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Relationship between Urine Protein-To-Creatinine Ratio and Leukocyte Esterase in Canine Urine Samples
Chen-Yin Liao1, Tsun-Li Cheng2, Cheng-Hung Lai1,2
1Department of Veterinary Medicine, National Chung Hsing University, Taichung, Taiwan.
Insights
The urine leukocyte esterase test does not impact the urine protein-to-creatinine (UP/C) ratio in dogs. This means the UP/C ratio can be reliably measured irrespective of leukocyte esterase results.
Area of Science:
- Veterinary Medicine
- Clinical Pathology
- Canine Health
Background:
- Urine dipstick tests detect leukocytes and protein, but accuracy can be affected by factors like specific gravity, pH, and infection.
- Concerns exist about white blood cells potentially interfering with the urine protein-to-creatinine (UP/C) ratio, a crucial test for proteinuria in dogs.
Purpose of the Study:
- To investigate whether leukocyte esterase test results influence the UP/C ratio in canine urine samples.
- To determine if a positive leukocyte esterase test interferes with the accuracy of the UP/C ratio in dogs.
Main Methods:
- 186 canine urine samples were analyzed.
- Samples were categorized as leukocyte strip-positive or leukocyte strip-negative using the dipstick test.
- The UP/C ratio was measured using the Catalyst One biochemical analyzer.
Main Results:
- No significant correlation was found between leukocyte strip status and the UP/C ratio (correlation coefficient = 0.014, p = 0.849).
- Analysis using International Renal Interest Society (IRIS) grading criteria also showed no significant association between leukocyte strip status and abnormal UP/C ratios.
- Further categorization by IRIS criteria confirmed no link between leukocyte strip status and UP/C classification (correlation coefficient = 0.032, p = 0.661).
Conclusions:
- A positive leukocyte esterase test does not affect the UP/C ratio in canine urine.
- The UP/C ratio test is reliable for assessing proteinuria in dogs, regardless of leukocyte esterase test outcomes.
Background:
The urine dipstick strip test is used for detecting urinary leukocytes and protein; however, factors like specific gravity, pH and infection may affect accuracy. Concerns exist regarding white blood cells interfering with the urine protein-to-creatinine (UP/C) ratio, a key test for proteinuria.
Objectives:
This study aimed to determine whether the results of the leukocyte esterase test affect the UP/C ratio in canine urine samples.
Methods:
A total of 186 canine urine samples were collected. The dipstick strip leukocyte esterase test was used to classify the specimens into two groups: leukocyte strip-positive (+) and leukocyte strip-negative (-). The UP/C ratio was then measured for all samples employing the Catalyst One biochemical analyser.
Results:
The absolute value of the correlation coefficient between leukocyte strip status (±) and the UP/C ratio was 0.014 (p = 0.849), indicating no significant correlation. When applying the International Renal Interest Society (IRIS) grading criteria and setting the threshold for abnormal UP/C at ≥ 0.2, no significant correlation was found between leukocyte strip status and abnormal UP/C (p = 0.490). When categorising the UP/C ratio according to IRIS classification criteria, the absolute value of the correlation coefficient between leukocyte strip status and UP/C classification was 0.032 (p = 0.661), again showing no association. These findings suggest that a positive leukocyte esterase test does not interfere with the UP/C ratio.
Conclusions:
The presence of a positive leukocyte esterase test does not affect the UP/C ratio in canine urine samples. Therefore, the UP/C ratio test can be performed regardless of the results of the leukocyte esterase test.
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