A clean-catch urine sample is preferred. The clean-catch method is used to prevent germs from the penis or vagina from getting into a urine sample. To collect your urine, the health care provider may give you a special clean-catch kit that contains a cleansing solution and sterile wipes. Follow instructions exactly so that the results are accurate. After you provide a urine sample, it is tested right away. The provider uses a dipstick made with a color-sensitive pad.
The color of the dipstick changes to tell the provider if you have white blood cells in your urine. 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 leukosit esterase positif microscope for white blood cells and other signs that point to an infection.
An abnormal result indicates a possible urinary tract infection. The following may cause an abnormal test result, even when you do not leukosit esterase positif a urinary tract infection: • Trichomonas infection (such as trichomoniasis) • Vaginal secretions (such as blood or heavy mucus discharge) The following may interfere with a positive result, even when you do have a urinary tract infection: • High level of protein • High level of vitamin C Castle EP, Wolter CE, Woods ME.
Evaluation of the urologic patient: testing and imaging. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 2. Riley RS, McPherson RA.
Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Philadelphia, PA: Elsevier; 2022:chap 29.
Sobel JD, Brown P. Urinary tract infections. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 72. Version Info Last reviewed on: 7/19/2021 Reviewed by: Linda J.
Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA.
Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
keumuman Leukosit esterase adalah enzim yang ditemukan di sebagian besar sel darah putih. Aktivitasnya dimanifestasikan pada tingkat protein dari matriks penghubung, yang dapat didegradasi oleh enzim, berkontribusi pada penghancuran bakteri dan sel asing.
Jika sejumlah besar leukosit esterase ditemukan dalam urin, itu berarti bahwa ada konsentrasi tinggi leukosit dalam urin; ini menunjukkan kemungkinan infeksi saluran kemih. apa Leukosit esterase adalah enzim yang ditemukan terutama dalam neutrofil dan granulosit; oleh karena itu, ia juga dikenal sebagai elastase neutrofil atau elastase granulosit.
Esterase memiliki fungsi mendegradasi protein yang mendukung matriks ikat. Mengapa Anda mengukurnya? Tes esterase leukosit adalah tes yang mendeteksi keberadaan enzim dalam urin.
Temuan ini menunjukkan kemungkinan infeksi saluran kemih (uretra, leukosit esterase positif kemih, panggul ginjal atau ginjal). Leukosit esterase sangat berkorelasi dengan keberadaan sel darah putih (leukosit) dalam urin. Analisis ini sangat berguna ketika perlu untuk membedakan antara bakteriuria asimptomatik dan infeksi saluran kemih (IVU).
Pemeriksaan terkait Untuk meningkatkan leukosit esterase positif tes dan melanjutkan ke arah diagnosis tertentu, pemeriksaan esterase leukosit sering disertai dengan evaluasi nitrit urin, yang dihasilkan oleh aktivitas bakteri. Kombinasi analisis ini memberikan skrining yang sangat baik untuk mengidentifikasi adanya infeksi saluran kemih (ISK). Konfirmasi lebih lanjut disediakan oleh analisis mikroskopis dari sedimen urin, untuk juga menyoroti keberadaan leukosit dan / atau bakteri dalam urin.
Biasanya, begitu ada tes positif untuk keberadaan enzim dalam urin, tes lain dilakukan, kultur urin dengan antibiogram, untuk memverifikasi tingkat dan jenis infeksi urin di tempat.
Gejala yang mungkin terjadi Gejala-gejala yang terkait dengan esterase leukosit dalam urin mungkin tidak spesifik dan umum untuk sejumlah besar gangguan dan / atau penyakit. Secara umum, bagaimanapun, tingkat tinggi enzim ini mungkin terkait leukosit esterase positif manifestasi khas infeksi saluran kemih, seperti: • Rasa malaise umum; • Keinginan berulang untuk buang air kecil; • Merasa tidak sepenuhnya mengosongkan kandung kemih; • Rasa sakit atau tidak nyaman saat buang air kecil; • Urin yang keruh dan berbau busuk; • Nyeri di bagian bawah perut.
Saat ujian diminta Tes untuk mengevaluasi esterase leukosit diperlukan ketika adanya infeksi saluran kemih yang bertanggung jawab atas ketidaknyamanan dan rasa sakit saat buang air kecil, sering perlu buang air kecil atau untuk semua gejala lain yang disebutkan di atas diduga. Nilai normal Tes esterase leukosit harus memberikan hasil negatif, oleh karena itu nilai referensi rata-rata harus nol.
Esterase Leukosit Tinggi - Penyebab Dalam kebanyakan kasus, esterase leukosit yang tinggi menunjukkan adanya infeksi saluran kemih dan / atau peradangan. Lebih khusus lagi, kadar tinggi enzim ini dapat disebabkan oleh: • Cystitis (peradangan sangat mengganggu yang mempengaruhi mukosa kandung kemih); • Batu ginjal (agregat kecil garam mineral, yang terbentuk di saluran kemih, mendukung timbulnya infeksi); • Penyakit ginjal polikistik (kondisi patologis genetik di mana kista terbentuk pada jaringan ginjal); • Uretritis akut atau kronis (radang uretra); • Prostatitis (radang kelenjar prostat); • kehamilan; • Kanker kandung kemih.
Esterase Leukosit Rendah - Penyebab Tes esterase leukosit harus negatif, sehingga menandakan perjalanan normal tubuh kita. Negatifnya menunjukkan, pada kenyataannya, "tidak adanya enzim".
Bagaimana mengukurnya Tes esterase leukosit cepat dan mudah dilakukan. Pemeriksaan dilakukan pada sampel urin, biasanya dikumpulkan pada pagi hari, dengan perut kosong. Untuk melakukan tes leukosit esterase, cukup celupkan test strip pada spesimen urin. Setelah beberapa menit, jika jumlah yang signifikan dari esterase leukosit ditemukan, warna peta akan berubah sesuai dengan skala kromatik referensi, memperoleh nuansa warna yang lebih dan lebih intens berdasarkan tingkat konsentrasi enzim.
Dalam hal hasil yang positif, spesimen urin biasanya dilihat di bawah mikroskop, yang harus menunjukkan adanya leukosit esterase positif dan / atau bakteri. persiapan Tes leukosit esterase tidak memerlukan persiapan khusus; pasien perlu berkemih secara normal, mengumpulkan sampel tungau menengah (yaitu, setelah melepaskan emisi urin pertama, yang mungkin mengandung kuman yang ada di luar saluran kemih). Urin harus dikumpulkan dalam leukosit esterase positif steril, yang harus ditutup dengan hati-hati segera setelahnya dan dibawa ke laboratorium dalam waktu singkat.
Faktor-faktor yang mempengaruhi ujian Beberapa kondisi dapat menghasilkan hasil tes positif palsu untuk leukosit esterase: • Infeksi dengan Trichomonas vaginalis ; • Sekresi vagina (darah atau kehilangan lendir utama).
Sebaliknya, situasi lain dapat menyebabkan hasil negatif palsu: • Penggunaan antibiotik, seperti tetrasiklin; • Asam askorbat dalam jumlah tinggi (vitamin C), boron, dan asam oksalat dalam urin.
Interpretasi Hasil Biasanya, sedikit sel darah putih hadir dalam urin dan pemeriksaan leukosit esterase memberikan hasil negatif. Ketika jumlah leukosit meningkat secara signifikan, tes enzim menjadi positif.
Nilai esterase leukosit yang tinggi cenderung mengindikasikan adanya infeksi saluran kemih. Dalam kasus terakhir, investigasi lebih lanjut akan diperlukan untuk menentukan penyebab fenomena tersebut. Lebih lanjut, jika tes menunjukkan keberadaan tinggi sel epitel skuamosa, ada kemungkinan leukosit esterase positif sampel telah terkontaminasi, jadi untuk diagnosis yang tepat akan diperlukan untuk mengulangi tes.
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.
Click to see full answer Then, are leukocytes in urine a sign of cancer? Share on Pinterest White blood cells help all parts of the body fight infection. These are just a few of the common causes, but there are others.
The following can also cause raised levels of leukocytes in the urine: some cancers, such as prostate, bladder, or kidney cancer. Beside above, can leukocytes in urine be normal? 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).
Just so, do leukocytes in urine always mean infection?
An unusually high number of leukocytes in the urine indicates inflammation or infection along the urinary tract, often in the bladder or kidney.
