ObjectAim to study the role of urine pipeline composed of Sysmex urine dry chemistry analyzer UC-3500 and urine particle analyzer UF-5000 in screening bacterial urinary tract infection (UTI).MethodsWe analyzed 2600 urine specimens from patients with suspected UTI using a urine dry chemistry analyzer (UC-3500) and a fully automated sediment analyzer (UF-5000). After the instruments test, all specimens were sent to our clinical microbiology laboratory with a culture request.ResultsThe consistency of UF-5000 bacterial classification and bacterial culture was fair(kappa = 0.3387). The level of WBC, NIT, was raised with sequential group designs(P<0.001). The cut-off value of BACT was 104.80/µ L for males (AUC,0.956, 95%CI,0.936–0.976) and 705.50/µL for females (AUC,0.940, 95%CI,0.920–0.959). The Youden index, sensitivity, and specificity of BACT were relatively high, which were sufficient for diagnosing infection. All six schemes had good negative predictive value (NPV), and coincidence rate. The NPV of strategy② was 97.54%.ConclusionUF-5000 classification of bacteria can’t be used as a practical reference. 163.25/µL(male), 50.20/µL(female) for WBC and 104.80 /µL(male), 705.50 /µL(female) for BACT were used as cut off values, which could effectively determine whether UTI occurred. The single index BACT parameter is suitable for the rapid and effective exclusion of bacterial UTI.