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Escherichia coli (E. coli) culture and sensitivity (C&S) from stool sample

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

This test checks for the presence of harmful bacteria, including *Escherichia coli*, in your stool and determines how your body might respond to treatment.

Quick summary

["Identifies bacterial infections in your digestive system and guides antibiotic choices."]

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

Key facts at a glance

LOINC
44090-9
Short code
E coli O157H7 Islt Ql Cult
Synonyms
E coli O157H7 Islt Ql Cult
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
organism-specific-culture
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your doctor may order this test if you have symptoms like diarrhea (especially with blood or mucus), stomach pain, fever, or signs of infection after eating contaminated food. It’s also used to diagnose conditions like traveler’s diarrhea, urinary tract infections (UTIs), or food poisoning caused by bacteria like E. coli.

What to Expect Before the Test

No special preparation is needed, but you may be asked to collect a fresh stool sample in a clean container. Avoid using toilet paper or cleaning products that could alter the sample. If you’re on antibiotics, let your doctor know—it may affect results.

What Happens During the Test

A healthcare provider will collect your stool sample. The lab will then grow the bacteria in a controlled environment to identify any present and determine their antibiotic resistance patterns.

Results and Next Steps

Results typically take 2–5 business days. You’ll receive a report listing any bacteria found and their sensitivity to antibiotics. Follow your doctor’s advice on treatment based on the results.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Stool C&S

Frequently asked questions

This test helps confirm infections caused by harmful bacteria like E. coli, which can lead to serious illnesses if untreated. It also guides antibiotic use to prevent resistance and reduce side effects.
How long does it take to get results from a stool C&S?
Results usually arrive within 2 to 5 business days, depending on lab processing times. Your doctor will contact you if results are urgent or if immediate action is needed.
Can I eat or drink before giving a stool sample?
Yes, you can eat and drink normally before the test. Avoid using toilet paper or cleaning agents that might alter the sample, and ensure the container is clean for accurate results.
A stool C&S is ideal for diagnosing bacterial infections in the digestive tract, especially when symptoms like diarrhea, fever, or blood in stool are present. It’s also useful for identifying antibiotic-resistant bacteria that may require targeted treatment.
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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