High-sensitivity neonatal urine drug testing has similar positivity rates to meconium for detecting in utero exposure to methamphetamine and cocaine.

IF 2.3 3区 医学 Q3 CHEMISTRY, ANALYTICAL
Hannah M Brown, Stephen M Roper, Dennis J Dietzen, Bridgit O Crews
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引用次数: 0

Abstract

Current guidelines recommend universal screening for substance use disorders in obstetric patients, and neonatal drug testing is also frequently performed. Meconium is often the preferred specimen type to detect neonatal drug exposure due to a longer window of detection compared to urine, but most laboratories send out meconium testing to specialized reference laboratories, which can delay results for several days or more. Here, we evaluate a rapid and definitive liquid chromatography-tandem mass spectrometry method for neonatal urine drug testing and compare results obtained using this method to paired meconium drug testing in 1,424 neonates for amphetamines, cocaine, cannabinoids, opiates, oxycodone and phencyclidine. Urine testing showed equivalent sensitivity to current meconium methods for detecting in utero exposure to amphetamines and cocaine.

高灵敏度新生儿尿液药物检测在检测子宫内暴露于甲基苯丙胺和可卡因方面与胎粪具有相似的阳性率。
目前的指南建议普遍筛查产科患者的物质使用障碍,并经常进行新生儿药物检测。胎便通常是检测新生儿药物暴露的首选标本类型,因为与尿液相比,胎便的检测窗口更长,但大多数实验室将胎便检测送到专门的参考实验室,这可能会延迟几天或更长时间才能得出结果。在这里,我们评估了一种快速和确定的液相色谱串联质谱(LC-MS/MS)方法用于新生儿尿液药物检测,并将该方法与1424例新生儿的配对胎粪药物检测结果进行了比较,其中包括安非他明、可卡因、大麻素、阿片类药物、羟考酮和苯环利定(PCP)。尿检结果显示,目前胎粪法检测子宫内安非他明和可卡因暴露的灵敏度与之相当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.10
自引率
20.00%
发文量
92
审稿时长
6-12 weeks
期刊介绍: The Journal of Analytical Toxicology (JAT) is an international toxicology journal devoted to the timely dissemination of scientific communications concerning potentially toxic substances and drug identification, isolation, and quantitation. Since its inception in 1977, the Journal of Analytical Toxicology has striven to present state-of-the-art techniques used in toxicology labs. The peer-review process provided by the distinguished members of the Editorial Advisory Board ensures the high-quality and integrity of articles published in the Journal of Analytical Toxicology. Timely presentation of the latest toxicology developments is ensured through Technical Notes, Case Reports, and Letters to the Editor.
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