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Saliva Shigella and *Escherichia coli* O157:H7 Culture with Antibiotic Susceptibility Testing

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

This test checks for the presence of *Shigella* bacteria or *E. coli* O157:H7 in your saliva, which may indicate an infection. It also helps determine if antibiotics would be effective.

Quick summary

["A culture test can help diagnose certain bacterial infections in the mouth or throat and guide antibiotic treatment."]

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

Key facts at a glance

LOINC
43371-4
Short code
Salm + Shig Stl Cult
Synonyms
Salm + Shig Stl 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 Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like sore throat, mouth ulcers, or unexplained fever that could suggest a bacterial infection caused by *Shigella* or *E. coli* O157:H7. It may also be used in research or outbreak investigations.

What to Expect Before the Test

No special preparation is needed. You may rinse your mouth with water before providing a saliva sample to avoid contamination. Avoid eating, drinking, or smoking for at least 30 minutes before testing.

How the Test Works

A small sample of saliva is collected and placed on a special growth medium to encourage bacterial growth. Over several days, the lab checks for the presence of *Shigella* or *E. coli* O157:H7. If bacteria are found, they are tested for antibiotic resistance.

Possible Results and Next Steps

If bacteria are detected, your healthcare provider will discuss further steps, such as starting antibiotics or additional testing. If no bacteria are found, it may not rule out other causes of your symptoms.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Positive results for *Shigella* or *E. coli* O157:H7 in saliva can confirm a bacterial infection that may require specific treatments. Antibiotic susceptibility testing helps ensure the right medication is chosen to treat the infection effectively, reducing the risk of antibiotic resistance.

Short name

Saliva Culture for Bacterial Infections

Frequently asked questions

What does a positive result mean?
A positive result means that *Shigella* or *E. coli* O157:H7 bacteria were found in your saliva. This could indicate an infection that may need medical attention, including antibiotics if prescribed by your provider.
How long does it take to get results?
Results typically take 3 to 5 business days, depending on the lab’s workload. Your healthcare provider will contact you once results are available.
Can I take antibiotics before knowing the results?
No, it’s important to wait for the test results before starting antibiotics unless advised by your healthcare provider. Antibiotics may alter the test results or affect the accuracy of antibiotic susceptibility testing.
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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