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Serum or Plasma Immunoassay for Anti-Streptolysin O Antibodies (ASO)

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

This test measures your immune system’s response to a bacterial toxin called Streptolysin O, often used to diagnose recent strep throat infections caused by Group A Streptococcus.

Quick summary

["Helps identify strep throat infections by detecting antibodies your body produces after exposure to the bacteria."]

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

Key facts at a glance

LOINC
10085-9
Short code
ST I-Amp 6ms L-I
Synonyms
ST I-Amp 6ms L-I
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ekg
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 the Purpose of This Test?

Doctors use the ASO test to confirm a strep throat diagnosis when symptoms like sore throat, fever, or swollen lymph nodes are present. It helps rule out other infections (like viral throat infections) and guides treatment decisions, such as prescribing antibiotics if needed.

How Is the Test Performed?

A blood sample is taken from a vein in your arm. The blood is then sent to a lab for testing using an immunoassay method, which detects the presence of ASO antibodies in your serum or plasma.

What Does a Positive Test Mean?

A positive ASO test suggests you likely had a recent strep throat infection. However, it may take a few weeks for antibodies to fully develop, so a negative result doesn’t always rule out strep. Follow-up testing or symptoms may be needed for confirmation.

What Are Common Results and Next Steps?

If your ASO test is positive, your doctor may recommend additional tests (like rapid strep swabs) or monitor symptoms closely. If negative, other causes of throat pain (like allergies or viral infections) may be considered. Antibiotics are not typically given based solely on ASO results unless strep is confirmed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Why Is This Test Important?

Short name

ASO Antibody Test

Frequently asked questions

Why might my doctor order this test?
Your doctor may order an ASO test if you have symptoms like a sudden sore throat, fever, or swollen lymph nodes that could suggest strep throat. It helps distinguish strep infections from other causes, such as viral infections or allergies, ensuring appropriate treatment.
What if my ASO test is positive but I don’t have symptoms of strep throat?
A positive ASO test indicates past or recent exposure to Group A Streptococcus, but symptoms may not appear immediately. Some people develop antibodies without noticeable illness. Your doctor will assess symptoms and other factors to guide care.
Can I get this test at home?
No, the ASO test requires a blood sample collected in a clinical setting by a healthcare provider. Home tests for strep throat (like rapid antigen tests) are different and not the same as ASO antibody 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