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Antibody titer to *Escherichia coli* serotype O157:H7 (serum/plasma)

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

This test measures your immune system’s response to *Escherichia coli* (E. coli) bacteria, specifically a strain that can cause severe infections like E. coli O157:H7 outbreaks.

Quick summary

["Assesses your body’s antibody protection against a harmful bacterial strain linked to foodborne illness."]

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

Key facts at a glance

LOINC
17590-1
Short code
ENA SM Ab Titr Ser IA
Synonyms
ENA SM Ab Titr Ser IA
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 This Test Measures

The test detects antibodies produced by your immune system in response to exposure to *E. coli* O157:H7. Antibodies are proteins that help your body recognize and fight foreign invaders, like bacteria. This test helps determine if you’ve been exposed to this particular strain, which is known for causing illness through contaminated food or water.

Why It Might Be Ordered

Your healthcare provider may order this test if you’ve had symptoms like severe diarrhea, vomiting, or blood in your stool that suggest a bacterial infection. It could also be used in outbreaks, food safety investigations, or if you’ve been exposed to someone with E. coli O157:H7.

Sample Collection and Preparation

A blood sample is drawn from a vein in your arm. The blood is processed to separate the serum or plasma, which contains the antibodies being tested. This sample is then analyzed in a lab using an immunoassay method to measure antibody levels.

What the Results Mean

Results are typically reported as a titer value, which indicates the highest dilution of your serum that still reacts with the E. coli O157:H7 antigen. A positive result suggests exposure, but it doesn’t confirm active infection. Higher titers may indicate recent or ongoing exposure.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

E. coli O157:H7 Antibody Titer

Frequently asked questions

This test helps identify past exposure to E. coli O157:H7, which is critical for public health surveillance, outbreak investigations, and guiding treatment or prevention strategies. It’s not used to diagnose active infection but can support broader epidemiologic studies.
A positive result means your immune system has detected and responded to this bacterial strain, but you may not currently have symptoms. If you’re experiencing illness, other tests (like stool cultures) would be needed to confirm active infection.
How long does it take to get results?
Results are usually available within 1 to 3 business days, depending on lab processing times. Your healthcare provider will discuss the results with you during your follow-up visit.
Can this test be used to diagnose E. coli O157:H7 infection?
No, this test measures antibodies, which indicate past exposure, not an active infection. For diagnosing current illness, a stool culture or other diagnostic tests are used to identify the bacteria directly.
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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