Why does my urine report show pus cells and bacteria?

Hello,

Welcome to icliniq.com.

I understand your concern.

Based on the findings of positive leukocyte esterase, nitrites, elevated pus cells, and the presence of both rod- and cocci-shaped bacteria, this indicates a urinary tract infection (UTI), likely caused by common uropathogens such as Escherichia coli. The absence of blood, glucose, ketones, and protein is reassuring and suggests it is an uncomplicated lower UTI at this stage.

Given your history of UTIs in childhood but no recent symptoms, this appears to be an isolated recurrence. A short course of antibiotics such as Cefixime or Nitrofurantoin, depending on local antibiotic sensitivity patterns and prior tolerance, would be appropriate.

Ensure adequate hydration, urinate frequently, and avoid holding urine for prolonged periods. Since you are not currently on any medications, Cefixime 200 milligrams taken twice daily for five days could be an effective first-line option, assuming no history of allergy or known resistance. You may also consider adding an alkalizing agent, such as Potassium citrate syrup, for symptom relief.

If symptoms worsen, persist beyond three to five days of treatment, or if fever or flank pain develops, follow up with your doctor for a urine culture and possibly imaging to rule out complications such as pyelonephritis. For now, prompt antibiotic therapy along with supportive care should help resolve this episode effectively.

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Thank you.