Escherichia coli (E. coli) quantitative culture from stool sample
This test checks for the presence and amount of *Escherichia coli* bacteria in your stool. It helps identify infections caused by this common gut bacterium.
["This test helps determine if you have a bacterial infection from *E. coli* in your digestive system."]
Key facts at a glance
- LOINC
- 10851-4
- Short code
- E coli O157H7 Stl Ql Cult
- Synonyms
- E coli O157H7 Stl Ql Cult
- Category
- chemistry
- Sample
- stool
- Container
- Clean container
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- organism-specific-culture
- Specimen volume
- 5 g
- Stability
- Refrigerated: 24h, Frozen: 7d
- TAT
- 4–24 hours
- Order
- routine
Why This Test Matters
E. coli is a normal part of gut bacteria, but certain strains can cause infections like diarrhea, urinary tract infections, or bloodstream infections. This test helps doctors diagnose infections and guide treatment, especially if you have symptoms like persistent diarrhea, fever, or dehydration.
What to Expect Before the Test
No special preparation is needed, but you may be asked to collect a fresh stool sample in a sterile container. Avoid using toilet paper or cleaning products that could alter the sample. If you’re taking antibiotics, let your healthcare provider know, as this may affect results.
How the Test Works
A small sample of your stool is mixed with a growth medium in a lab. Over time, any E. coli bacteria will multiply and grow. The test then counts how many colonies (visible bacterial growth) appear, indicating the bacterial load.
Possible Results and Next Steps
A high count of E. coli may signal an infection, while normal levels suggest no active infection. If results are abnormal, your doctor may recommend further testing (like bloodwork or imaging) or prescribe antibiotics if needed. Follow-up may include retesting if symptoms persist.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Clinical Significance
Short name
Stool E. coli count
Frequently asked questions
How often should I get this test?
What does a positive result mean?
Can I eat or drink before the test?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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