Having a clinical questions can help. Ask yourself these two questions before you order any test (not just Urine Dip):
1.What are you looking for in the test. Is it Nitrites or blood or ketones?
2. What is going to be your next step if the result is positive or negative?
2. Leucocyte Esterase (LE) is indicative of pyuria not UTI
Here is a list of things than can cause pyuria:
- Indwelling catheters
- Do not treat asymptomatic bacteriuria
- Hold Abx if they look stable. Liaise with in-patient teams.
- Negative leukocyte esterase and nitrite negative makes UTI highly unlikely