Pus Cells in Urine: Normal Range, What do the Levels Indicate
Medically Reviewed By
Dr. Ragiinii Sharma
Written By Prekshi Garg
on Feb 28, 2022
Last Edit Made By Prekshi Garg
on Apr 17, 2024
Infections in your renal tract or even in the kidneys manifest in multiple ways. Early giveaways of the condition include painful urination, burning sensation while peeing, or even itchiness and discomfort. If the symptoms don’t go away easily, they could be indicative of something more severe that only proper testing can unfold. Get your blood checked as per your doctor’s prescription.
In this Article
Urine analysis for detecting pus cells
In the case of laboratory investigations, urine analysis is the third major screening test advised by physicians. This analysis is generally conducted to detect and screen the various byproducts excreted through urine, resulting from normal and abnormal body processes occurring in an individual. Physicians mostly recommend it for the diagnosis of urinary tract infection. Also, it is widely recommended because of its feasibility, and the time required is less.
Urine detailed report, also known as urine D/R by the physicians, is a significant and early laboratory investigation method for evaluating and screening a number of diseases. Urine D/R is also an early and basic assessment step in patients with suspected lower urinary tract symptoms (LUTS) or undiagnosed febrile illnesses. The presence of pus cells in urine analysis is pyuria. Pyuria is also referred to as bacteriuria. This pyuria or presence of pus cells can be asymptomatic or indicate an acute urinary tract infection (UTI) in adults. The pyuria is considered significant if the number of pus cells is more than 4 pus cells as identified by the high field microscope in a centrifuged urine sample. As per various studies, the presence of pyuria in the case of lower urinary tract symptoms is diagnosed as a urinary tract infection. Another interesting term is sterile pyuria, which indicates the presence of pus cells in urine but after culturing of the urine. The physician examines such analysis in terms of other laboratory and diagnostic interventions.
Normal range of pus cells in urine
The normal range for pus cells from the urine is 0-5. The presence of 8-10 pus cells suggests bacterial infection, which is mostly diagnosed as urinary tract infection(UTI). The physicians recommend a further step is to send the urine for a culture to decide upon the effective antibiotics that can be prescribed.
Pus cells in urine & Indications in Adults
The presence of urinary pus cells ≥ 5 per HPF (high power field microscope) in the diagnosis of urinary tract infection in adults.
Pus cells in urine & indication in children
Urinary tract infection (UTI) is an infection from microbes, the most likely diagnosis that the physician derives from the pus cells in urine. In the case of children, the physician suggests a high intake of oral fluids if the bacterial infection is detected. These bacteria are organisms that are too small to be seen without a microscope, so they require detection by a high field power microscope. In most cases, urinary tract infections are caused by bacteria, but fungus is also known to cause UTI, and in rare cases, viruses are the causative agents for UTIs. The physician generally treats with antibiotics and recommends drinking plenty of water which is 3.5 liters per day.
Pus cells in urine & indication in pregnant women
In the case of pregnant women, the urinary tract undergoes physiological and anatomical changes that result in the development of bacteria which are either symptomatic or asymptomatic. It is noted that a physiological increase in plasma volume due to the fetus in the womb during pregnancy causes a decrease in the urine concentration. Certain conditions during pregnancy also cause the development of glucosuria in pregnant women, which is one of the significant reasons for bacterial growth in the urine. Asymptomatic bacteriuria, also known as the presence of bacteria in the urine and urine culture which is significant, 105 bacteria/ml. But still the patient is without UTI symptoms and therefore, known as asymptomatic bacteriuria. But the presence of pus cells in urine indicates the UTI, and the physician recommends the treatment on the basis of the clinical context.
