Skip to content

Ethyl glucuronide (EtG) in urine

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

This test measures ethyl glucuronide (EtG), a metabolite of ethanol (alcohol) found in urine. It helps detect recent alcohol consumption, even when alcohol levels in the blood or breath may be undetectable.

Quick summary

["Detects recent alcohol use with urine samples, even after alcohol clears from blood or breath."]

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

Key facts at a glance

LOINC
58375-7
Short code
Ethyl glucuronide Ur Ql Scn
Synonyms
Ethyl glucuronide Ur Ql Scn
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
screen
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

Why This Test Matters

EtG is a specific marker for alcohol metabolism. Unlike traditional tests that rely on blood or breath alcohol levels, EtG can identify alcohol use up to 80 hours (3.3 days) after consumption, making it useful for screening for recent drinking, especially in cases where other tests may not detect alcohol anymore.

How the Test Works

The test uses a specialized method (likely immunoassay or chromatography) to detect EtG in your urine. This metabolite forms when your body breaks down alcohol, and it stays in the urine longer than alcohol itself.

Sample Collection and Preparation

You’ll provide a urine sample, typically collected in a sterile container. The lab processes the sample to measure EtG levels accurately. This test is often used in screening or confirmation settings, such as workplace drug testing or medical evaluations.

What the Results Mean

Results are reported as a concentration of EtG in micrograms per milliliter (µg/mL). A positive result indicates recent alcohol use, but interpretation depends on clinical context (e.g., timing since last drink, purpose of testing). Consult your healthcare provider for guidance.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Urine Ethyl Glucuronide

Frequently asked questions

What does this test measure?
This test measures the presence of ethyl glucuronide (EtG), a metabolite of alcohol that remains in urine for extended periods after drinking. It’s particularly useful for detecting alcohol use in situations where blood or breath tests may not be reliable, such as in cases of chronic alcohol use or when alcohol has cleared from the system.
How soon after drinking can this test detect alcohol use?
EtG can be detected in urine starting around 12 hours after alcohol consumption and may remain detectable for up to 80 hours (3.3 days) or longer, depending on the amount and frequency of drinking. This window is longer than most blood or breath alcohol tests, which typically clear within 12 hours.
Can this test be used for medical or legal purposes?
Yes, EtG testing is commonly used in medical settings to assess alcohol use in patients with liver disease, addiction treatment programs, or other conditions where alcohol consumption is a concern. It can also be used in legal contexts, such as workplace drug testing or criminal investigations, but results should always be interpreted alongside other clinical information and context.
  1. 1
  2. 2
  3. 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.

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