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Quest Diagnostics Quest Diagnostics

Urinalysis / Urinary Tract Infection (UTI) Test

Type

Blood Testing

Biomarkers

17

Duration

30 min

Results

3 days

Urine test checking for urinary tract infection (UTI) indicators.

This urinalysis identifies abnormalities in urine's appearance, content, and concentration. It involves visual, chemical (dipstick), and microscopic examination to detect infection signs. Urinalysis aids in effective treatment, symptom relief, and complication prevention, though a negative result doesn't rule out a UTI. Purchase online; no doctor's visit needed; visit a Quest® location for sample collection.

Key Details

Sample
Urine (midstream clean-catch)
Fasting
Not required
Results
1–3 business days

Who Is This For?

People with urinary symptoms (burning, frequency, urgency). Those with diabetes monitoring kidney function via urine protein. Anyone with recurrent UTIs needing culture and sensitivity. Routine health screening participants.

What's Included

Urinalysis with microscopy
Culture and sensitivity (if ordered)
Results interpretation

Preparation Required

Collect a midstream clean-catch sample unless otherwise instructed. First morning samples are preferred for standard urinalysis. Avoid excessive fluid intake before collection.

Biomarkers Tested

17
Appearance and color observed

The color and appearance of a normal urine sample should be clear and straw yellow. The presence of white blood cells, red blood cells, crystals, or bacteria may result in discoloration. Cloudy or milky urine suggests a urinary tract infection, which may also have an unpleasant odor.

Specific gravity ratio

This test compares the density of urine to the density of water. Specific gravity measures the concentration of particles in the urine and hydration status. Elevated levels of glucose, proteins, and red or white blood cells in the urine may indicate a high specific gravity.

Alkaline Phosphatase (ALP) U/L

An enzyme found in the liver, bones, kidneys, and digestive system. Elevated ALP can indicate bile duct obstruction, liver disease, or bone disorders. It's normally higher in children and during pregnancy due to bone growth.

Glucose mg/dL

Blood sugar — the body's primary energy source. Fasting glucose screens for diabetes and prediabetes. Chronically elevated glucose damages blood vessels and organs. Levels fluctuate with meals, stress, and physical activity.

Bilirubin mg/dL

Bilirubin is a substance produced during the normal breakdown of red blood cells. High levels can lead to jaundice and indicate liver or bile duct problems.

Ketones mg/dL

Your body uses glucose for energy, and if your cells do not receive enough glucose, your body will burn fat instead. This process results in the formation of ketones. Elevated ketone levels in the urine may indicate diabetic ketoacidosis, a complication of diabetes. Infections can increase the risk of ketoacidosis in patients with diabetes. Ketones may also be detected in the urine of those following a ketogenic diet.

Red Blood Cell Count × 10¹²/L

Measures the number of red blood cells in your blood. Red blood cells carry oxygen from your lungs to every cell in your body. Abnormal levels can indicate anemia, dehydration, or bone marrow disorders.

hs-CRP (High-Sensitivity C-Reactive Protein) mg/L

A highly sensitive test for low-grade chronic inflammation linked to cardiovascular disease risk. Lower hs-CRP values are associated with better cardiovascular outcomes.

Nitrite observed

Nitrates and nitrites are both nitrogen compounds. When bacteria enter the urinary tract, they can convert nitrates to nitrites. Nitrates are found in regular urine; however, nitrites in urine may indicate a urinary tract infection.

Leukocytes cells/µL

Leukocytes (WBCs) are white blood cells that are part of the immune system. High levels can indicate infection, inflammation, or other immune responses.

White Blood Cell Count × 10⁹/L

Measures the total number of white blood cells, your body's primary defense against infection. Elevated levels may indicate infection, inflammation, or immune disorders, while low levels can signal bone marrow problems or autoimmune conditions.

Red blood cells detected/not detected

Presence may indicate infection, inflammation, or hemorrhage.

Urine Epithelial Cells cells/mL

A few epithelial cells may be considered normal, as they can be shed during the natural process of cell turnover and sloughing off of the urinary tract lining. However, an excess or abnormal type of epithelial cells in the urine may indicate an underlying condition or issue.

Bacterial vaginosis (BV) detected/not detected

Bacterial vaginosis (BV) is a common vaginal infection caused by an imbalance of bacteria in the vaginal microbiota. Symptoms include foul-smelling discharge, itching, burning, and discomfort during sex.

AST (Aspartate Aminotransferase) U/L

An enzyme found in the liver, heart, and muscles. While less liver-specific than ALT, elevated AST can indicate liver damage, heart attack, or muscle injury. The AST/ALT ratio helps distinguish between different liver conditions.

Crystals observed

Crystals found in the urinary sediment during microscopic examination indicate kidney stone formation is imminent, if not already present. Crystals do not produce symptoms on their own, only when they crystallize into stones. The crystal type detected varies with the associated health condition and the pH of the urine. When the specific gravity of the urine is high, small amounts of crystalline particles may be visible.

pH pH units

Imbalances in gut pH influence short-chain fatty acid production and their effects.

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Price
$40.00

+ $6.00 Physician Service Fee

Category
Diagnostic
Sample Type
Urine sample
Duration
30 min
Results
3 days