The ASO test measures the level of antistreptolysin antibodies in the bloodstream. These antibodies are produced by the immune system when it encounters streptolysin O toxin created by group A Streptococcus (GAS) bacteria. The production of these antibodies is a response to the GAS bacteria and helps the body fight against the infection.
Alternative Names: ASLO; ASO titer
What is the ASO Test Used for?
The ASO test, also known as the antistreptolysin O titer test, evaluates the body's antibodies in response to the group A Streptococcus (GAS) bacteria.
However, a strep infection may sometimes not show symptoms and could result in post-streptococcal complications. To prevent such complications, doctors perform the ASO test.
Why Do I Need an ASO Test?
If you show symptoms of post-streptococcal complications, such as
- Rheumatic fever,
- Glomerulonephritis, or bacterial endocarditis, your physician may suggest an ASO test.
Medical professionals use the antistreptolysin O titer test to evaluate your body's levels of antistreptolysin antibodies, which can help diagnose whether you are experiencing post-streptococcal complications.
What Happens During an ASO Test?
The healthcare provider may instruct you to fast for six hours before taking the ASO test. The procedure involves drawing blood from your inner arm vein with a fine needle, and the blood is then collected in a tube by the lab technician. The tube will be sent to the laboratory for examination.
What is the Usual Range of ASO?
The normal ASO test range for adults is below 200, while for children under five years, it is below 100. If your results exceed these levels, you may have a post-streptococcal complication.
Sometimes, even if your ASO test results are expected, your physician may recommend a follow-up test (second test) if you show symptoms of a post-streptococcal complication.
What Does Abnormal Results Mean?
An abnormal or positive ASO titer test result indicates a recent strep infection, even if you did not experience symptoms.
Risks
Vein and artery sizes vary between individuals and even between different sides of the body. This can sometimes make it more difficult to draw blood from some people than others. The risks associated with blood draws are minimal but may include:
- Excessive bleeding at the needle insertion site
- Fainting or feeling lightheaded
- Hematoma (blood collecting under the skin)
- Infection (a slight risk anytime the skin is broken)
For ASO titer treatment, if the ASO test is positive, treatment may involve antibiotics or other medications to address any complications.
Is it Necessary to Fast Before an ASO Blood Test?
Before undergoing the antistreptolysin O titer test, the physician may advise you to fast for six hours to provide a blood sample.