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Serum Antistreptolysin O (ASO) Antibody, Titration

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* group A (e.g., strep throat or scarlet fever). It helps determine if you’ve been exposed to these bacteria and whether treatment was needed.

Quick summary

["ASO helps diagnose past infections by *Streptococcus* and guides decisions about treatment or follow-up care."]

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

Key facts at a glance

LOINC
85990-0
Short code
S pneum Da 14 Ab Ser-aCnc
Synonyms
S pneum Da 14 Ab Ser-aCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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

Why This Test Matters

ASO antibodies appear in your blood after an infection with group A *Streptococcus*. This test is often used to confirm a diagnosis of conditions like rheumatic fever or post-streptococcal glomerulonephritis, which can occur months after an initial infection. It’s not typically used for active strep throat diagnosis, as other tests (like rapid strep swab) are usually preferred.

How the Test Works

Blood is drawn and tested for ASO antibodies using an immunoassay method. The test detects the presence and concentration of these antibodies, which rise shortly after infection and may remain elevated for weeks or months.

What to Expect Before the Test

No special preparation is needed. You may have a slight bruise or soreness at the blood draw site, but this usually fades quickly. If you’re on blood-thinning medication, let your provider know before the test.

What to Expect After the Test

You can return to your normal activities immediately. Apply gentle pressure to the site to stop bleeding, and avoid vigorous activity for a few hours. Call your provider if you experience excessive bleeding, swelling, or signs of infection (e.g., fever, redness, or pus).

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

ASO Antibody Test

Frequently asked questions

When might I need this test?
Your doctor may order an ASO test if you have symptoms like joint pain, heart issues, or kidney problems that could be linked to a past *Streptococcus* infection. It’s also used in some cases of unexplained fever or skin rashes.
What does a positive ASO test mean?
A positive ASO test indicates your body has produced antibodies against group A *Streptococcus*, meaning you likely had an infection in the past. However, it doesn’t confirm the current cause of your symptoms—other tests may be needed to diagnose ongoing issues.
Can I get this test if I’ve already had strep throat?
Yes, if you’ve had strep throat or another group A *Streptococcus* infection, your ASO levels may remain elevated for weeks or months. This test helps track whether your body’s immune response is still active or if you’re at risk for complications like rheumatic fever.
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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