It should be noted that there is a wide prevalence of asymptomatic bacteriuria in pregnant women. This range varies from 1.6–86%. It is estimated that nearly 30–40% of wrongly diagnosed and untreated pregnant women having asymptomatic bacteriuria are likely to develop acute pyelonephritis in the late phase of pregnancy. Pyelonephritis is connected with a high rate of morbidity for both the mother and the growing fetus during the pregnancy. Therefore, physicians recommended that physicians conduct routine urine analysis for early screening and treatment of bacteriuria. Even if the symptoms do not persist, this will help overcome any complications in the pregnancy.
Other diseases and pus cells in urine
Certain infections apart from UTIs cause pus cells to appear in the urine. This includes tuberculosis, autoimmune diseases, kidney diseases, etc.
Conclusion
Urine analysis reports the presence or absence of pus cells in the urine sample. The urine analysis is recommended by the physician as a part of the preliminary investigation. The detection of pus cells in the high range is an indication of bacterial, fungal, or viral infection. The physicians devise the treatment strategy as per the clinical significance of the report.
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14 Comments
Adhila
Apr 22, 2024 at 5:44 PM.
Few pus cells, occasional epithelial cells and scanty Gram positive cocci in clusters were seen means?
Myhealth Team
Apr 22, 2024 at 6:29 PM.
This finding suggests a mild urinary tract infection. "Few pus cells" indicate a small number of white blood cells, which are typically present in response to an infection. "Occasional epithelial cells" are normal cells from the lining of the urinary tract. "Scanty Gram-positive cocci in clusters" suggests the presence of bacteria, potentially indicating a bacterial infection. You can take advise further from your doctor.
May Ann Mendoza
Apr 19, 2024 at 7:09 AM.
My pus cells is 45 - 50 ..is this normal?
Myhealth Team
Apr 20, 2024 at 4:17 AM.
HI, A high count of 45-50 pus cells in urine suggests a possible urinary tract infection. Please consult to your doctor further. Thankyou
Jane
Apr 17, 2024 at 12:48 PM.
hi. mu pus cells is 12-15 RBC is 1-3/hpf Epithelial cell is ++ mucus threads is ++ what do you think is this? im i sick?
Myhealth Team
Apr 17, 2024 at 6:50 PM.
Increased pus cells (also known as leukocytes), RBCs (red blood cells), epithelial cells, and mucus threads in urine can indicate inflammation, infection, or irritation in the urinary tract. It's essential to consult a healthcare professional for further evaluation and diagnosis. Your doctor may recommend you to go for some additional tests to determine the cause.
Ashitha vineesh
Apr 7, 2024 at 6:50 AM.
Urine Pus cells, plenty urine epithelial cells 10-15
Myhealth Team
Apr 9, 2024 at 8:00 PM.
Hi, Ashitha, The presence of "plenty urine epithelial cells" along with "pus cells" in urine analysis may indicate a urinary tract infection (UTI) or inflammation in the urinary tract. Please consult this with your doctor for better guidance. Thankyou
Brighton
Apr 6, 2024 at 10:58 PM.
I was diagnosed with slightly turbid urine,04 pus cells,o3 epithelial cells, pH 7, and traces of leukocytes.what could be the problem
MyHealth Team
Apr 9, 2024 at 7:13 AM.
Hi Brighton, The findings suggest a possible urinary tract infection (UTI). It's advisable to consult a healthcare professional for further evaluation and treatment, which may include antibiotics if necessary.
Ellaine Capispisan
Jan 10, 2024 at 12:47 PM.
My friend ph is 7.0 and her pus is 4-6 and her red blood cells is 0-2 is this normal?
Myhealth Team
Apr 9, 2024 at 8:02 PM.
Hi, A ph 7 level is considered normal.
Brighton
Apr 6, 2024 at 10:49 PM.
Ph 7 is not normal
Myhealth Team
Jan 16, 2024 at 7:49 AM.
pH 7.0 is normal. Pus cells (4-6) and red blood cells (0-2) might be within the normal range, but consult a healthcare professional for a precise evaluation.
Ellaine Capispisan
Jan 10, 2024 at 12:44 PM.
