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BiotechPodcastsDetermining the Cause and Severity of Sepsis with a Point-of-Care Test
Determining the Cause and Severity of Sepsis with a Point-of-Care Test
BioTech

The Bio Report

Determining the Cause and Severity of Sepsis with a Point-of-Care Test

The Bio Report
•December 10, 2025•37 min
0
The Bio Report•Dec 10, 2025

Key Takeaways

  • •Sepsis is infection plus dysregulated host immune response.
  • •Triverity provides bacterial, viral, and severity scores in 30 minutes.
  • •Early accurate diagnosis reduces missed bacterial infections and unnecessary antibiotics.
  • •Subtype profiling may enable targeted immunomodulatory therapies.
  • •Sepsis costs Medicare $53 billion annually, driving high malpractice claims.

Pulse Analysis

Sepsis remains the most costly and lethal diagnosis in U.S. healthcare, accounting for roughly $53 billion in Medicare spending and half of all hospital deaths. Modern definitions describe it as an infection anywhere in the body paired with a dysregulated host response that fuels a self‑perpetuating inflammatory cascade. Traditional diagnostics rely heavily on clinical gestalt and slow microbiology, missing up to 60% of bacterial pneumonias and leading to both overtreatment with antibiotics and dangerous undertreatment. This diagnostic gap fuels high malpractice risk and underscores the urgent need for rapid, objective tools that can differentiate bacterial from viral pathogens while gauging disease severity.

Inflamatics’ FDA‑cleared Triverity test addresses that gap with a point‑of‑care blood assay that delivers three independent scores within 30 minutes: a bacterial infection score, a viral infection score, and an illness‑severity score predicting ICU admission risk. By delivering a holistic picture at triage, clinicians can immediately decide who requires antibiotics, who can be safely discharged, and who needs escalated work‑up for non‑infectious emergencies such as myocardial infarction. Early data show that one in eight patients with confirmed bacterial infections left the emergency department without antibiotics, a gap Triverity aims to close while also reducing unnecessary antimicrobial exposure.

Beyond rapid diagnosis, Triverity’s immune‑profiling platform enables the emerging subtyping of sepsis based on lymphoid and myeloid axis dysregulation. Recent Nature Medicine studies identified four distinct inflammatory phenotypes, each responding differently to immunomodulatory agents. By matching patients to these molecular subtypes, future therapies can be tailored—mirroring oncology’s precision‑medicine breakthroughs—and potentially lower the persistent 20% mortality rate despite protocolized care. For health systems, this means improved outcomes, lower ICU utilization, and a strategic advantage in the evolving critical‑care market.

Episode Description

Sepsis remains one of medicine’s most intractable and costly problems, arising when an infection triggers a runaway immune response that damages organs long after a pathogen is controlled. It accounts for an estimated $53 billion in Medicare spending alone, yet more than a hundred drug trials have failed to yield a single approved drug that directly treats the underlying immune dysfunction. Inflam­matix, which grew out of work at Stanford University, has developed a point-of-care blood test to determine whether an infection is bacterial or viral, as well as the severity of the patient’s immune response to optimize treatment. We spoke to Tim Sweeney, CEO of Inflammatix, about the company’s TriVerity test for sepsis, how it works, and how it is used in an ER setting to determine who needs antibiotics, ICU‑level care, or a broader diagnostic workup.​

Show Notes

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