Breath analysis is an attractive noninvasive procedure for screening worker
s exposed to solvents. It has been used in numerous laboratory based studie
s and for field research. Despite the obvious advantages in routine biologi
cal monitoring it has failed to become widely accepted as a tool in occupat
ional hygiene. Recent advances in breath sampling and analysis are such tha
t it is likely to become more widely used in the future. In this paper, the
past 5 years have been reviewed to try to assess what developments might n
ow contribute to the increased use of breath analysis in biological monitor
ing; in particular, the development of a selected ion flow tube mass spectr
ometer for real time direct analysis of trace gases in breath and the more
immediately available and less expensive indirect methods involving collect
ion devices with adsorbent tubes is important. The introduction of guidance
values for biological monitoring with clear advice on sampling times and t
he recognition of the importance of quality assurance programmes will help
improve confidence in the technique.