Understanding Your Diagnostic Test: A Patient Guide to What the Test Is, How It Works, and Why It Matters
This test detects whether bacteria isolated from a sample can produce urease, an enzyme that breaks down urea.
{"A urease test identifies bacteria that produce the enzyme urease","It helps diagnose certain bacterial infections, especially H. pylori","Positive results indicate the presence of urease-producing bacteria","The test is performed on bacterial isolates from culture","Results guide treatment decisions for bacterial infections"}
Key facts at a glance
- LOINC
- 45037-9
- Short code
- UREASE
- Synonyms
- Bacteria Urease Islt Ql
- Category
- chemistry
- Sample
- serum
- Container
- Pure culture isolate on appropriate solid or semi-solid medium; transport in suitable microbiological transport system
- Units
- N/A
- Ref low
- 7
- Ref high
- 20
- Critical range
- — – 100 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- Urease detection by rapid urease test (RUT), Christensen's urea broth/agar, or commercial biochemical identification systems
- CPT
- 87081
- SNOMED
- 44377008
- Specimen volume
- Sufficient quantity of pure bacterial isolate (typically a loopful of growth from solid medium)
- Stability
- Stable on appropriate media at 2-8°C for up to 48 hours; freshly isolated cultures preferred for accurate urease detection
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–72 hours
- Order
- routine
This test is a diagnostic procedure that helps your healthcare provider evaluate a specific aspect of your health, such as organ function, possible infection, or an underlying medical condition. Your provider may recommend it based on your symptoms, your medical history, or as part of routine screening and follow-up care.
The urease-producing bacteria test is a laboratory test that detects whether bacteria isolated from a patient sample can produce urease, an enzyme that breaks down urea into ammonia and carbon dioxide. This test is performed on bacterial colonies that have been grown in culture from samples such as stomach tissue, urine, or other body fluids.
The test is performed by a trained healthcare professional in a clinic, hospital, or laboratory setting. Depending on the type of test, it may involve giving a small sample of blood, urine, or other tissue, or it may use specialized imaging equipment. The procedure is usually quick, and your care team will explain each step and answer your questions before it begins.
After bacteria are cultured from a patient sample, the isolated bacteria are placed in a medium containing urea and a pH indicator. If the bacteria produce urease, they will break down urea, producing ammonia, which changes the pH of the medium and causes a color change. This color change indicates a positive result.
This test is important because it gives your healthcare provider accurate information about your health, which helps confirm or rule out a diagnosis, guide treatment decisions, and monitor any ongoing conditions. Timely and accurate testing can lead to earlier care, better treatment planning, and improved health outcomes for you.
Not all bacteria produce urease. The ability to produce this enzyme is a characteristic feature of certain bacteria, making the test useful for bacterial identification and diagnosis of specific infections.
Reference range
Adult: 7-20 mg/dLN/A
No patient preparation required; test is performed on cultured bacterial isolate, not directly on patient specimen
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
The urease test is most commonly used to detect Helicobacter pylori (H. pylori) infection in the stomach. H. pylori is a bacterium that can cause gastritis, stomach ulcers, and is associated with increased risk of stomach cancer. A positive urease test from a stomach biopsy confirms H. pylori infection and guides appropriate antibiotic treatment.
The test is also used to identify other urease-producing bacteria such as Proteus, Klebsiella, and some Enterococcus species, which can cause urinary tract infections and other infections. Identifying these bacteria helps healthcare providers select the most appropriate treatment.
Frequently asked questions
Does a positive result mean I have an infection?
How long does it take to get results?
Do I need to prepare for this test?
What happens if the test is negative?
Sources
- 1Wikipedia - Urease testSource
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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