My ph is 6.5 and my pus cells is 2-3 is this normal?
Myhealth Team
Jan 16, 2024 at 7:51 AM.
pH 6.5 and 2-3 pus cells might indicate slightly acidic urine and a mild increase. Consult a healthcare professional for personalized evaluation and guidance.
Zacky Cadorna
Jan 10, 2024 at 6:21 AM.
My pus cells is 10-15 Red blood cells is 5 - 10 and I feel like to pee always. What does this mean?
Myhealth Team
Jan 10, 2024 at 10:28 AM.
Elevated pus cells (10-15) and red blood cells (5-10) in urine, along with a frequent urge to urinate, may indicate a urinary tract infection (UTI). It's crucial to consult a healthcare professional for a proper diagnosis and appropriate treatment, typically involving antibiotics.
Judyleen Robledo
Dec 24, 2023 at 11:37 PM.
Doc Can you ask? My pus cells are 9-10 and my rbc is 9-10 because they are priho, what should I do doc?
Myhealth Team
Dec 28, 2023 at 11:10 AM.
Elevated pus cells and red blood cells in urine suggest a possible urinary tract infection or inflammation. Consult a doctor for proper diagnosis and treatment.
Shalini narwal
Jun 3, 2023 at 5:46 AM.
Hello I m diagnosed by pus cells 8&10/LPF and 3-5/LPF epithelial cells with some gram positive cocci seen in pairs and chains ....wt does it mean? Is anything serious?
Myhealth Team
Jun 5, 2023 at 4:49 AM.
Hi Shalini, Thank you for your enquiry. Based on the results you've shared, the presence of pus cells, epithelial cells, and gram-positive cocci suggests a possible infection in your body. The exact nature and severity of the infection can be determined by a healthcare professional who will consider your symptoms, medical history, and additional test results. It is recommended to consult with a doctor who can provide a comprehensive evaluation and recommend appropriate treatment if necessary.
Rumana
Mar 8, 2023 at 4:05 PM.
My baby is one and half year old.in his urine report shows bacteria present and the pus cells are 10to 15.is this normal or wat hav to do for this
Myhealth Team
Mar 16, 2023 at 12:57 PM.
Hi Rumana, Pus cells are high.. Get a culture done, meanwhile consult a pediatrician to have treatment. Thankyou
Krishanthy daniyal
Mar 6, 2023 at 7:40 AM.
My urine red cells result 6-8 Hp is this normal range
Myhealth Team
Mar 14, 2023 at 9:38 AM.
Hi Krishanthy, You might have bacterial infection. Consult a doctor for further evaluation. Thankyou
Moses oluwadamilare
Nov 25, 2022 at 10:58 PM.
I have pus cells in my blood and rashes in my body wish have been in hospital for all do I have been taking drugs for kidney stones for some years ago yet the rashes is keep coming back to my skin wish I'm not happy about it
Myhealth Team
Nov 28, 2022 at 12:44 PM.
Thank you for your enquiry. You may ask your query on our health community https://redcliffelabs.com/health-community/ and you would receive an appropriate response and along with that you would also receive more content on kidney management and urology on this platform.
ss negi
Nov 9, 2022 at 6:10 AM.
My wife was diagnosed with 15-18/hpf in Urine route and microscopic examination. Then We did Urine Culture test which shows PUS Cell 8-10/hpf and Culture Shows growth of no significance after 48 hrs of incubation. What does that means?
OSCAR GRACIAS
Aug 7, 2023 at 12:58 PM.
My pus is 8-10 and bacteria is 1-2 is it critical
Myhealth Team
Nov 10, 2022 at 7:20 AM.
Thank you ss negi for your enquiry. You may ask your query on our health community https://redcliffelabs.com/health-community/ and you would receive an appropriate response and along with that you would also receive health management guidelines and content for better health management. if you would like to book the Urine Culture test, you may directly call 9289589001
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