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Understanding Your Laboratory Blood Test: A Patient Guide to Testing, Results, and Follow-Up Care

Published: August 9, 2026Updated: August 16, 2026

This blood test calculates the probability that your infection is caused by bacteria versus a virus, helping your doctor determine the most appropriate treatment.

Quick summary

{"Uses a blood sample (serum) to analyze infection markers","Helps distinguish between bacterial and viral infections","Guides antibiotic treatment decisions","Results are given as a likelihood score or probability","Results typically available within 1-2 days"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
101544-5
Short code
BACTVSVIR
Synonyms
Bact vs virl infct likelihd Scre Pt Calc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube without anticoagulant
Units
N/A
Ref low
0.8
Ref high
1.2
Critical range
— – 5 N/A
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
calculated
CPT
85610
SNOMED
396252006
Specimen volume
1-2 mL of serum; minimum 0.5 mL required for calculation
Stability
Serum stable for 8 hours at room temperature (20-25°C), 48 hours refrigerated at 2-8°C, and up to 3 months frozen at -20°C or below. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
500
Icterus max
25
TAT
1–4 hours
Order
routine

This laboratory test measures specific substances in a sample of your blood to help your healthcare provider evaluate your overall health, screen for certain conditions, or monitor a treatment plan you may already be following.

The Bacterial versus Viral Infection Likelihood test is a calculation-based blood test that analyzes specific markers in your blood to estimate whether your infection is more likely caused by bacteria or a virus. This test examines various biomarkers that respond differently to bacterial and viral infections, such as certain white blood cell counts, inflammatory markers, and other laboratory values. The results are combined using a mathematical formula to generate a score that indicates the probability of each infection type.

A trained healthcare professional will clean a small area of your skin, usually on the inside of your elbow, and draw a small amount of blood into a sterile tube using a thin needle. The procedure typically takes only a few minutes, and you may feel a brief pinch or slight discomfort before a small bandage is applied.

A healthcare professional will draw a small blood sample from a vein in your arm. This sample is then sent to a laboratory where it is processed to obtain serum—the clear liquid portion of blood after clotting. The laboratory measures various infection-related markers and uses a calculation algorithm to generate the likelihood score. No special preparation is typically needed, though your doctor may ask you to fast for a few hours before the test.

Your results will be compared with established reference ranges, and values that fall outside those ranges may suggest an underlying condition, a nutritional deficiency, or the need for additional testing. A single abnormal value does not always indicate disease, so your provider will interpret the findings together with your symptoms, medical history, and other results.

The test results are typically presented as a score or probability percentage indicating the likelihood of bacterial versus viral infection. A higher score toward the bacterial end suggests a bacterial infection is more likely, while a score toward the viral end suggests a viral infection is more likely. Your doctor will interpret these results alongside your symptoms, physical examination, and other test findings to make a diagnosis and determine treatment.

This test plays an essential role in the early detection and ongoing management of health conditions, allowing your care team to identify changes before symptoms appear, adjust medications safely, and make informed treatment decisions. Regular testing supports better long-term outcomes and gives you and your provider a clearer picture of your health over time.

Distinguishing between bacterial and viral infections is crucial because treatment approaches differ significantly. Bacterial infections typically require antibiotics, while viral infections do not respond to antibiotics and are usually treated with supportive care. This test helps healthcare providers make more informed decisions about antibiotic prescribing, which is important for both your recovery and combating antibiotic resistance.

Reference range

INR: 0.8-1.2 (warfarin: 2.0-3.0)N/A

Specimen: serum

No special patient preparation required. Fasting is not necessary. Recent antibiotic use, anti-inflammatory medications, or immunosuppressive therapy may affect biomarker values and score interpretation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

This test plays a critical role in guiding clinical decision-making for infectious diseases. It helps reduce unnecessary antibiotic prescriptions by providing objective evidence supporting a viral infection diagnosis. The test can also help identify bacterial infections that might require prompt antibiotic treatment, potentially preventing complications. Additionally, it assists in determining when further diagnostic testing may be needed and helps differentiate between overlapping symptoms of various infections.

Frequently asked questions

Does this test tell me exactly what is causing my infection?
No, this test provides a likelihood or probability score rather than a definitive diagnosis. It indicates whether a bacterial or viral cause is more likely based on blood markers, but the final diagnosis should be made by your healthcare provider considering all clinical information.
Is the test painful?
The test involves a standard blood draw, which may cause brief discomfort or a minor sting when the needle is inserted. The sensation is typically mild and temporary. Some people may experience slight bruising afterward, but serious complications are rare.
Do I need to stop taking my medications before the test?
You should continue taking your regular medications unless your doctor specifically instructs otherwise. Certain medications, especially antibiotics or immunosuppressants, may affect test results, so always inform your healthcare provider about all medications you are taking.
How long does it take to get results?
Results are typically available within 1-2 business days, though this may vary depending on the laboratory. Your healthcare provider will contact you with the results or discuss them at your follow-up appointment.
Can this test replace other diagnostic tests?
No, this test is used as a supportive tool alongside other clinical assessments. It does not replace cultures, specific viral or bacterial tests, imaging studies, or physical examinations. Your doctor will use this information in combination with other findings to determine the best treatment approach.
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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 16, 2026. · Read our editorial policy