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Residents' Knowledge regarding Recreational Drug Screening Immunoassays at a Swiss Hospital Group
Elias Bekka1, Samuel E Christen1,2, Laura Hermann1
1Clinical Pharmacology and Toxicology, Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
International Journal of Analytical Chemistry
|June 28, 2024
Summary
Residents show significant knowledge gaps in interpreting drug screening immunoassay results. Educational initiatives are needed to address these limitations and improve diagnostic accuracy in acute recreational drug toxicity cases.
Area of Science:
- Clinical Chemistry
- Toxicology
- Medical Education
Background:
- Immunoassays are vital for detecting recreational drug toxicity.
- Understanding immunoassay limitations is crucial for accurate interpretation.
- Gaps in resident knowledge can impact patient care.
Purpose of the Study:
- To assess Swiss residents' knowledge of drug screening immunoassays.
- To identify areas for improvement in understanding immunoassay interpretation.
Main Methods:
- Anonymous online survey distributed to residents at a Swiss hospital group.
- Survey included 10 multiple-choice questions on drug screening tests.
- Demographic data and self-reported confidence/usage of tests were collected.
Main Results:
- 110 of 1026 residents (11%) completed the survey.
- Median knowledge score was 4/10, indicating widespread gaps.
- No significant correlation found between knowledge scores and training, confidence, or test usage.
Conclusions:
- Significant knowledge deficits exist among residents regarding immunoassay interpretation.
- Educational interventions are recommended to address these gaps.
- Targeted information on common pitfalls should be provided to clinicians.

