What it is: A neutrophil count measures the number of neutrophils, the most abundant type of white blood cell and the immune system's first responders against bacterial and fungal infection, typically as part of a CBC with differential.
Why it's ordered: Ordered alongside a CBC with differential to help evaluate suspected bacterial infection, inflammation, or bone marrow function, including during chemotherapy monitoring.
What it detects: Neutrophils rise (neutrophilia) with bacterial infection, inflammation, or stress; they fall (neutropenia) with certain infections, autoimmune conditions, or bone marrow suppression from chemotherapy, raising infection risk.
Collection & prep: A standard blood draw from a vein in the arm, as part of a CBC with differential. No special preparation is needed.
Results:
High – often reflects bacterial infection or acute inflammation
Low – raises infection risk; can result from certain infections, autoimmune disease, or chemotherapy
Normal – typically 40–60% of total white blood cells
Possible complications of low neutrophils: Significant neutropenia substantially increases the risk of serious infection, so low counts — especially during chemotherapy — are closely monitored and may prompt precautions against infection exposure.
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