HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Does Positive Leukocyte Esterase Indicate?

default
Posted on Mon, 25 Aug 2014
Question: I just had a bloodtest and my leukocyte esterase was 1+. However, there were no WBC. I hear elevated leukocyte esterase is a sign of infection. Yet everything else tested out ok. Is there any meaning to the result?
doctor
Answered by Dr. Indu Kumar (29 minutes later)
Brief Answer:
You should go for urinary nitrite test.

Detailed Answer:
Hello XXXXX
Thanks for writing to HCM

Generally positive leukocyte esterase indicates UTI(urinary tract infection).
However,it may also be due to false positive results.
Since there were no WBC,you need clinical correlation and further investigations.
Further, you need urinary nitrite test.
Combination of the leukocyte esterase test and urinary nitrite test is an excellent screening test for the presence of a urinary tract infection (UTI).

When leukocyte esterase test and urinary nitrite test is positive then culture and sensitivity of urine should be done for proper therapy.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Indu Kumar

Radiologist

Practicing since :2004

Answered : 6729 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Does Positive Leukocyte Esterase Indicate?

Brief Answer: You should go for urinary nitrite test. Detailed Answer: Hello XXXXX Thanks for writing to HCM Generally positive leukocyte esterase indicates UTI(urinary tract infection). However,it may also be due to false positive results. Since there were no WBC,you need clinical correlation and further investigations. Further, you need urinary nitrite test. Combination of the leukocyte esterase test and urinary nitrite test is an excellent screening test for the presence of a urinary tract infection (UTI). When leukocyte esterase test and urinary nitrite test is positive then culture and sensitivity of urine should be done for proper therapy. Get well soon. Hope I have answered your question. Further queries are most welcome. Take Care Dr.Indu XXXXXXX