Touch–Based Potentiometric Sensors for Simultaneous Detection of Urea and Ammonium from Fingertip Sweat

Urea is a biomarker for diagnosis and management of multiple disorders. The measurement of urea could help in the diagnosis of patients with kidney dysfunction. Despite their attractive analytical performances, the existing urea measurement methods are still limited to sophisticated and time–consuming or require invasive blood sampling. Herein, a reliable noninvasive, simple, and disposable touch–based potentiometric sensor is fabricated for rapid monitoring of fingertip sweat urea. Novel touch–based urea detection relies on immobilized urease recognition and a solid–contact ammonium–ion–selective electrode, along with a screen–printed carbon working electrode modified carboxylated carbon nanotubes for enhancing sensor’s sensitivity. The fingertip sweat under sedentary rest conditions can be instantaneously collected on customized porous polyvinyl alcohol hydrogel transporting sweat to working electrode surface where the hydrolysis of urea is catalyzed, generating bicarbonate and ammonium. The resulting ammonium can be detected with ion–selective transducer, enabling indirect monitoring of sweat urea. Potential interference from co–existing ammonium in human sweat is addressed by developing a dual disposable potentiometric sensor, consisting of urea and ammonium sensors on a single strip platform allowing for simultaneous touch–based detection of sweat urea and ammonium. The resulting dual disposable sensing system offers rapid urea and ammonium monitoring within a group of healthy human subjects, along with a good correlation with R2 = 0.974 between the sweat urea and capillary blood urea levels. Additional confirmation among a broad sample of individuals along with the validation of sensor data through centralized laboratory tests will establish the practicality of simultaneously monitoring urea and ammonium levels.