An absence of leukocyte esterase in the urine means that the urine is not likely to contain white leukosit esterase positif cells, so it is not likely to be carrying infectious agents. What is urine leukocyte esterase? Leukocyte esterase (LE) is an esterase (a type of enzyme) produced by leukocytes (white blood cells). A leukocyte esterase test (LE test) is a urine test for the presence of white blood cells and other abnormalities associated with infection. Leukocyte esterase is an enzyme present in most white blood cells (WBCs).
A few white blood cells are normally present in urine and usually give a negative chemical test result.
The most common cause for WBCs in urine (leukocyturia) is a bacterial urinary tract infection ( UTI), such as a bladder or kidney infection.
An unusually high number of leukocytes in the urine indicates inflammation or infection along the urinary tract, often in the bladder or kidney. An absence of leukocyte esterase in the urine means that the urine is not likely to contain white blood cells, so it is not likely to be carrying infectious agents. A high white blood cell count isn't a specific disease, but it can indicate another problem, such as infection, stress, inflammation, trauma, allergy, or certain diseases.
A high lymphocyte count may occur when there is a viral or bacterial infection. Increased leukosit esterase positif can indicate chronic inflammation. 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. 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. sterile pyuria, where UTI symptoms may be present, but there are no bacteria detected in your urine.
sexually transmitted diseases ( STDs), such as chlamydia, gonorrhea, genital herpes, human papillomavirus infection, syphilis, trichomonas, mycoplasma, and HIV. radiation cystitis. foreign bodies in the urinary tract. White blood cells (WBCs), also called leukocytes or leucocytes, are the cells of the immune system that are involved in protecting the body against both infectious disease and foreign invaders. All white blood cells are produced and derived from multipotent cells in the bone marrow known as hematopoietic stem cells.
People with proteinuria have urine containing an abnormal amount of protein. The condition is often a sign of kidney disease. Leukosit esterase positif filters damaged by kidney disease may let proteins such as albumin leak from the blood into the urine. Proteinuria can also be leukosit esterase positif result of overproduction of leukosit esterase positif by the body. Leukocyte esterase ( LE) is an esterase (a type of enzyme) produced by leukocytes ( white blood cells).
A leukocyte esterase test ( LE test) is a urine test for the presence of white blood cells and other abnormalities associated with infection. White blood cells in the urine can indicate a urinary tract infection (UTI). Positive test results may be clinically significant in the right context. The LE test is also used to screen for gonorrhea and for amniotic fluid infections. The combination of the LE test with the urinary nitrite test provides an excellent screen for establishing the presence of a UTI.
Urine test strips (dipsticks) can screen for both. A urine sample that tests positive for both nitrite and leukocyte esterase should be cultured for pathogenic bacteria. "It has been proposed that the reagent strip for leukocyte esterase designed for the testing of urine (Combur test UX) could be a useful tool for diagnosing spontaneous bacterial peritonitis SBP."  Braga et al.
concluded that the Combur test UX urine screening test is a very sensitive and specific method for diagnosing SBP in the ascitic fluid of cirrhotic patients who have undergone paracentesis." References [ edit ] • ^ Braga LL, Souza MH, Barbosa AM, Furtado FM, Campelo PA, Araújo Filho AH (May 2006).
"Diagnosis of spontaneous bacterial peritonitis in cirrhotic patients in northeastern Brazil by use of rapid urine-screening test".
Sao Paulo Medical Journal. 124 (3): 141–4. doi: 10.1590/s1516-31802006000300006. PMID 17119690. External links [ edit ] • leukocyte+esterase at the US National Library of Medicine Medical Subject Headings (MeSH) • Leukocyte esterase urine test at MedlinePlus Edit links • This page was last edited on 23 April 2020, at 21:03 (UTC).
• Privacy leukosit esterase positif • About Wikipedia • Disclaimers • Contact Wikipedia • Mobile view • Developers • Statistics • Cookie statement • •
Health Categories • Women's Health • Men's Health • Aging Gracefully • Healthy Heart • Parenting • Pregnancy • Diet & Nutrition • Healthy Living Conditions • Acid Reflux (GERD) • Alzheimer & Dementia • Anxiety • Autism • Breast Cancer • Celiac Disease • Crohn's Disease • Cystic Fibrosis • Diabetes • Fibromyalgia • Headache & Migraine • Lupus • Lymphoma • Multiple Sclerosis • Muscular Dystrophy • Ovarian Cancer • Parkinson's Disease • Rheumatoid Arthritis • Skin Conditions • Sleep Apnea • STDs View all A complete blood cell (CBC) test often includes a measurement of the level of leukocytes, or white blood cells (WBCs).
