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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does My Lab Test Report Indicate?

goodnoon doc...yesterday I try 2 go in a laboratory...I try 2 check if I have a UTI and the result is the pus cells 4-6 hpf and RBC is 0-1,epithelial cells is some,and the bacteria is few....my question is...is that possible that I have UTI or I am positive in UTI???
Thu, 24 Jan 2019
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Internal Medicine Specialist,  's  Response
Hello,

Your urine report shows pus cells (vis-a-vis WBC) 4-6/hpf. An increase in the leucocyte count in the urine most commonly implies infection.

If number of WBCs in uncentrifuged mid-stream urine in women is

•10 /mm3, it is abnormal.
•3-10 /mm3, it is of doubtful significance.
•If number of WBCs in uncentrifuged mid-stream urine in men is > 3/mm3, it is abnormal.
•If the number of WBCs in centrifuged mid-stream urine in both men and women is > 5 WBCs/HPF, it is abnormal.

Accordingly, it will indicate infection(UTI). I feel you should subject urine for culture & sensitivity test for confirmation.

In both sexes at least 200 ml should be passed before collecting a midstream urine specimen without interrupting the flow of urine, for culture & sensitivity test.

Also, there are Non-infective causes of WBCs in urine: Nephrocalcinosis, Papillary necrosis, Analgesic nephropathy.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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What Does My Lab Test Report Indicate?

Hello, Your urine report shows pus cells (vis-a-vis WBC) 4-6/hpf. An increase in the leucocyte count in the urine most commonly implies infection. If number of WBCs in uncentrifuged mid-stream urine in women is •10 /mm3, it is abnormal. •3-10 /mm3, it is of doubtful significance. •If number of WBCs in uncentrifuged mid-stream urine in men is 3/mm3, it is abnormal. •If the number of WBCs in centrifuged mid-stream urine in both men and women is 5 WBCs/HPF, it is abnormal. Accordingly, it will indicate infection(UTI). I feel you should subject urine for culture & sensitivity test for confirmation. In both sexes at least 200 ml should be passed before collecting a midstream urine specimen without interrupting the flow of urine, for culture & sensitivity test. Also, there are Non-infective causes of WBCs in urine: Nephrocalcinosis, Papillary necrosis, Analgesic nephropathy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist