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Chances of urinary infection with POSITIVE LEUKOCYTES, NEGATIVE NEUTROPHILS.

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I am a 20 year old male suffering from frequent urination for 3 days now. I took an at home urinart tract infection test and came back positive for leukocytes but negative for nitrates, what are the chances I still have a urinary tract infection.

Category: Urologist

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Category: Sexually Transmitted Diseases(STD)Specialist
 31 Doctors Online

Thank you for your query at
I understand your concern.
Leucocytes are more specific for UTI than nitrates, and considering you have frequnt urination, it is definitely suggestive of an urinary tract infection.
You need to give your urine for culture sensitivity so that you can start the appropriate antibiotic without delay. A good choice antibiotic would be Doxycycline 100 mg twice daily for 7-10 days, however, it is better to wait for the culture reports.
Feel free to discuss further,

Patient replied :

So what is meant by that leukocytes are more specific for UTI? Does that mean that it is an indicator that its a bladder infection or something more serious

No, leucocytes are not normally present in urine.
Whenever bacteria grows in the tract, more cells are destroyed resulting in leucocytes being excreted in the urine.
Only urine culture will give a better idea of where the infection is, as the organisms are specific.

Dr. Rajiv Goel
Category: Sexually Transmitted Diseases(STD)Specialist
MCh(urology) Medical Council of India
Fellow, Laparoscopic urology, Germany
Fellow, Urooncology and Robotic urology, Australia
Felloship - MCH, Urology/Genito-Urinary Surgery, AIIMS, 2004
Residency - MS, Master of Surgery, AIIMS, 2001
Medical School - MBBS, Bachelor of Medicine and Bachelor of Surgery, AIIMS, 1998
Dr. Rajiv Goel and 4 other Medical Specialists are ready to help you

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