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A nitrite test is a standard component of a urinary test strip. A positive test for nitrites in the urine is called nitrituria. This test is commonly used in diagnosing urinary tract infections (UTIs). A positive nitrite test indicates that the cause of the UTI is a Gram-negative organism, most commonly Escherichia coli. The reason for nitrites ...
[57] [58] Not all bacteria that cause UTIs produce nitrite, and because it takes time for the chemical reaction to occur, the test is best performed on urine that has been in the bladder overnight. [59] A diet low in vegetables can lead to low nitrate levels in the urine, meaning that nitrites cannot be produced. [50]
Bacteria, lymphocytes and epithelial cells from the genitourinary tract do not contain esterases. [21] Neutrophil granulocytes are the leukocytes most commonly associated with urinary infections. A positive test for leukocyte esterase normally indicates the presence of bacteria and a positive nitrite test (although it is not always the case).
Another test, urine microscopy, looks for the presence of red blood cells, white blood cells, or bacteria. Urine culture is deemed positive if it shows a bacterial colony count of greater than or equal to 10 3 colony-forming units per mL of a typical urinary tract organism. Antibiotic sensitivity can also be tested with these cultures, making ...
Nitrifying bacteria are chemolithotrophic organisms that include species of genera such as Nitrosomonas, Nitrosococcus, Nitrobacter, Nitrospina, Nitrospira and Nitrococcus. These bacteria get their energy from the oxidation of inorganic nitrogen compounds. [1] Types include ammonia-oxidizing bacteria (AOB) and nitrite-oxidizing bacteria (NOB).
Clinicians will often treat symptomatic bacteriuria based on the results of the urine dipstick test while waiting for the culture results. [citation needed] Bacteriuria can usually be detected using a urine dipstick test. The nitrite test detects nitrate-reducing bacteria if growing in high numbers in urine. A negative dipstick test does not ...
Urinalysis is the most useful test to start the work up in a patient of dysuria. Urinalysis positive for nitrite carries a high predictive value of a positive urine culture. Also, urine dipstick showing leukocytes as equal predictive value as the presence of nitrites. When both are present, the predictive value goes even higher.
Reference ranges for urine tests are described below: Measurement Lower limit Upper limit ... Nitrite: n/a: 0 / negative [2] Leukocytes: n/a: 0 / negative [2] See also.