Immunology• Updated 21 October 2026

ASO Titre (Anti-Streptolysin O)

A blood test that shows a recent strep infection, used when rheumatic fever is suspected.

Results: Usually within a day Specimen: Blood

Quick Summary

Primary Purpose

To support a diagnosis of rheumatic fever or post-strep kidney disease.

What It Measures

Antibodies to streptolysin O.

Preparation

No preparation needed.

Overview

Levels rise a few weeks after a strep throat infection.

It doesn't diagnose current sore throat; a throat swab does.

What It Measures

ASO titre

Antibody level.

How It's Performed

  1. 01

    Preparation

    Usually no special preparation. Tell the staff about medicines you take.

  2. 02

    Blood sample

    A small amount of blood is taken from a vein in your arm with a thin needle.

  3. 03

    Afterwards

    Press on the spot for a minute. A small bruise is common; you can go back to normal activities.

Reference Ranges

Note: Normal ranges vary by laboratory. Consult your report for the specific reference used.

ParameterTypical Range (Adult)Units
ASO (adults)Below 200IU/mL

Interpreting Results & Next Steps

Discuss with Doctor

Children often have higher levels. Normal ranges differ between laboratories, ages and sexes; always use the range printed on your report and ask your doctor what your results mean.

If values are High:

A high or rising titre suggests recent strep infection.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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