ASO Test Overview and Interpretation
Learn about the ASO (Antistreptolysin O) test, its purpose, procedure, and result interpretation, along with tips to manage strep infections and prevent related complications.
Written by Dr. Md Yusuf Shareef
Reviewed by Dr. Rohinipriyanka Pondugula MBBS
Last updated on 14th Aug, 2025
Introduction
If you or a loved one has been advised to take an ASO test, you might be wondering what it is, why it’s needed, and what the results mean. This simple blood test helps doctors check for a past or current streptococcal infection, which can sometimes lead to complications if left untreated.
In this article, we’ll explain everything you need to know about the ASO test in simple terms: what it is, why it’s done, how to interpret the results, and what steps to take next.
What Is an ASO Test?
The ASO (Anti-Streptolysin O) test is a blood test that detects antibodies produced by your immune system in response to a streptococcal infection, specifically Group A Streptococcus (GAS). These bacteria cause infections like strep throat, scarlet fever, and rheumatic fever.
When your body fights a streptococcal infection, it produces ASO antibodies. These antibodies stay in your blood for weeks or months, even after the infection is gone. The ASO test helps doctors determine if you’ve had a recent or past infection.
Consult a General Physician for the best advice
Why Is the ASO Test Done?
Your doctor may recommend an ASO test if:
- You have symptoms of a strep infection (sore throat, fever, swollen tonsils).
- You’ve had untreated strep throat, and now you’re experiencing joint pain, swelling, or heart problems (possible signs of rheumatic fever).
- You have symptoms of post-streptococcal glomerulonephritis (a kidney complication).
- To confirm if past symptoms were due to a streptococcal infection.
This test helps doctors rule out or diagnose complications caused by untreated strep infections.
How Is the ASO Test Performed?
The ASO test is a simple blood test where a small sample is taken from your arm. No special preparation is needed, but inform your doctor if you’re on any medications.
What to Expect During the Test?
Here’s what you can expect when undergoing the test, so you feel informed and prepared for each step of the process.
- A healthcare professional will clean your arm and insert a needle to draw blood.
- You might feel a slight pinch, but the process is quick.
- The sample is sent to a lab for analysis.
Results are usually available within 24-48 hours.
Understanding ASO Test Results
The ASO test measures the level of ASO antibodies in your blood. Results are given in Todd units (TU/mL).
Normal Range:
- Adults: Less than 200 TU/mL
- Children (under 5 years): Less than 100 TU/mL
What High ASO Levels Mean?
- Recent or past streptococcal infection (e.g., strep throat, scarlet fever).
- Possible rheumatic fever or kidney complications if symptoms like joint pain or swelling are present.
What Low or Normal ASO Levels Mean?
- No recent strep infection.
- If symptoms persist, your doctor may order additional tests.
Note: A single high ASO level doesn’t always mean an active infection. Doctors often compare two tests taken 2-4 weeks apart to see if antibody levels are rising (indicating a recent infection) or falling (past infection).
What If My ASO Test Is Positive?
If your ASO levels are high, your doctor will check for:
- Symptoms of rheumatic fever (joint pain, fever, heart murmur).
- Kidney problems (swelling, dark urine, high blood pressure).
Possible Next Steps:
- Antibiotics (if an active strep infection is present).
- Further tests (like throat swabs, CRP, or echocardiogram for heart issues).
- Monitoring for complications if rheumatic fever is suspected.
Tips for Managing Strep Infections & Preventing Complications
Here are some practical tips to help you manage strep infections effectively and reduce the risk of complications.
- Complete Antibiotic Course: If prescribed, finish all antibiotics even if you feel better.
- Rest & Hydration: Helps your body recover faster.
- Good Hygiene: Wash hands frequently to prevent spreading infection.
- Watch for Complications: If you develop joint pain, swelling, or heart symptoms, see a doctor immediately.
- Follow-Up Tests: If ASO levels are high, repeat tests may be needed.
When to See a Doctor?
Consult a doctor if you experience:
- Persistent sore throat with fever
- Swollen, painful joints
- Unexplained fatigue or heart palpitations
- Dark urine or swelling (possible kidney issues)
If you suspect a strep infection or need an ASO test, you can book a consultation or lab test through Apollo 24|7 for quick and reliable results.
Final Thoughts
The ASO test is a useful tool to detect past or recent streptococcal infections and prevent complications like rheumatic fever. If your results are abnormal, don’t panic; your doctor will guide you on the next steps.
Consult a General Physician for the best advice
Consult a General Physician for the best advice
Dr. D Bhanu Prakash
General Practitioner
10 Years • MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Hyderabad
Apollo 24|7 Clinic, Hyderabad
Dr. Suraja Nutulapati
General Physician/ Internal Medicine Specialist
10 Years • MBBS, MD (Internal Medicine)
Hyderabad
Apollo 24|7 Clinic, Hyderabad
(900+ Patients)
Dr. Chaithra H
General Physician/ Internal Medicine Specialist
6 Years • MBBS, MD General Medicine, DNB General Medicine
Bangalore
Apollo 24|7 Clinic - Karnataka, Bangalore
Dr Divya Lekha Gunta
General Practitioner
10 Years • MBBS, MD (Pathology)
Visakhapatnam
Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam
Dr. Vasanthasree Nair
General Practitioner
15 Years • MBBS
Angamaly
Apollo 24|7 Clinic - Kerala, Angamaly
(450+ Patients)
Consult a General Physician for the best advice
Dr. D Bhanu Prakash
General Practitioner
10 Years • MBBS, AFIH, Advanced certificate in critical care medicine, Fellowship in critical care medicine
Hyderabad
Apollo 24|7 Clinic, Hyderabad
Dr. Suraja Nutulapati
General Physician/ Internal Medicine Specialist
10 Years • MBBS, MD (Internal Medicine)
Hyderabad
Apollo 24|7 Clinic, Hyderabad
(900+ Patients)
Dr. Chaithra H
General Physician/ Internal Medicine Specialist
6 Years • MBBS, MD General Medicine, DNB General Medicine
Bangalore
Apollo 24|7 Clinic - Karnataka, Bangalore
Dr Divya Lekha Gunta
General Practitioner
10 Years • MBBS, MD (Pathology)
Visakhapatnam
Apollo 24|7 Clinic - Andhra Pradesh, Visakhapatnam
Dr. Vasanthasree Nair
General Practitioner
15 Years • MBBS
Angamaly
Apollo 24|7 Clinic - Kerala, Angamaly
(450+ Patients)
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