What does a urine test showing positive for white blood cells at level 2 mean?

Feb 26, 2023 Source: Cainiu Health
Dr. Zhao Xinju
Introduction
A positive urine test for white blood cells at 2+ generally indicates a significant number of white blood cells in the sample, which often suggests inflammation in the urinary system, including urethritis, pyelonephritis, or acute or chronic prostatitis. Urethritis is primarily caused by pathogenic infections such as Neisseria gonorrhoeae, Chlamydia trachomatis, and Ureaplasma urealyticum.

  A urine test showing leukocytes positive at 2+ generally indicates a relatively high number of white blood cells in the sample, which often suggests inflammation in the urinary system, such as urethritis, pyelonephritis, or acute or chronic prostatitis.

  1. Urethritis

  Urethritis is primarily caused by pathogenic infections such as *Neisseria gonorrhoeae*, *Chlamydia trachomatis*, or *Ureaplasma urealyticum*. Clinically, it can be classified into gonococcal urethritis and non-gonococcal urethritis. Inflammatory stimulation leads to an increased number of white blood cells in the urethra, resulting in a urine test result of leukocytes 2+ positive. Treatment may include intramuscular injections of ceftriaxone sodium for injection or spectinomycin hydrochloride for injection under medical guidance. Alternatively, oral medications such as amoxicillin capsules or azithromycin dispersible tablets may be used.

  2. Pyelonephritis

  Pyelonephritis is caused by bacterial infection. The infection triggers inflammation in the urinary tract, leading to a significant increase in white blood cells. Urinalysis typically shows leukocytes 2+ positive. Under medical supervision, treatment may include oral administration of ciprofloxacin hydrochloride tablets or levofloxacin tablets.

  3. Acute or Chronic Prostatitis

  Conditions affecting the male reproductive system, such as acute or chronic prostatitis or seminal vesiculitis, can also cause elevated white blood cells in the urine. It is recommended to seek timely medical evaluation at a hospital to determine the underlying cause and receive appropriate symptomatic treatment.

  Additionally, vaginal infections in women may also lead to a urine test result of leukocytes 2+ positive. It is important to maintain good personal hygiene, drink plenty of water, stay physically active, and avoid prolonged sitting.