibility testing.

Empty operating theatre

A pathogen result before the procedure.

Change the way you manage UTIs.

For clinical evaluation enquiries, pre-op pathway discussions, or commercial conversations, book a meeting with the Syner-Med team.