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: Leukocyte Esterase, Serum or Plasma

Published: August 9, 2026Updated: August 16, 2026

: This test measures leukocyte esterase, an enzyme released by certain white blood cells, in a serum or plasma sample. It is not a routine blood test and is most often discussed in the context of body-fluid testing for infection or inflammation.

Quick summary

[": Leukocyte esterase is a marker of white blood cell activity; in blood (serum/plasma) it is a specialized, non-routine measurement."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
32783-3
Short code
Leu+Ile+Val SerPl
Synonyms
Leu+Ile+Val SerPl
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

: What Is Leukocyte Esterase?

: Leukocyte esterase is an enzyme produced by neutrophils, a type of white blood cell. Its presence suggests that white blood cells are active or breaking down, which can happen with infection or inflammation. It is best known as a urine test, but the same enzyme can be measured in other body fluids, including serum or plasma.

: Why Might This Test Be Ordered?

: Because leukocyte esterase testing is far more established for urine and other body fluids, a serum/plasma measurement is uncommon and usually part of specialized evaluation or research. Your clinician would explain the specific reason in your case rather than relying on this test alone.

: How the Sample Is Collected

: A standard blood draw is used to obtain serum or plasma, which is then separated in the laboratory. No special preparation is typically required beyond what your care team advises for the blood draw.

: How to Interpret Results

: Results are interpreted in the context of your symptoms, other lab tests, and the fluid being tested. A single value should not be used on its own to diagnose infection or inflammation; discuss what your result means with the ordering clinician.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

: Leukocyte Esterase

Frequently asked questions

: Is leukocyte esterase a normal blood test?
: No. It is most commonly a urine or body-fluid test; serum/plasma measurement is specialized and not routine.
: Does a positive leukocyte esterase mean I have an infection?
: Not necessarily. It indicates white blood cell activity, which can occur with infection or inflammation; only your clinician can interpret it with other findings.
: Can I eat or drink before this test?
: Usually a standard blood draw needs no special preparation, but follow any instructions given by your care team.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy