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Neutrophil Count (Absolute Neutrophil Count, ANC)

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

This test measures the number of neutrophils, a type of white blood cell that helps fight infections.

Quick summary

["Neutrophils are key to your body’s immune response against bacteria and other pathogens."]

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

Key facts at a glance

LOINC
33361-7
Short code
Neuts Band NFr Snv
Synonyms
Neuts Band NFr Snv
Category
chemistry
Sample
fluid
Container
Sterile tube
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
2-5 mL
Stability
Room temperature: 2h, Refrigerated: 24h
Hemolysis max
300
TAT
4–24 hours
Order
routine

What Neutrophils Do in Your Body

Neutrophils are a type of white blood cell that plays a critical role in defending your body against infections caused by bacteria. They move quickly to areas where bacteria are present and release chemicals to destroy them. High neutrophil counts may indicate an active infection, inflammation, or other immune responses, while very low counts can signal conditions like chronic infections, autoimmune diseases, or certain cancers.

When Might You Need This Test?

Your doctor may order an ANC test if you have symptoms like frequent infections, fever, fatigue, or if you’re undergoing treatment that could affect your immune system (e.g., chemotherapy, certain medications). It’s also used to monitor conditions like leukemia, HIV, or other immune disorders.

How Is the Test Done?

A small amount of blood is drawn from a vein, usually in your arm. The sample is then analyzed in a lab to count the number of neutrophils.

What to Expect Before or After the Test

There are usually no special preparations needed. You may feel slight discomfort or bruising at the injection site, but this is normal. If you’re on blood-thinning medication, let your doctor know before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

High neutrophil counts may suggest an infection, inflammation, or stress response. Low neutrophil counts can indicate immune suppression, chronic diseases, or side effects from treatments. Your doctor will interpret results in the context of your overall health and symptoms.

Short name

ANC

Frequently asked questions

Why do I need this test?
Your doctor may recommend this test to check your immune system’s ability to fight infections, especially if you’re recovering from illness, undergoing treatment, or have symptoms like frequent colds or sores that don’t heal.
What do my results mean?
Results are usually reported as a number of neutrophils per microliter of blood. If your count is too high or too low, it may signal an underlying health issue that needs further evaluation by your healthcare provider.
Can I eat or drink before this test?
You can eat and drink normally before the test unless your doctor instructs otherwise. No special fasting is required.
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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