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The General analysis of urine in inflammatory diseases of the urinary system

The submitted sample, urinalysis (hereafter OAM) shows a moderate proteinuria (protein level slightly above normal), massive leukocyturia (white blood cells 400 in p/Zr., that is in fact the white blood cells completely cover the field of view, moderate bacteriuria (in the form as you can see there is no exact number of bacteria, although they usually also are counted).

Leukocyte is determined esterase not all of OAM, but in this case, identified in high concentrations. Is an enzyme produced by leukocytes and indicating the presence of an inflammatory process. Detection of nitrite, pH value equal to 7 (often the acidity of the urine is 5-6) indicate a bacterial infectious process in the urinary system. At decomposition of urea by bacteria increased the content of nitrite and selecively urine.

Thus, the result of the analysis shows a pronounced inflammatory process, most likely at the level of the kidneys and not the bladder (finally this time can clarify the ultrasonic examination of urinary system). We are talking about pyelonephritis. Unfortunately, OAM is not to say that the process of acute or chronic, in formulating the final diagnosis attending physician will rely on examination, medical history and the ultrasound.

What microorganisms can be the cause of the pyelonephritis?

With high probability it can be Mycoplasma, Ureaplasma, bacteria of the genus Proteus, enterococci. Some of them are the representatives of conditionally pathogenic flora.

Based on this analysis requires the appointment of antibacterial therapy, preferably ofloxacin (Zanocin, Tarivid), amoxicillin/clavulanate (Amoxiclav, Augmentin). You must also perform a urine culture on the flora and antibiotic resistance, microscopy discharge from the urethra, cervix and vagina (to exclude STI).