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Basic Blood Test (CBC)

Absolute Neutrophil Count (ANC)

The Absolute Neutrophil Count (ANC) is the actual number of neutrophils in your blood, rather than a percentage. It is the best measure of your protection against bacterial infection.

Normal range (adults)
1.8–7.7 ×10⁹/L
Sample
Blood
Fasting
Not usually needed
Also called
ANC, Absolute Neutrophils, Neutrophil Absolute, Neut Abs

Absolute Neutrophil Count normal range

Group×10⁹/LSame unit in all countries
Adults1.8–7.7

Ranges vary slightly between laboratories. The range printed on your own report is the one to go by.

Why is the Absolute Neutrophil Count test done?

It is checked during chemotherapy, with some medicines, and whenever the white cell count is abnormal.

What does a high Absolute Neutrophil Count level mean?

A high ANC usually means your body is responding to infection, inflammation or stress.

Common causes

  • Bacterial infection
  • Inflammation or injury
  • Steroids
  • Smoking
  • Stress

Diet and lifestyle tips

  • Rest and hydrate
  • Treat the underlying infection as your doctor advises

What does a low Absolute Neutrophil Count level mean?

A low ANC (neutropenia) raises infection risk: below 1.5 is mild, below 1.0 moderate and below 0.5 severe.

Common causes

  • Chemotherapy or other medicines
  • Viral infections
  • Autoimmune disease
  • B12 or folate deficiency
  • Benign ethnic neutropenia

Diet and lifestyle tips

  • Strict food hygiene
  • Avoid raw or undercooked meat, eggs and unpasteurised dairy
  • Wash hands frequently

When should you see a doctor?

If your ANC is below 0.5 or you have a fever with a low ANC, seek urgent care.

Last updated

This page is for general education and is not a diagnosis. Normal ranges differ between laboratories, so always compare your result with the reference range printed on your own report, and discuss abnormal results with your doctor.