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Helicobacter pylori, Urea Breath Test
MessageThis test can be performed on ADULT patients and PEDIATRIC patients between the ages of 3 and 17.
Test Code
LAB2161
Alias/See Also
H.Pylori, UBT, Urea Breath Test, Ulcer Breath Test, H. pylori Urea Breath Test
CPT Codes
83013
Includes
Analysis of pre- and postbreath samples to detect 13CO2
Preferred Specimen
Breath samples pre- and post-ingestion of fruit-flavored powder solution, containing 13C-urea diagnostic component.
Patient Preparation
he patient should fast for at least one hour prior to testing. The patient should not take antimicrobials, proton pump inhibitors, or bismuth preparations within two weeks prior to testing. Note: Solution contains phenylalanine. Phenylketonurics should be warned.
Minimum Volume
One pre- and one post-ingestion breath sample
Instructions
Blue sample bag (baseline) must be collected as follows: • Remove the blue breath collection bag from the kit. • Remove the pulloff cap from mouthpiece of the breath collection bag. • Instruct the patient to breathe normally, then take a deep breath, pause holding their breath for a full second (counting one, one thousand) then exhale into the mouthpiece of the bag. • Replace the cap in the mouth piece of the bag. Prepare the fruit-flavored powder solution, containing 13C-urea diagnostic component as detailed in the kit instructions Postdose sample bag is collected as follows: • Instruct the patient to drink all the solution without “rinsing” mouth before swallowing. • Have the patient sit quietly for 15 minutes. Set timer for 15 minutes. • After 15 minutes, collect the gray sample bag as outlined for the baseline specimen above.
Transport Container
breathID Hp Two UBT collection kit includes: One blue sample bag labeled “baseline” and one "postdose" sample bag.
Transport Temperature
Room Temperature
Specimen Stability
7 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Prolonged transport more than seven days; specimens collected from persons younger than 3 years of age
Methodology
IR (infrared) spectroscopy to assess the presence of 13CO2
Reference Range
Negative
Clinical Significance
The urea breath test can be used to aid in the diagnosis of H pylori infection. The test can also be used to assess therapy when it is administered more than a month after completion of therapy.
Performing Laboratory
Piedmont Athens Regional.
