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Neutrophil count

Also called: Absolute neutrophil count, ANC, Neutrophils

Neutrophils are the white blood cells that fight bacteria. The absolute neutrophil count (ANC) shows your protection against infection.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsOften the same day
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

It's part of a CBC with differential.

Some healthy people, including many of African or Middle Eastern descent, naturally have lower counts without higher infection risk.

Why it's done

  • Fever or infections
  • During chemotherapy or with medicines that lower counts

Getting ready and what happens

  • None.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

ResultTypical range for adults
ANCAbout 1,500 to 8,000 per microliter
Severe neutropeniaBelow 500 per microliter

Normal ranges vary from lab to lab and can differ by age, sex, and pregnancy. Your report lists your lab's own range next to each result. A result a little outside the range is often not a problem.

Low

Raises infection risk. Causes include viral infections, medicines, chemotherapy, and marrow problems.

High

Common with bacterial infections, stress, smoking, and steroids.

When a result needs quick action

Call 911Fever of 100.4°F or higher with an ANC below 500

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.