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Lysozyme/Creatinine Ratio, Urine

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

A urine test that measures lysozyme relative to creatinine, helping assess kidney tubular injury and monitor certain conditions.

Quick summary

["This ratio can help identify and monitor kidney tubular damage, especially when an elevated urine lysozyme level alone may be affected by urine concentration."]

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

Key facts at a glance

LOINC
34336-8
Short code
Lysozyme/Creat Ur-Rto
Synonyms
Lysozyme/Creat Ur-Rto
Category
kidney
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test measures the amount of lysozyme, an enzyme produced by white blood cells, in urine and compares it with the amount of creatinine in the same sample. Creatinine is used as a reference because its level in urine varies with urine concentration.

Why might I need this test?

The test may be used to evaluate or monitor conditions that can injure the kidney tubules, which reabsorb water and nutrients from filtered blood. Your clinician may also order it when monitoring certain blood, immune, or digestive disorders associated with increased lysozyme.

How is the test performed?

You provide a urine sample. The laboratory measures lysozyme and creatinine in the sample and calculates their ratio. The results are interpreted with your symptoms, medical history, and other kidney tests.

How do I prepare for the test?

Follow your clinician's instructions about when and how to collect the urine. If a random specimen is requested, a clean-catch midstream urine sample is usually preferred. Fasting is generally not required, but follow any instructions provided by your care team.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher-than-expected ratio may indicate increased urinary loss of lysozyme, which can occur with kidney tubular injury or reduced kidney filtration. Increased lysozyme production related to certain blood or immune disorders may also raise the result. The ratio should be interpreted by your clinician because urine concentration, kidney function, and other factors can affect it.

Short name

Urine Lysozyme/Creatinine Ratio

Frequently asked questions

Is this the same as a standard urine protein test?
No. This test specifically compares urinary lysozyme with creatinine; it does not replace a general urinalysis or urine protein-to-creatinine ratio.
Does an abnormal result mean I have kidney disease?
Not necessarily. An abnormal ratio can have several causes and is usually interpreted alongside other kidney tests, symptoms, and your medical history.
Will I need to collect urine for a specific period?
It depends on your clinician's instructions. A spot urine collection may be used, but a timed collection is occasionally requested, so confirm the collection method before testing.
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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