Bacteria in urine without pus cells, do I have UTI inflammation or not?
Do I have a urinary tract infection if I have no pus cells in the urine testing, or I am ok?
Such questions are sent to the official page every day, and we can conclude the reasons here, be patient...
There are many reasons behind the existence of bacteria in urine in the absence of inflammation cells called "pus cells".
- Unwashed pubic area: not cleaning the pubic area well in women before dribbling the urine sample into the urine sample jar can lead to accumulation of dirt and microorganisms which falsly appear positive in the urine results.
- Proloned changing of women's pants: Also, if a woman changes her underwear after long periods after wearing it, this will lead to more accumulation of dirt, secretions and microorganisms, which causes a false positive for bacteria in urine analysis in women in particular.
- Unsterile urine cup: If the urine sample collection cups and tools are not sterilized well in the laboratory, this may lead to a false positive appearance of bacteria and microorganisms in the result of the complete urine examination.
- Asymptomatic bacteriuria: If all the above reasons are well-checked, then you can exclude the poor cleaning and sanitation from the possible reasons of false bacteruria, now we can call it bacteria in urine without symptoms which does nor require a course of antibiotics, it is not false but doesn't need treatment.
Suggestions and recommendations:
Redo urinanalysis after washing and sanitizing your pubic area and replaced your underwear pants with cleaned one.
Midstream urine is the best urine sample of testing: so you may discard the first drops of urine and collect the later urine for testing.
Also, treating asymptomatic bacteriuria can promote antibiotic-resistant organisms, however, pregnant women may need treatment with antibiotics in asymptomatic bacteriuria after doctor consultation.
