In this paper, a novel flow injection chemiluminescence (FI-CL) method is proposed for the determination of picomolar L
-1 levels of hydrogen peroxide (H
2O
2) in exhaled breath condensate (EBC). This method is based on the oxidation of a low concentration of luminol (10
-7 M) by H
2O
2 at a low concentration level (< 10
-8 M) in an alkaline medium catalyzed by a complex, K
5[Cu(HIO
6)
2] (DPC), which is not interfered by other metal ions or horseradish peroxidase (HRP). Under the optimum conditions, H
2O
2 was determined over the range of 1.0 × 10
-10 to 1.0 × 10
-8 mol L
-1 with a detection limit of (3
σ) of 4.1 × 10
-11 mol L
-1. The relative standard deviation (RSD) was 3.2% for 5 nmol L
-1 H
2O
2 (
n = 7). The proposed method offers the advantages of ultra-sensitivity, selectivity, simplicity and rapidity for H
2O
2 determination. It was successfully applied to directly determine trace amounts of H
2O
2 (nmol L
-1) in human's EBC of both rheum and healthy volunteers. A statistically significant difference was found between patients with rheum (
n = 11) and control subjects without rheum (
n = 11).
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