Step 1: The urea breath test is a rapid, non-invasive test used to detect Helicobacter pylori, the spiral gram-negative bacterium linked to gastritis, gastric ulcer and peptic ulcer disease.
Step 2: The principle relies on the potent urease enzyme of H. pylori. The patient swallows urea labelled with a carbon isotope. If H. pylori is present, its urease splits the urea into ammonia and carbon dioxide, and the labelled CO2 is then detected in the exhaled breath.
Step 3: Campylobacter jejuni, E. coli and Lactobacillus are not diagnosed by this test, so the correct answer is H. pylori.