Lab
Urine Leukocyte Esterase
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Urine Leukocyte Esterase
, Urine Dipstick Leukocyte Esterase
See Also
Urinalysis
Urine Nitrite
Mechanism
Neutrophil
Granulocyte
s contain esterases
Positive test suggests pyuria
Dipstick requires 5 minutes to change color
Interpretation
Normal
Negative
Interpretation
Positive (Abnormal)
Urinary Tract Infection
Sexually Transmitted Infection
Vaginal contaminant
Causes
False Negative
Leukocyte
esterase on
Urinalysis
Inadequate time allowed for dipstick reading (60 to 120 seconds)
Increased
Urine Specific Gravity
Urine Glucose
present (
Glycosuria
)
Urine Ketone
s present (Ketonuria)
Urine Protein
present (
Proteinuria
)
Vitamin C
Enterococcus
UTI
Klebsiella
UTI
Antibiotic
s
Cefalexin (
Keflex
)
Nitrofurantoin
(
Macrobid
)
Tetracycline
Gentamicin
Causes
Positive
Leukocyte
esterase and negative
Urine Culture
Chlamydia
Ureaplasma Urealyticum
Balanitis
Bladder Cancer
Nephrolithiasis
Tuberculosis
Urinary tract foreign body
Glomerulonephritis
Medications (
Corticosteroid
,
Cytoxan
)
Methenamine
References
Hitzeman (2022) Am Fam Physician 106(1): 27-35 [PubMed]
Simerville (2005) Am Fam Physician 71(6): 1153-62 [PubMed]
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