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Monocyte Manual Percent

Complete Blood Count

Manual monocyte percentMonocyte percent (manual differential)Mono% (manual)

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the percentage of monocytes in your blood using a manual differential. A laboratory professional examines a stained blood smear under a microscope and counts how many white blood cells are monocytes compared with other types.

Manual counting is often used to confirm or clarify automated analyzer results, especially when unusual cells are present or when the instrument flags a possible issue. It is part of the complete blood count with differential and helps describe your immune cell profile.

Why it matters

Monocytes are immune cells that help defend against infections, clear damaged tissue, and coordinate immune responses. Changes in their proportion can occur with infections, inflammatory conditions, recovery after an illness, certain blood disorders, or after specific treatments.

Your clinician may order a manual percent when the automated differential is uncertain, when the blood smear needs review, or when tracking changes in your white cell pattern. The result, combined with your symptoms and other blood counts, can guide further testing, monitoring, or treatment decisions.

Understanding your results

Results are interpreted alongside your total white blood cell count, the absolute monocyte count, and the rest of the differential. A higher proportion can be seen with ongoing inflammation, some infections, or specific bone marrow conditions. A lower proportion can occur with bone marrow suppression, severe illness, or after certain medicines.

If your result is unexpected, your clinician may repeat the test, review the blood smear, or request additional studies such as infection testing or specialized cell analysis. Trends over time and how you feel are often more informative than a single value. Do not change medications or supplements without medical advice.

Reference ranges

310 %
All sexes
0 days – 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 Monocyte Manual Percent

  • Smear quality and handling

    Clotted or delayed samples, poor smear preparation, or prolonged storage can alter cell distribution and make monocytes harder to recognize.

  • Recent infection or inflammation

    Viral or bacterial infections, autoimmune flares, and recovery after an acute illness can shift the monocyte proportion for a period of time.

  • Medications and biologics

    Corticosteroids, colony-stimulating factors, chemotherapy, and immunosuppressants can raise or lower monocyte percentages.

  • Stress, surgery, or intense exercise

    Physiologic stress and post-operative states can transiently change white blood cell distribution, including monocytes.

  • Pregnancy and postpartum

    Immune changes during pregnancy and after delivery may affect differential counts, so interpretation should consider clinical context.

  • Hematologic and systemic diseases

    Bone marrow disorders, chronic inflammatory diseases, and hemolysis can alter monocyte counts and may prompt additional testing.

2026

References

  1. McGill University Health Centre. (2018, September 20). Monocyte Manual Percent (Task CD 856730). Laboratory reference ranges.
  2. Clinical and Laboratory Standards Institute. (2014). Reference leukocyte differential count (proportional) and evaluation of instrumentally generated leukocyte differential count; Approved standard (CLSI document H20-A2).
  3. International Council for Standardization in Haematology. (2015). ICSH guidelines for the standardization of peripheral blood film examination and reporting.
  4. American Society of Hematology. (2023). Complete blood count with differential: Patient information.