Higher levels of leukocytes in the bloodstream may indicate an infection. This happens because WBCs are part of the immune system, and they help fight off disease and infection.
Leukocytes may also be found in a urinalysis, or a urine test. High levels of WBCs in your urine also suggest that you have an infection. In this case, your body is trying to fight off an infection somewhere in your urinary tract.
Generally, that means the bladder or the urethra, which is the tube that carries urine from the bladder. Leukocytes in the urine could also suggest a kidney infection. What is leukocyte esterase? The leukocyte esterase is an enzyme that is released by white blood cells leukosit esterase positif.
Although it is fairly common to have a few WBC in the urine, this will not produce a positive leukocyte esterase test. Any condition that will significantly increase the number of WBCs in the urine will yield a positive result. What means being tested? A urinalysis is a group of physical, chemical, and microscopic tests. The tests detect or measure several substances in the urine, such as byproducts of normal and abnormal metabolism, cells, cellular fragments, and bacteria.
Urine is produced by the kidneys, two fist-sized organs located on either side of the spine at the bottom of the ribcage. The kidneys filter wastes out of the blood, help regulate the leukosit esterase positif of water in the body, and conserve proteins and other compounds that the body can reuse.
Anything that is not needed is eliminated in the urine, traveling from the kidneys through ureters to the bladder and then through the urethra and out of the body. Urine is generally yellow and relatively clear, but each time a person urinates, the color, quantity, concentration, and content of the urine will be slightly different because of varying constituents.
Many disorders may be detected in their early stages by identifying substances that are not normally present in the urine or by measuring abnormal levels of certain substances. Some examples include glucose, protein, bilirubin, white blood cells, crystals, and bacteria. Symptoms Leukocytes in urine don’t necessarily cause symptoms on their own. If you do have leukocytes in your urine, your symptoms will vary depending on the condition that is causing the leukocytes to build up in your urine.
The symptoms of a UTI include: • a frequent urge to urinate • a burning sensation when urinating • cloudy or pink-tinted urine • pelvic pain, especially in women The results A positive leukocyte esterase result means there is pyuria or an increased amount of leukocytes in the urine.
This result means that one may have a urinary tract infection. Pathologic conditions such as urethritis and cystitis are also common causes of pyuria. Sexually transmitted infections such as gonorrhea and chlamydia may also increase the WBC in the urine. Further diagnostic tests may be requested following a positive leukocyte esterase result.
A urine culture may be performed in order to identify the pathogen that is causing the infection. It is crucial to finish the entire course of treatment to prevent the reoccurrence of the infection.
One of the easiest ways to help keep the urinary tract free of infections or kidney stones is to stay hydrated as much as possible. Drink several glasses of water per day, and talk to your doctor about what amount of water is best for you. If you have a condition such as heart failure, your doctor may recommend that you limit your fluid intake. If leukosit esterase positif active or pregnant, you may need to drink more water every day.
Eating cranberries and drinking cranberry juice may help lower your risk of developing UTIs. That is because a substance in cranberries may help protect your bladder and make it more difficult for certain bacteria to stick to your urinary tract. Popular Searches • Dentists in Beverly Hills, CA • Dermatologists in New York, NY • Gastroenterologists in Austin, TX • Cardiologists in Indianapolis, IN • Neurologists in Charlotte, NC • Neurologists in Chicago, IL • OBGYNs in Denver, CO • Pediatricians in Phoenix, AZ • Physicians in Boston, MA • Pulmonologists in San Antonio, TX • Search by Doctor Name
Terima kasih telah bertanya tentang Leukosit Esterase melalui fitur Tanya Dokter Hasil pemeriksaan yang Anda sebutkan merupakan hasil pemeriksaan urinalisis.
Dari hasil pemeriksaan tersebut ditemukan adanya suatu enzim peradangan (leukosit esterase) pada urin Anda. Meskipun terdapat beberapa keadaan yang dapat menyebabkan hasil positif palsu (seperti vitamin C, olahraga berat, cara pengambilan sample yang salah sehingga terkontaminasi bakteri, dll), perlu dilakukan evaluasi lebih lanjut untuk menyingkirkan kemungkinan adanya gangguan ginjal atau infeksi bakteri pada saluran kemih Anda.
