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.

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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.

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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. 

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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.



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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Prekshi Garg is a young, dynamic, energetic, and meritorious professional biotechnologist. She is a merit rank holder in her post-graduation and a skilled bioinformatician with great zeal to do her best in neurosciences. She is currently working in the area of Neurotranscritomics dealing with neurodevelopmental and neurodegenerative disorders. She has presented many papers at different scientific forums and is awarded ‘Representing the Institution in Scientific Events’ citation by Amity University Uttar Pradesh and Top position in Student Assistantship Program held at Amity University in addition to awards won for oral presentations in different scientific deliberations. Prekshi has published a good number of papers and book chapters during the start of her academic career itself. Her tremendous skills and knowledge make her a good blend of biotechnology and bioinformatics.

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18 replies on “Pus Cells in Urine: normal range, what do the levels indicate, and diagnosis”

  • Avatar
    ss negi
    November 9, 2022 at 11:40 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?

    • Avatar
      November 10, 2022 at 12:50 pm

      Thank you ss negi for your enquiry. You may ask your query on our 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

    • Avatar
      August 7, 2023 at 6:28 pm

      My pus is 8-10 and bacteria is 1-2 is it critical

      • Avatar
        August 17, 2023 at 2:42 pm


        Without context, it’s unclear whether these values are critical or not. Consult a healthcare professional for proper interpretation and guidance.

        Thank you

  • Avatar
    Moses oluwadamilare
    November 26, 2022 at 4:28 am

    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

    • Avatar
      November 28, 2022 at 6:14 pm

      Thank you for your enquiry. You may ask your query on our 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.

  • Avatar
    Krishanthy daniyal
    March 6, 2023 at 1:10 pm

    My urine red
    cells result 6-8 Hp is this normal range

    • Avatar
      March 14, 2023 at 3:08 pm

      Hi Krishanthy,

      You might have bacterial infection. Consult a doctor for further evaluation.


      • Avatar
        K Aditya Sharma
        November 14, 2023 at 10:53 am

        My father age 57 years pus cells range 8-10 can you please suggest what need to do to reduce pus cells before that kidney surgery done to remove stone

        • Avatar
          November 17, 2023 at 4:46 pm

          Elevated pus cells may indicate infection. Consult a doctor for antibiotics. Discuss surgery decisions with healthcare providers based on overall health.

  • Avatar
    March 8, 2023 at 9:35 pm

    My baby is one and half year his urine report shows bacteria present and the pus cells are 10to this normal or wat hav to do for this

    • Avatar
      March 16, 2023 at 6:27 pm

      Hi Rumana,

      Pus cells are high.. Get a culture done, meanwhile consult a pediatrician to have treatment.


      • Avatar
        Nabin khadka
        May 15, 2023 at 2:31 pm

        My plus cells in urine is 0 -2 is it normal

        • Avatar
          May 16, 2023 at 12:26 pm

          Hi Nabin,

          Thankyou for the enquiry. If your urine test report states that your plus cells are 0-2, it is likely within the normal range. However, it’s important to keep in mind that other factors, such as the presence of bacteria or red blood cells in the urine, and your symptoms or medical history, may also be considered by your healthcare provider to determine if further evaluation or treatment is necessary. It’s recommended to discuss your test results with your healthcare provider to get a better understanding of what the results mean for your specific situation.

      • Avatar
        Angelica Cabador
        May 15, 2023 at 9:14 pm

        I have 2-4 pus cells in may urine what does it means

        • Avatar
          May 16, 2023 at 12:03 pm

          Hi Thanks for the enquiry. The presence of 2-4 pus cells in urine is considered normal in most cases and may not necessarily indicate a health problem. You can consult with your doctor for further evaluation.

  • Avatar
    Shalini narwal
    June 3, 2023 at 11:16 am

    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?

    • Avatar
      June 5, 2023 at 10:19 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.

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