URINALYSIS: LEUKOCYTE ESTERASE

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19 Terms

1
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Leukocyte Esterase

  • It is used in the screening of urine culture specimens

  • a more standardized means for the detection of leukocytes

  • detects lysed leukocytes in alkaline urine

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120 seconds

REAGENT STRIP: LEUKOCYTE ESTERASE

reaction time

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Action of Leukocyte Esterase to catalyze the hydrolysis of acid ester

REAGENT STRIP: LEUKOCYTE ESTERASE

Principle [Strasinger]

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Action of Leukocyte Esterase to cleave an ester and form an aromatic compound followed by an azo coupling reaction of the aromatic amine formed with a diazonium salt on the reagent pad. color produced from beige to violet

REAGENT STRIP: LEUKOCYTE ESTERASE

Principle [Brunzel]

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Violet (Purple)

REAGENT STRIP: LEUKOCYTE ESTERASE

Color

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derivatized pyrrole amino acid ester, diazonium salt

REAGENT STRIP: LEUKOCYTE ESTERASE

Reagents [Multistix]

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indoxylcarbonic acid ester, diazonium salt

REAGENT STRIP: LEUKOCYTE ESTERASE

Reagents [Chemstrip]

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5 - 15 WBCs/HPF (~11-36 WBCs/uL)

REAGENT STRIP: LEUKOCYTE ESTERASE

Sensitivity [Multistix]

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10-25 WBCs/HPF (~10 WBCs/uL)

REAGENT STRIP: LEUKOCYTE ESTERASE

Sensitivity [Chemstrip]

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  • Highly pigmented urine (phenazopyridine, nitrofuratonin)

  • Formalin

  • Strong oxidizing agents

REAGENT STRIP: LEUKOCYTE ESTERASE

False (+)

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  • High SG

  • Strong oxidizing agents

  • Increased glucose (>3g/dL) or Protein (>500 mg/dL), High Conc. Ascorbic Acid

  • Gentamicin, Cephalosporin, Tetracycline

REAGENT STRIP: LEUKOCYTE ESTERASE

False (-)

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Should be repeated on new specimen

REAGENT STRIP: LEUKOCYTE ESTERASE

Reporting: Trace

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Small

REAGENT STRIP: LEUKOCYTE ESTERASE

Reporting: 1+

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Moderate

REAGENT STRIP: LEUKOCYTE ESTERASE

Reporting: 2+

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Large

REAGENT STRIP: LEUKOCYTE ESTERASE

Reporting: 3+

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Oxalic acid

REAGENT STRIP: LEUKOCYTE ESTERASE

__ does not affect leukocyte esterase because it does not exist in urine with a pH greater than 4.5

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False negative

REAGENT STRIP: LEUKOCYTE ESTERASE

But in Strasinger 7th Ed, Oxalic acid is considered ____

18
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Lymphocyte

REAGENT STRIP: LEUKOCYTE ESTERASE

WBC with no Esterase

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Neutrophil, Eosinophil, Basophil, Monocyte, Histiocyte, Trichomonas

REAGENT STRIP: LEUKOCYTE ESTERASE

With esterase