Untuk itu kami sarankan sebaiknya Anda segera berkonsultasi dengan dokter keluarga untuk tatalaksana yang lebih optimal. Demikian penjelasan yang dapat kami sampaikan terkait Leukosit Esterase. Semoga bermanfaat.Health Categories • Women's Health • Men's Health • Aging Gracefully • Healthy Heart • Parenting • Pregnancy • Diet & Nutrition • Healthy Living Conditions • Acid Reflux (GERD) • Alzheimer & Dementia • Anxiety • Autism • Breast Cancer • Celiac Disease • Crohn's Disease • Cystic Fibrosis • Diabetes • Fibromyalgia • Headache & Migraine • Lupus • Lymphoma • Multiple Sclerosis • Muscular Dystrophy • Ovarian Cancer • Parkinson's Disease • Rheumatoid Arthritis • Skin Conditions • Sleep Apnea • STDs View all What are leukocytes?
White blood cells (WBCs) are also called as leukocytes. They protect leukosit esterase positif body from infections by fighting foreign invaders such as viruses, bacteria, fungi, or parasites.
Phagocytes and lymphocytes are forms of white blood cells (WBCs). Phagocytes engulf foreign particles like bacteria. Lymphocytes recognize the foreign particles based on previous encounters. Lymphocytes make up the adaptive immunity of our body. They also produce antibodies that bind to foreign particles, so that they can be recognized for destruction. Have a question about Urine Tests? Ask a doctor now If leukocytes are found in urine, then it’s a sign that the body’s defense mechanism is compromised.
What does a high level of leukocyte in urine mean? Since leukocytes help fight off diseases and infections, high levels of leukocytes in urine may indicate an infection or inflammation in the bladder or kidney. It means the body is trying to fight off an infection in the urinary tract. It could also indicate damage to the ureters, bladder, leukosit esterase positif urethra.
It could also indicate a kidney stone. A high leukocyte count in urine could also indicate hypertension, diabetes, or other kidney diseases.
A consistent high leukocyte count in urine can negatively affect the kidneys or bladder. Excess leukocytes that have been killed or damaged while fighting off an infection are expelled by the body through urination.
For this reason, the presence of leukocytes in urine does not always mean an infection. The normal range of leukocytes in urine is 0-5 WBC/HPF. In females, the size of their urethra is smaller leukosit esterase positif to males, which is why more leukocytes are found in the urine of females than males.
Pregnant women also tend to show leukocytes in urine. Leukosit esterase positif of leukocyte in urine 1) Pregnancy During pregnancy, leukocyte counts can suddenly shoot up in urine. One reason may be due to a contamination in the vagina.
Other reasons may be an increased level of protein excreted in the urine and bladder infection. It is advisable to consult a gynecologist, if leukocytes are frequently reported in a routine urinalysis. 2) Renal infection Kidney problems can cause an increased number of leukocytes in urine. The infection starts in the urinary tract and spreads to the kidney. Such infection is called as pyelonephritis, which can affect any part of the renal system. It can affect the urinary bladder, urethra, and ureter.
People with an impaired immune system and those who use urinary catheters are at a higher risk of developing pyelonephritis. 3) Kidney stones Kidney stones are also proven dangerous since the stones contain calcium salts, which can interfere with the urine pathway in the urethra.
The obstruction can lead to a bacterial infection and presence of leukocytes in urine. 4) Sexual intercourse Having sex enables the migration of bacteria to the urinary tract, thereby increasing the leukocyte count in the urine. 5) Delayed urination In most cases, when the bladder is full, there is an urge to urinate to empty the bladder. In some cases, when urine is not completely released or when there is delayed urination, the urine left in the bladder acts as a good media for bacteria to thrive on.
This would then cause the bladder to be infected with bacteria leading to an increase in the number of leukocytes in urine. 6) Urinary tract obstruction The most common causes of urinary tract obstruction are kidney stones, prostatic hypertrophy, and pelvic trauma. Due to this blockage, the urinary system is damaged, thereby causing leukocytes to appear in the urine.
At times, one may also notice blood in the urine. 7) Interstitial cystitis Interstitial cystitis is also called as bladder pain syndrome.
