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Serum/Plasma Antistreptolysin O (ASLO) Antibody, Substance Concentration

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

This test measures the level of antibodies your body produces in response to a bacterial infection caused by *Streptococcus pyogenes* (group A streptococcus). It helps identify past or recent strep throat or other infections.

Quick summary

["ASLO helps diagnose strep infections and assesses immune response to bacterial exposure."]

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

Key facts at a glance

LOINC
26975-3
Short code
ENA Scl70 Ab Ser IA-aCnc
Synonyms
ENA Scl70 Ab Ser IA-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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

What Is ASLO Used For?

ASLO testing is primarily used to detect antibodies that develop after exposure to group A streptococcus bacteria. It can help confirm a diagnosis of strep throat (pharyngitis) when throat cultures or rapid strep tests are inconclusive. It may also be used in cases of rheumatic fever or other autoimmune conditions linked to prior strep infections.

How Is the Sample Collected?

A blood sample is drawn from a vein, usually in your arm. You may feel a small pinch when the needle is inserted, but the process is quick. The blood is then sent to a lab for analysis.

What Does a Positive ASLO Result Mean?

A positive ASLO result suggests your body has produced antibodies in response to a strep infection. This can indicate past exposure to group A streptococcus, such as from strep throat, scarlet fever, or other infections. However, a positive result alone doesn’t confirm the current infection—it only shows prior exposure.

When Might You Need This Test?

Your healthcare provider may order an ASLO test if you have symptoms like sore throat, fever, swollen lymph nodes, or rash that could suggest strep throat. It may also be used in cases of unexplained joint pain, skin rashes, or other symptoms linked to autoimmune reactions triggered by past strep infections.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

ASLO testing is valuable for diagnosing strep throat when rapid tests or cultures are negative. High levels of ASLO antibodies can also help monitor chronic conditions like rheumatic fever, where recurrent strep infections may have triggered autoimmune responses. However, ASLO is not a real-time test—it reflects past exposure, so it’s best used alongside other diagnostic tools for current infections.

Short name

ASLO Antibody

Frequently asked questions

Why might my ASLO test be ordered even if I don’t have symptoms?
Your provider might order it to check for past strep infections if you have symptoms of autoimmune conditions (like joint pain or rashes) or if you’ve been exposed to group A strep. It helps assess whether your body’s immune response is still active from a previous infection.
Can ASLO test results change over time?
Yes, ASLO antibody levels can rise after a strep infection and may remain elevated for months or even years. If you’ve had a recent strep infection, your levels may stay high for a while. If you’re being monitored for conditions like rheumatic fever, your provider may retest to track changes.
Is ASLO testing the same as a throat culture?
No. A throat culture checks for the *live* bacteria causing strep infection, while ASLO measures antibodies your body produces afterward. ASLO can confirm past exposure, but it won’t detect an active infection unless symptoms are severe or other tests are negative.
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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