A member asked:

If my urinalysis was normal can a urine culture still show i have a uti?

9 doctors weighed in across 5 answers

Unlikely: Urinary tract infection in the absence of abnormalities on urinalysis is inordinately uncommon. Many women have asymptomatic bacteriuria (bacteria in urine) without true infection and may not require treatment.

Answered 9/12/2013

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Yes: The urinalysis looks for various signs of a UTI that are often best found in the first morning urine. Later studies may be diluted enough by what you drink to make the test inconclusive. The urine culture actually detects the number of germs present rather than the debris they might cause, so it is more accurate.

Answered 7/2/2019

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Yes It Can.: Some time there might be "few bacteria & few wbc" on microscope, and overnight culture will show >100, 000 colonies of bacteria.

Answered 9/18/2013

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No.: Without white cells in the urine, a culture of the urine will be negative unless it is a contaminated specimen.

Answered 4/24/2015

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Yes: Because of this relative insensitivity of dipstick urinalysis, the absence of leukocyte esterase (let) does not rule out urinary tract infection (uti). Similarly, and more common, a positive let on dipstick does not always indicate the presence of a uti. A urine culture should generally be done when symptoms suggest the presence of a UTI regardless of the urinalysis results.

Answered 2/5/2018

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