It causes bladder pressure and pain, as well as excessive urination leading to urinary tract infection and an increased leukocyte count in the urine. Symptoms of leukocytes in urine Symptoms may vary depending on the type of urinary tract infection. 1) Lower Leukosit esterase positif symptoms - The most common symptoms include dysuria or acute pain, frequent urination, urgency, and incontinence. Hematuria or blood in the urine and a foul–smelling or cloudy urine may also be present.
2) Upper UTI symptoms - In addition to the above symptoms, patients may also show symptoms of suprapubic pain, fever, chills, nausea, leukosit esterase positif, and costovertebral angle tenderness (CVAT). Diagnosing leukocytes in urine A urine sample is usually tested for white blood cells or leukocytes, red blood cells (RBCs), bacteria, and other substances. When the urine is positive for bacteria, a urine culture is performed to identify the type of bacterial infection.
Lower UTIs are usually diagnosed using a urine dipstick or routine urinalysis. 1) Microscopic examination of urine This is the initial step in diagnosing urinary tract infections (UTIs). A microscopic examination is done to look for pyuria (pus in urine) and hematuria (blood in urine). Pyuria is usually present in most women with UTI and in some with urethritis. A midstream clean catch urine is examined to assess pyuria. Urinalysis is the most accurate way for diagnosing bacteriuria (bacteria in urine) in symptomatic women.
The presence of bacteria in urine is not considered as a single criterion for the diagnosis of UTI. The three acceptable methods for urine collection are midstream clean catch, catheterization, and suprapubic aspiration. Ten or more leukocytes per cubic milliliter in urine is considered as abnormal.
Women with UTI have more than the normal count of leukocytes per cubic milliliter. In centrifuged specimens, more than 8-10 WBC/HPF indicates an infection. 2) Microscopic examination of bacteria If at least one bacterium is present on an oil-immersion field from a clean catch and uncentrifuged urine specimen, it indicates the probability of 10 5 bacteria/ml of urine or more. A Gram stain of urine smears is also a rapid, inexpensive, and accurate method of identifying bacteria in urine.
However, a low bacterial count in the lower urinary tract may be associated with a negative Gram stain. White cell casts are strong evidence of pyelonephritis.
However, its absence does not rule out an upper urinary tract infection. In the absence of infection, white blood cells can also be seen in renal diseases. 3) Dipstick A dipstick test is done to detect leukocyte esterase or nitrite reductase in the urine. It is a commonly used test.
Leukocyte esterase is an enzyme produced by the leukocytes. This test detects the presence of leukocytes and other abnormalities associated with infection. The presence of leukocyte esterase indicates pyuria while nitrite indicates bacteriuria.
A positive dipstick test should be considered as a positive screen but a negative test result does not exclude the diagnosis of UTI in a patient with a high risk of infection.
Procedure for dipstick tests: • Urine sample is collected. • A technician/nurse places a dipstick, which is a specially treated chemical strip into the urine. • The patches on the leukosit esterase positif change their colors. • The dipstick is placed into a machine, which analyzes the color change. Note: This method may show a false positive result in cases of a Trichomonas infection, vaginal secretions, high levels of protein, and a high level of vitamin C in the urine.
Leukocytes and nitrite Dipsticks can pick up certain substances such as leukocyte esterase and nitrite in the urine. Both of these substances are indicators of infection. If the urine is tested positive for nitrite, leukosit esterase positif indicates a bacterial infection, although it does not pick up all the bacteria present in the urine.
If the urine tests negative for leukocyte esterase, it means an infection is highly unlikely. Leukocyte in urine without nitrite If the leukocyte esterase test is positive and nitrite is negative, it can still mean an infection.
Such cases can be attributed to poor hygiene or incorrect technique used while collecting the urine sample. It can lead to false results such as the presence of bacteria in the urine without them being actually present in the urinary tract. To avoid a false positive result, the area around the urethral opening should be rinsed with clean water before collecting the sample. Men should hold back the foreskin and women should hold the genital labia aside. Urine should be collected halfway since the initial amount of urine may be contaminated.
Treatment The treatment of leukocytes in urine is completely based on its cause: 1) Antibiotics Most doctors would prescribe antibiotics for UTI treatment. Doctors may recommend a longer course of antibiotics in case of frequent UTIs.
In the case of a severe kidney infection, it is necessary to closely monitor the patient, or else the condition might become life-threatening. 2) Removal of obstruction Tumor or kidney stones can be removed through surgery. Surgery is usually required when larger stones are involved. The stones are broken up using sound waves. Treatment options for tumors may include surgery, radiation, or chemotherapy. Small kidney stones can be flushed out of the system by increasing the amount of water intake.
