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Laboratory test

ADA Fluid Test (Adenosine Deaminase)

Check the sample, preparation and current booking price for this laboratory test.

Also known as

ADA Fluid Test · Adenosine Deaminase · ADA Test · ADA Body Fluid · Fluid ADA · Adenosine Deaminase Body Fluid Test · Pleural Fluid ADA · ADA Test (Body Fluid)

Sample
Confirm with the laboratory
Fasting
Not required
Expected report time
24–48 hours
Parameters
1

ADA Fluid Test: quick answers

ADA Fluid Test full form
Adenosine Deaminase
ADA Fluid Test price
₹1,299
Normal range (adults)
Pleural fluid, commonly used cut-off for TB pleurisy: Above about 40 U/L
Done for
Fluid around the lung (pleural effusion) of unclear cause; Fluid in the abdomen when tuberculosis is a possibility; Fluid around the heart or in the brain and spinal fluid with suspected TB
Fasting
Not required
Report
24–48 hours

What is the ADA Fluid Test?

ADA is an enzyme released by activated immune cells. The test measures it in a body fluid such as pleural (lung), ascitic (abdominal), pericardial or cerebrospinal fluid. A raised level is a pointer towards tuberculosis in that fluid, and it is used because TB germs are often hard to find in these samples.

ADA Fluid Test normal range

MeasurementTypical adult value
Pleural fluid, commonly used cut-off for TB pleurisyAbove about 40 U/L

The cut-off depends on the fluid, the method and the lab, and no single number applies to every fluid. The one above is the figure most often used for pleural fluid in TB-endemic countries such as India. Use the range printed on your own report.

Ranges differ between laboratories and methods. The reference range printed on your own report is the one to read your result against.

What your ADA Fluid Test result means

High
Supports tuberculosis as the cause of the fluid, especially in a lymphocyte-rich pleural fluid. Other conditions, such as empyema, some lymphomas and rheumatoid effusions, can also raise it, so it is never read alone.
Normal or low
Makes TB less likely in that fluid, particularly in pleural fluid, but does not fully rule it out. Your doctor may still test further if the story fits.

One result is not a diagnosis. A doctor reads it with your symptoms, history, medicines and other tests.

Why is the ADA Fluid Test done?

  • Fluid around the lung (pleural effusion) of unclear cause
  • Fluid in the abdomen when tuberculosis is a possibility
  • Fluid around the heart or in the brain and spinal fluid with suspected TB
  • Supporting a TB diagnosis when smear and culture are negative or slow

What does the ADA Fluid Test (Adenosine Deaminase) measure?

1 parameter. Expand a group to see the measurements, units and available method details.

Other measurements1 parameter
ParameterUnitLOINC
Adenosine Deaminase (ADA) - Body FluidU/L9404-5

The reference interval printed on your actual laboratory report governs interpretation. Intervals can vary by laboratory, method, age, sex and pregnancy. Methods can also vary by processing laboratory.

ADA Fluid Test: sample & preparation

Sample: Confirm with the laboratory. Fasting: Not required.

  • The referring clinician should collect the fluid by the appropriate sterile procedure and send it promptly to the laboratory in a sterile container, noting the site of collection.

Frequently asked questions

What is the full form of ADA in a lab test?
ADA stands for adenosine deaminase, an enzyme found in white blood cells called lymphocytes. In fluid tests, a high level suggests those cells are very active, as in tuberculosis.
What is the ADA fluid test used for?
It is mainly used to help decide whether fluid in the chest, abdomen, heart sac or spinal canal is caused by tuberculosis. It is a supporting test, not a final diagnosis.
What is a normal ADA level in pleural fluid?
A pleural fluid ADA below about 40 U/L makes TB pleurisy less likely, and higher values raise the suspicion. The exact limit depends on the lab and method, so go by the range on your report.
Is the ADA test done on blood?
This test is for body fluid that a doctor has drawn, such as pleural or ascitic fluid. ADA can also be measured in serum, but that has different uses and different reference values.
Does a high ADA confirm tuberculosis?
No. It supports the diagnosis but does not confirm it. Doctors combine it with the fluid's cell count, protein, imaging and, where possible, culture or a molecular test.
How much does the ADA (Adenosine Deaminase) — Body Fluid cost?
The current online price is ₹1,299, with MRP ₹2,199. Review your booking total before payment.
Can I book this test for home collection?
Yes, in Chennai. This sample has to reach the lab within hours, so we collect it at home in Chennai only. Add your address and choose a slot at checkout.
When is the report expected?
The catalogue lists 24–48 hours. Confirm the collection and report schedule with the booking team.
Can I book this with other tests?
You can add available tests to the same cart. Review the combined preparation instructions and collection requirements with the booking team.

Sources: Tietz Textbook of Laboratory Medicine, 7th edition, 2022; Harrison's Principles of Internal Medicine, 21st edition, 2022; ICMR. INDEX-TB Guidelines: Guidelines on extra-pulmonary tuberculosis for India. 2016. General information, not medical advice.

This page gives catalogue facts only (sample, preparation, report time) and has not been reviewed by a doctor. It is general information, not a diagnosis or advice for you: your doctor decides which tests you need and what the results mean.

Book the ADA Fluid Test (Adenosine Deaminase)

1 parameter · No fasting required · Report time: 24–48 hours

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