Reducing the need for repeating urine drug testing with the gray zone determined by the measurement uncertainty.

IF 2 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY
Kagan Huysal, Yasemin Üstündağ, Hatice Azra Çağlak, Yeşil Meryem Rümeysa
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引用次数: 0

Abstract

Background: On an initial urine screening test for illegal substances, if the concentration of a substance is at or above the determined legislative threshold, it is reported as positive. Repeating testing with the same sample to verify it before reporting is a common practice in clinical laboratories. This study aimed to determine whether measurement uncertainty (MU) results can be used to detect a grey zone to reduce repeat testing.

Methods: A retrospective study was conducted using data from the laboratory information system between January 1, 2020, and July 1, 2022. Samples studied twice within one hour before reporting for the same urine sample were analyzed. The MU values for urinary amphetamine, cannabinoid, cocaine, and opioid parameters were calculated using ADVIA Chemistry reagents on a Siemens ADVIA 1800 chemical analyzer. The grey zone was defined as the cut-off value ± MU.

减少重复尿液药物检测的需要,灰色区域由测量不确定性决定。
背景:在对非法药物进行初次尿液筛查检验时,如果某种药物的浓度达到或超过所确定的立法阈值,则报告为阳性。在报告前对同一样本进行重复检测以进行验证是临床实验室的常见做法。本研究旨在确定测量不确定性(MU)结果是否可用于检测灰色区域,以减少重复检测:利用实验室信息系统中 2020 年 1 月 1 日至 2022 年 7 月 1 日期间的数据进行了一项回顾性研究。对同一尿样在报告前一小时内检测两次的样本进行了分析。使用西门子ADVIA 1800化学分析仪上的ADVIA化学试剂计算尿液中苯丙胺、大麻素、可卡因和阿片参数的MU值。灰色区域定义为临界值 ± MU。
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
Journal of Medical Biochemistry
Journal of Medical Biochemistry BIOCHEMISTRY & MOLECULAR BIOLOGY-
CiteScore
3.00
自引率
12.00%
发文量
60
审稿时长
>12 weeks
期刊介绍: The JOURNAL OF MEDICAL BIOCHEMISTRY (J MED BIOCHEM) is the official journal of the Society of Medical Biochemists of Serbia with international peer-review. Papers are independently reviewed by at least two reviewers selected by the Editors as Blind Peer Reviews. The Journal of Medical Biochemistry is published quarterly. The Journal publishes original scientific and specialized articles on all aspects of clinical and medical biochemistry, molecular medicine, clinical hematology and coagulation, clinical immunology and autoimmunity, clinical microbiology, virology, clinical genomics and molecular biology, genetic epidemiology, drug measurement, evaluation of diagnostic markers, new reagents and laboratory equipment, reference materials and methods, reference values, laboratory organization, automation, quality control, clinical metrology, all related scientific disciplines where chemistry, biochemistry, molecular biology and immunochemistry deal with the study of normal and pathologic processes in human beings.
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