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Related Experiment Videos

Accuracy of common drug screen tests.

J G Schwartz1, P R Zollars, A O Okorodudu

  • 1Department of Pathology, University of Texas Health Science Center, San Antonio 78284-7750.

The American Journal of Emergency Medicine
|March 1, 1991
PubMed
Summary

Drug testing assays show high efficiency for cocaine detection. For marijuana, latex agglutination inhibition assays offer a cost-effective screening option, though other methods provide higher accuracy.

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Area of Science:

  • Clinical Chemistry
  • Toxicology
  • Forensic Science

Background:

  • Urine drug testing is crucial in emergency settings for identifying substance abuse.
  • Accurate and rapid detection methods are essential for patient management and public health.

Purpose of the Study:

  • To compare the efficiency of a new latex agglutination inhibition assay (Abuscreen OnTrak) against established methods for detecting cocaine and marijuana in urine specimens.
  • To evaluate the performance of various drug abuse assays, including mass spectrometry, enzyme immunoassays, and fluorescence polarization immunoassay.

Main Methods:

  • Analysis of 40 urine specimens positive for cocaine and/or marijuana.
  • Comparison of Abuscreen OnTrak with mass spectrometry (reference standard), Syva ETS, Syva EMIT-st, and Abbott TDx.

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  • Standardized cutoff concentrations: 100 µg/L for marijuana, 300 µg/L for cocaine and metabolites.
  • Main Results:

    • All tested methods demonstrated 95% efficiency in detecting cocaine and its metabolites.
    • Marijuana detection efficiency varied from 70% (Abuscreen OnTrak) to 90% (Syva ETS).
    • Mass spectrometry served as the reference standard for substance identification.

    Conclusions:

    • Commercially available drug abuse screening assays offer rapid and accurate results.
    • While all methods are effective for cocaine detection, variations exist in marijuana detection efficiency.
    • Cost-effective and user-friendly assays are available for routine drug screening in clinical and forensic settings.