An increased fluid intake can also help flush the bacteria present in the urinary tract. At least two liters of water should be taken a daily. 3) Natural remedies Taking leukosit esterase positif too often may increase the body’s risk of antibiotic resistance to certain types of bacteria. A natural approach is always the best. The following are some of the natural ways to relieve urinary tract infections: Cranberry Research has shown that cranberry is an antibiotic alternative.
It can help in the treatment and prevention of UTIs. The hippuric acid present in cranberries is said to have an antibacterial effect against bladder infections. Cranberry extracts can also lower down calcium levels in cases of kidney stones. However, a review of the scientific evidence confirms that cranberry may not be very effective in the form of juice for reducing the occurrence of UTIs.
Hence, it is not actively recommended by doctors. Uva ursi (bearberry) The arbutin content of the berry is converted to an antibacterial compound called hydroquinone, which has been used for centuries to treat UTIs. It cleanses the urinary tract, fights infections, and treats kidney stones. However, it has been found that hydroquinone can potentially damage the liver.
Thus, consult the doctor first before taking it. Low-oxalate diet A high-oxalate diet is thought to be responsible for having frequent kidney stones. Examples of foods that are high in oxalate are spinach, Swiss chard, leukosit esterase positif, dried figs, peanuts, almonds, and sesame seeds.
Low-oxalate foods include onions, zucchini, avocado, lime, cherries, coconut, ginger, beef, chicken, and eggs. Goldenseal Goldenseal is an herbal antimicrobial remedy. The active ingredient in goldenseal is berberine. However, further research is needed to prove its potential for treating UTIs. Fresh fruits and veggies Fresh fruits and vegetables can help prevent the buildup oxidizing agents, which also can cause tumors or cyst formation in the renal system.
Nutritious food intake in adequate amounts maintains the antioxidant levels in the body and helps improve the body’s immune system. Vitamin C This vitamin boosts the immune system. It fights against bladder and kidney problems. It has been found that vitamin C can help reduce the formation of kidney stones. Herbal remedies Herbs like aloe vera, horsetail, and dandelion root can help treat kidney problems.
Oil of oregano is also an herbal remedy for bladder infection. Homeopathic remedies When kidney stones are accompanied by vomiting, nausea, and cramps, nux vomica is considered as a good remedy. Aconitum napellus is useful for the first two hours of a bladder infection. Preventive measures • Prevent UTIs by increasing your fluid intake. Drinking sufficient amounts of fluid can also help maintain the normal pH levels of urine.
• Delayed urination increases the risk of a bladder infection. Hence, the bladder should be emptied right away. • Take protective measures before and leukosit esterase positif sexual intercourse by urinating before and after sex.
• Antacids are thought to cause kidney stones, leukosit esterase positif when they are taken after eating dairy products. • Caffeine, salt, and alcohol can greatly contribute to dehydration, which can further cause kidney stones. Thus, try to limit your consumption of salty foods, caffeinated drinks, and alcoholic beverages.
• Hygiene is of utmost importance. Regular washing of the genital area with a mild soap is a must and should be made a regular practice. After washing, let the area dry properly. Sexual intercourse should be avoided during the infection period. Frequent washing leukosit esterase positif hands will keep away the infectious agents. Undergarments and towels should be properly washed after use.
Outlook UTIs clear up in a short period of time, if diagnosed early and treated properly. Kidney stones and benign tumors are also treatable.
However, a cancerous growth requires a longer treatment process. Key Takeaways • Since leukocytes help fight off diseases and infections, high levels of leukocytes in urine may indicate an infection or inflammation in the bladder or kidney.
• A high leukocyte count in urine could also indicate hypertension, diabetes, or other kidney diseases. • The normal range of leukocytes in urine is 0-5 WBC/HPF. Popular Searches • Dentists in Beverly Hills, CA • Dermatologists in New York, NY • Gastroenterologists in Austin, TX • Cardiologists in Indianapolis, IN • Neurologists in Charlotte, NC • Neurologists in Chicago, IL • OBGYNs in Denver, CO • Pediatricians in Phoenix, AZ • Physicians in Boston, MA • Pulmonologists in San Antonio, TX • Search by Doctor Name