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Up to 5 WBCs per HPF is the accepted upper limit of normal. This level does not represent significant pyuria and does not indicate urinary tract infection or inflammatory kidney disease. Normal WBC count in urine is a reassuring basic indicator of urinary tract health.
Zero white blood cells per HPF in urine is ideal — the urinary tract is free of immune cell infiltration, confirming no significant infection, inflammation, or immune-mediated kidney disease is occurring. This is the most reassuring possible result for urinary tract health.
Excellent result.
Urine WBC: {{value}} per HPF — none (ref: 0–{{high}} per HPF)One to two white blood cells per HPF is at the low end of the normal range and is a benign finding. Small numbers of white cells can appear in urine from minor contamination or benign urinary mucosal contact. This level does not represent clinically significant pyuria.
Normal result.
Urine WBC: {{value}} per HPF — very low (ref: 0–{{high}} per HPF)Two to three white blood cells per HPF is within the normal range and represents minimal immune cell presence in the urine. This level does not suggest active infection or inflammatory kidney disease.
Normal result.
Urine WBC: {{value}} per HPF — low normal (ref: 0–{{high}} per HPF)Up to 5 WBCs per HPF is the accepted upper limit of normal. This level does not represent significant pyuria and does not indicate urinary tract infection or inflammatory kidney disease. Normal WBC count in urine is a reassuring basic indicator of urinary tract health.
Normal result.
Urine WBC: {{value}} per HPF — normal (ref: 0–{{high}} per HPF)An optimal WBC count of 0–3 per HPF represents the best possible finding for urinary tract immune health. No significant immune cell infiltration is occurring in the urinary tract. This level is associated with a healthy, uninfected, non-inflamed urinary system.
Excellent result.
Urine WBC: {{value}} per HPF — optimal (ref: 0–3)Borderline elevated urinary WBCs suggest possible mild white cell infiltration from early urinary tract infection, urogenital contamination, or mild urinary tract inflammation. At this level, clinical symptoms of UTI (burning, frequency, urgency) determine whether antibiotic treatment is warranted. Asymptomatic pyuria has multiple causes beyond infection.
Discuss with your doctor. Clean-catch repeat, nitrites and culture together with symptoms guide management.
Urine WBC: {{value}} per HPF — borderline elevated (ref: 0–{{high}} per HPF; borderline: 5–20)Significantly elevated urinary WBCs indicate pyuria — substantial white cell presence in the urine consistent with active urinary tract infection, kidney infection (pyelonephritis), interstitial nephritis, or glomerulonephritis. This level of pyuria with positive nitrites is strongly consistent with bacterial infection. High WBCs without bacteria may indicate non-infectious kidney inflammatory disease.
Medical evaluation is needed. Urine culture, kidney function, and clinical assessment are needed to determine the cause and appropriate treatment.
Urine WBC: {{value}} per HPF — elevated (ref: 0–{{high}} per HPF; elevated: 20–50)More than 50 WBCs per HPF represents noticeable pyuria indicating major urinary tract infection, pyelonephritis, kidney abscess, or noticeable inflammatory kidney disease. At this level the immune response within the kidney or urinary tract is maximal. Gross pyuria can cause the urine to appear cloudy white or pus-like.
Seek urgent medical evaluation. noticeable pyuria with systemic symptoms suggests pyelonephritis or urosepsis requiring immediate antibiotics and possibly hospitalization.
Urine WBC: {{value}} per HPF — critically elevated (ref: 0–{{high}} per HPF; critical: >50)Upload your lab report and get your actual values interpreted in plain English — instantly, with no medical training required.