Granulocytic white blood cells

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The page below is a sample from the LabCE course Chemical Screening of Urine by Reagent Strip (retired March 2012). Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Granulocytic white blood cells

Granulocytic white blood cells in a urine sample suggest the presence of a urinary tract infection. Granulocytes, which include neutrophils, basophils and eosinophils, contain esterases. These esterases catalyze the strip reagent indoxylcarbonic acid ester to release indoxyl. Indoxyl reacts with a diazonium salt to produce a purple color. The intensity of the color produced is proportional to the amount of enzyme present.