Urea breath test

The urea breath test is a rapid diagnostic procedure used to identify infections by Helicobacter pylori, a spiral bacterium implicated in gastritis, gastric ulcer, and peptic ulcer disease. It is based upon the ability of H. pylori to convert urea to ammonia and carbon dioxide. Urea breath tests are recommended in leading society guidelines as a preferred non-invasive choice for detecting H. pylori before and after treatment.

Principles and mechanism

Patients swallow urea labelled with an uncommon isotope, either radioactive carbon-14 (nowadays preferred in many countries) or non-radioactive carbon-13. In the subsequent 10–30 minutes, the detection of isotope-labelled carbon dioxide in exhaled breath indicates that the urea was split; this indicates that urease (the enzyme that H. pylori uses to metabolize urea to produce ammonia) is present in the stomach, and hence that H. pylori bacteria are present.

For the two different forms of urea, different instrumentation is required. Carbon-14 is normally measured by scintillation, whereas carbon-13 can be detected by isotope ratio mass spectrometry (IRMS) or simpler by nondispersive infrared (NDIR) spectrometry. For each of these methods, a baseline breath sample is required before taking the isotope-labeled urea, for comparison with the post-urea sample, with a 15- to 30-minute duration between them. Samples may be sent to a reference laboratory for analysis. Alternatively, NDIR spectrometry can be performed by a table-top instrument as an office-based test, and results are provided immediately within minutes.