Can You Have A UTI With Leukocytes But No Nitrite?

What causes false positive leukocytes in urine?

[19] Hematuria can cause a false positive result for urine WBCs.

Leukocytes and WBCs may be present in urine due to other conditions such as appendicitis, diverticulitis, sexually transmitted infection, and renal injury.

False negatives can occur in neutropenic/leukopenic patients..

What indicates a UTI on a dipstick?

Leukocyte esterase is an enzyme released by neutrophils and macrophages. A urine dipstick positive for this enzyme indicates pyuria (an increased number of leukocytes). Urinary tract infections including cystitis and urethritis are common causes of pyuria.

Can you have leukocytes in urine without UTI?

Sterile pyuria It is possible to have white blood cells in the urine without a bacterial infection. Sterile pyuria refers to the persistent presence of white blood cells in the urine when no bacteria are found to be present by laboratory examination.

Do leukocytes in urine always mean infection?

An increased number of WBCs seen in the urine under a microscope and/or positive test for leukocyte esterase may indicate an infection or inflammation somewhere in the urinary tract. If also seen with bacteria (see below), they indicate a likely urinary tract infection.

What does it mean when you have leukocytes in urine but no nitrite?

Leukocytes in the urine without nitrite If the test for leukocyte esterase is positive but finds no nitrite, an infection may still be present. The test is particular to certain bacterial enzymes, which means it can pick up specific bacterial infections with more certainty.

What is the normal amount of leukocytes in urine?

Diagnosis. If you’re healthy, you can still have elevated leukocytes in your bloodstream and urine. A normal range in the bloodstream is between 4,500-11,000 WBCs per microliter. A normal range in the urine is lower than in the blood, and may be from 0-5 WBCs per high power field (wbc/hpf).

Are azo UTI test strips accurate?

AZO Test Strips have the same test pads as the tests used by most doctors. Our Urinary Tract Infection (UTI) Test Strips when compared to another commercial test showed 94.4% accuracy for the Leukocyte test and 98.4% for the Nitrite Test.

What does nitrites and leukocytes in urine mean?

The presence of nitrites in urine most commonly means there’s a bacterial infection in your urinary tract. This is usually called a urinary tract infection (UTI). A UTI can happen anywhere in your urinary tract, including your bladder, ureters, kidneys, and urethra.

What happens when you have high leukocytes?

A high white blood cell count usually indicates: An increased production of white blood cells to fight an infection. A reaction to a drug that increases white blood cell production. A disease of bone marrow, causing abnormally high production of white blood cells.

What lab values indicate urinary tract infection?

Common laboratory tests for UTIs include: Urinalysis—most UTIs are diagnosed by performing a urinalysis, which looks for evidence of infection, such as bacteria and white blood cells in a sample of urine. A positive leukocyte esterase test or the presence of nitrite in the urine supports the diagnosis of UTI.

Can leukocytes in urine be a sign of STD?

Lower UTIs and many STIs have overlapping symptomatology, including the traditional UTI symptoms of dysuria, frequency, and urgency. In addition, abnormal urinalysis (UA) findings of positive leukocyte esterase and pyuria are common in both UTIs and STIs (3–6).

What should not be found in urine?

The following are not normally found in urine:Hemoglobin.Nitrites.Red blood cells.White blood cells.

What does it mean when you test positive for leukocytes and negative for nitrite?

If Leukocytes test is negative and Nitrite test is negative: no sign of UTI (if symptoms continue, test again or consult healthcare provider). If Leukocytes test is negative or trace but Nitrite test is positive: results suggest UTI. If Leukocytes test is positive and Nitrite test is positive: results suggest UTI.

Can you have a UTI without nitrites?

If there are nitrites in your urine, it may mean that you have a UTI. However, even if no nitrites are found, you still may have an infection, because bacteria don’t always change nitrates into nitrites.

What does trace leukocytes in urine mean?

Leukocyte esterase is a screening test used to detect a substance that suggests there are white blood cells in the urine. This may mean you have a urinary tract infection. If this test is positive, the urine should be examined under a microscope for white blood cells and other signs that point to an infection.