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Cat Forum / Health and Behavior / March 2005

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Help interpreting urinalysis results

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Lynn - 07 Mar 2005 20:13 GMT
I have been doing home urine monitoring with my cat who is prone to urinary
blockage. In my home tests (using reagent strips) I am regularly finding a
high positive for leukocytes (white blood cells). Testing at my vet's
office confirms this using reagent strips. The ph is also high but
everything else is normal. Here's the funny part - when my vet examines the
urine microscopically, there is no evidence of white blood cells. There is
no evidence of red blood cells in the urine and kitty is showing no signs
of illness or infection. My vet and I are both looking into this and are
leaning toward the conclusion that the strips are showing a false positive
for leukocytes because the sample is not sterile (just catching it as he
uses the litter box). Can this be the case that the test would show the +++
for leukocytes everytime as a result of contaminated samples? What are some
other possibilities? I'd be grateful to anyone who could help shed some
light on this while I wait for my vet to do some more research. Thanks in
advance for any responses.
MK - 08 Mar 2005 04:22 GMT
>I have been doing home urine monitoring with my cat who is prone to urinary
> blockage. In my home tests (using reagent strips) I am regularly finding a
[quoted text clipped - 14 lines]
> light on this while I wait for my vet to do some more research. Thanks in
> advance for any responses.

Lynn,

The leukocytes and nitrite parts of those strips are well-known to be
unreliable in animals.  Every clinical pathologist I've ever heard speak
about urinalysis says to simply ignore them.

http://www.vet.uga.edu/vpp/CLERK/Sine/

http://www.lvlabs.co.uk/pdf/library/DAVNUrinalysisLN.pdf

MK DVM
Lynn - 08 Mar 2005 13:23 GMT
MK,
Thanks for the input. That's what my vet and I were thinking. My cat has
been through so much with this urinary tract problem that I like to get as
many opinions as possible! Thanks again.
Phil P. - 09 Mar 2005 05:52 GMT
> MK,
> Thanks for the input. That's what my vet and I were thinking. My cat has
> been through so much with this urinary tract problem that I like to get as
> many opinions as possible! Thanks again.

You can reduce the quantity of contaminants from the distal urinary tract by
catching the urine mid-stream.  Since you only need a small amount of urine
for dipsticks, you can use a large mixing spoon to catch urine.

Good luck.

Phil
 
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