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Leukocyte esterase urine test

Show Alternative Names
WBC esterase

Leukocyte esterase is a urine test to look for white blood cells and other signs of infection.

How the Test is Performed

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.

How to Prepare for the Test

No special steps are needed to prepare for this test.

How the Test will Feel

The test will involve only normal urination. There is no discomfort.

Why the Test is Performed

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.

Normal Results

A negative test result is normal.

What Abnormal Results Mean

An abnormal result indicates a possible urinary tract infection.

The following may cause an abnormal test result, even when you do not have 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

Text only

Review Date: 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.

References

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.

Disclaimer

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

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