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Absolute Neutrophil Count, Automated

Complete Blood Count

Absolute Neutrophil CountANCNeutrophils absolute (automated)

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the number of neutrophils, a type of white blood cell that is central to fighting bacterial and fungal infections. It is reported as an absolute count and is typically produced as part of a complete blood count with differential.

Automated hematology analyzers classify and count cells using technologies such as electrical impedance and flow cytometry. The result reflects how many neutrophils are circulating in a given volume of your blood at the time of the draw.

Why it matters

Your neutrophil count helps your care team assess your ability to fight infections. A low count, often called neutropenia, can increase the risk of serious infection. A high count can occur with infections, inflammation, significant stress, or from certain medications such as corticosteroids.

Clinicians order this test when you have fever or signs of infection, before and during cancer treatments, when monitoring medicines that can affect the bone marrow, or when investigating autoimmune or bone marrow conditions. It is also followed during treatment with colony-stimulating factors that raise white blood cell production.

Understanding your results

Results are interpreted alongside your symptoms, medical history, and other parts of the complete blood count. Reference intervals vary with age, and trends over time are often more informative than a single value. Some healthy individuals have lower baseline counts, and babies and children can have patterns that differ from adults.

If your count is low and you develop fever, chills, or new symptoms, contact your clinician promptly. If it is high but you feel well, it may reflect a temporary response to infection, stress, or medication. Persistently abnormal results may lead your clinician to repeat testing, review medicines, look for infections or inflammation, or, if needed, order additional tests of bone marrow function.

Reference ranges

4.820.4 10⁹/L
All sexes
0 days – 2 days
1.510.1 10⁹/L
All sexes
2 days – 8 days
19.4 10⁹/L
All sexes
8 days – 1 month
0.88.4 10⁹/L
All sexes
1 month – 6 months
1.58.5 10⁹/L
All sexes
6 months – 2 years
1.58 10⁹/L
All sexes
2 years – 6 years
1.37.1 10⁹/L
All sexes
6 years – 12 years
1.87.8 10⁹/L
All sexes
12 years – 16 years
1.87.7 10⁹/L
All sexes
16 years – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Absolute Neutrophil Count, Automated

  • Recent infections or inflammation

    Active or recent bacterial or fungal infections can raise counts, while severe or overwhelming infections can sometimes lower them as reserves are used.

  • Medications and biologics

    Chemotherapy, immunosuppressants, antithyroid drugs, certain antibiotics, and clozapine can lower counts. Corticosteroids and growth factors can increase counts.

  • Timing, stress, and exercise

    Counts can vary during the day and rise with physical exertion or acute stress. Recent intense exercise or acute illness can shift results transiently.

  • Sample and collection issues

    Blood drawn from a line running intravenous fluids or delayed sample processing can affect measured counts. Proper collection and handling reduce artifacts.

  • Pregnancy

    Physiologic changes in pregnancy often increase white blood cell counts, including neutrophils, so results are interpreted in that context.

  • Benign low baseline in some groups

    Some people of African, Middle Eastern, or West Indian ancestry have chronically lower baseline neutrophil counts without increased infections.

2026

References

  1. McGill University Health Centre. (2016, December 14). Abs. Neutrophil Automated (Task CD 317010). Laboratory reference ranges.
  2. McGill University Health Centre. (2018, May 03). Abs. Neutrophil Automated (Task CD 21327870). Laboratory reference ranges.
  3. Freifeld, A. G., Bow, E. J., Sepkowitz, K. A., Boeckh, M. J., Ito, J. I., Mullen, C. A., Raad, I. I., Rolston, K. V., Young, J. A. H., & Wingard, J. R. (2011). Clinical practice guideline for the use of antimicrobial agents in neutropenic patients with cancer: 2010 update by the Infectious Diseases Society of America. Clinical Infectious Diseases, 52(4), e56–e93.
  4. Taplitz, R. A., Kennedy, E. B., Bow, E. J., Crews, J., Gleason, C., Hawley, D. K., Langston, A. A., Nastoupil, L. J., Rajotte, M., Rolston, K., Strasfeld, L., Flowers, C. R., & IDSA. (2018). Outpatient management of fever and neutropenia in adults treated for malignancy: American Society of Clinical Oncology and Infectious Diseases Society of America clinical practice guideline update. Journal of Clinical Oncology, 36(14), 1443–1453.