This site is intended for healthcare professionals
Login | Register (NOW FREE)

Medical search

urinalysis by dipstix

FREE subscriptions for doctors and students... click here
You have 3 open access pages.

Reagent dip-stixs can be used to test for the following chemicals in a fresh urine sample:

  • blood
  • leukocytes
  • protein
  • glucose
  • ketones
  • nitrite
  • N-acetyl-B-glucosaminidase
  • bilirubin
  • urobilinogen


urine-testing strategies for possible UTI in children 3 years or older (1)

  • dipstick testing for leukocyte esterase and nitrite is diagnostically as useful as microscopy and culture, and can safely be used
    • if both leukocyte esterase and nitrite are positive
      • the child should be regarded as having UTI and antibiotic treatment should be started. If a child has a high or intermediate risk of serious illness and/or a past history of previous UTI, a urine sample should be sent for culture
    • if leukocyte esterase is negative and nitrite is positive
      • antibiotic treatment should be started if the urine test was carried out on a fresh sample of urine. A urine sample should be sent for culture. Subsequent management will depend upon the result of urine culture
    • if leukocyte esterase is positive and nitrite is negative
      • a urine sample should be sent for microscopy and culture. Antibiotic treatment for UTI should not be started unless there is good clinical evidence of UTI (for example, obvious urinary symptoms). Leukocyte esterase may be indicative of an infection outside the urinary tract which may need to be managed differently
    • if both leukocyte esterase and nitrite are negative
      • the child should not be regarded as having UTI. Antibiotic treatment for UTI should not be started, and a urine sample should not be sent for culture. Other causes of illness should be explored


  1. NICE (September 2017).Urinary tract infection in children: diagnosis, treatment and long-term management .


The information provided herein should not be used for diagnosis or treatment of any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions. Copyright 2016 Oxbridge Solutions LtdĀ®. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions LtdĀ® receives funding from advertising but maintains editorial independence. GPnotebook stores small data files on your computer called cookies so that we can recognise you and provide you with the best service. If you do not want to receive cookies please do not use GPnotebook.