Skip to content

Understanding This Laboratory Test: A Patient Guide to Testing and Results

Published: August 9, 2026Updated: August 17, 2026

A laboratory test that detects and identifies anaerobic bacteria in stool samples to diagnose infections of the digestive tract.

Quick summary

{"This test finds bacteria that grow without oxygen in your intestines","It helps doctors diagnose infections causing diarrhea, abdominal pain, or other gut symptoms","A stool sample is collected and sent to a laboratory for analysis","Results help determine if antibiotics are needed and which ones will work best","Some anaerobic bacteria are normal gut flora, so results need careful interpretation"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
6461-8
Short code
STL-ANRC
Synonyms
Bacteria Stl Anaerobe Cult
Category
chemistry
Sample
stool
Container
Sterile, wide-mouth, leak-proof container or anaerobic transport system (e.g., Cary-Blair transport medium, anaerobic transport swab in gel medium). Anaerobic transport vials with reducing agents preferred to maintain viability of oxygen-sensitive organisms.
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
anaerobic-culture
CPT
87075
SNOMED
409600008
Specimen volume
5-10 grams of stool (approximately walnut-sized); minimum 1-2 grams for culture. Rectal swab acceptable when stool unavailable, placed immediately in anaerobic transport medium.
Stability
Stool specimen should be delivered to laboratory within 2 hours of collection if kept at room temperature; up to 24 hours if refrigerated at 2-8°C in appropriate transport medium; up to 48 hours in Cary-Blair or similar anaerobic transport medium at 2-8°C. Specimens should not be frozen.
TAT
72–168 hours
Order
routine

This test is a laboratory procedure that measures specific substances in your body to help your healthcare provider assess your overall health, screen for certain conditions, or monitor a treatment plan you may already be following.

The Stool Anaerobic Culture test is a laboratory procedure that identifies anaerobic bacteria in your stool. Anaerobic bacteria are microorganisms that can survive and multiply without oxygen. While many anaerobic bacteria are normally present in your digestive tract and are harmless, some can cause infections that lead to serious digestive problems.

The test is most often performed using a small sample of blood drawn from a vein in your arm, although some tests use urine, saliva, or a swab. A trained technologist cleans the site, collects the sample, and sends it to the laboratory for analysis. The procedure usually takes only a few minutes, and you can return to your normal activities right away.

You will be given a clean, dry container for collecting a small sample of your stool. It is important to collect the sample before starting any antibiotics if possible, as this will give the most accurate results. The sample should be taken to the laboratory or your healthcare provider's office as soon as possible, preferably within 2 hours of collection. In the laboratory, technicians place the stool sample in special containers that create an oxygen-free environment, allowing anaerobic bacteria to grow and be identified.

Your doctor may order this test to investigate symptoms you have been experiencing, such as fatigue, pain, or unexplained changes in your body, or as part of a routine checkup. It can also be used to confirm or rule out a diagnosis, track how a known condition is progressing, or make sure a medication you take is working safely and effectively.

Your doctor may order this test if you have symptoms such as persistent diarrhea, abdominal pain, bloating, fever, or blood in your stool. These symptoms could indicate an anaerobic bacterial infection such as Clostridioides difficile (C. diff), Bacteroides infection, or other anaerobic gut infections. The test is particularly useful when standard stool cultures fail to identify the cause of your symptoms.

Your results are compared with established reference ranges, and your healthcare provider will explain what they mean for you. Normal values generally suggest no evidence of the condition being tested, while abnormal values may point to infection, inflammation, organ dysfunction, or another issue that needs follow-up. No single result tells the whole story, so your doctor will consider your symptoms, medical history, and other tests before recommending next steps.

Results will show whether anaerobic bacteria were found in your stool sample and, if so, which specific types. Your doctor will interpret these results considering your symptoms, medical history, and other test results. Finding certain pathogenic anaerobic bacteria may confirm an infection requiring treatment. Some anaerobic bacteria are normal inhabitants of your gut, so their presence does not always mean you have an infection.

Reference range

Adult: 10-40 U/LN/A

Specimen: stool

Patient should avoid antimicrobial agents, antidiarrheal medications (e.g., loperamide, bismuth subsalicylate), and proton pump inhibitors for at least 48-72 hours prior to specimen collection if clinically feasible, as these may suppress anaerobic organism recovery. No dietary restrictions required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test is clinically significant for diagnosing anaerobic gastrointestinal infections, particularly in patients with antibiotic-associated diarrhea, severe gastroenteritis, or suspected toxic megacolon. It is essential for identifying C. difficile infections, which are a leading cause of hospital-acquired diarrhea. The test also helps guide appropriate antibiotic therapy by identifying specific bacteria and their potential resistance patterns. Additionally, it can help distinguish between pathogenic infections and normal gut flora, preventing unnecessary antibiotic use.

Frequently asked questions

Is the test painful?
No, the stool collection is completely painless. You simply collect a small sample of your bowel movement in the provided container. The laboratory analysis does not require any additional samples from you.
How long does it take to get results?
Results typically take 2-5 days because anaerobic bacteria grow slowly in culture. The laboratory needs time to allow bacteria to multiply and be properly identified.
Do I need to prepare for the test?
Your doctor may ask you to avoid certain medications such as antibiotics, antidiarrheal drugs, or laxatives before the test, as these can affect the results. It is important to follow your healthcare provider's specific instructions.
What happens if anaerobic bacteria are found?
If disease-causing anaerobic bacteria are identified, your doctor will discuss treatment options with you, which may include specific antibiotics targeted against those bacteria. Not all anaerobic bacteria found require treatment, as some are normal gut flora.
Can I eat normally before the test?
Yes, you can usually eat and drink normally before collecting the sample unless your doctor gives you specific dietary instructions. There are no dietary restrictions for this particular test.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy