Transcript Drug testing in Occupational Health

Drug testing in Occupational
Health
Cor Aalbers
Commonly tested and abused drugs
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Cannabis (THC)
Mandrax (methaqualone)
Opiates (Heroine, Codeine, Morphine)
Cocaine (Crack)
Amphetamines (Tic, Ecstacy)
Barbiturates
Benzodiazepines
Phencyclidine
LSD
Methadone
Alcohol
Panel testing:
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Drug testing, GGT/MCV,CDT and Glucose.
t1/2
4-40 days
0 – 14 days
< 12 hrs
2 – 3 days
2 days
0 – 14 days
days - weeks
12 hrs
6 days
2 -4 days
Poppy plant
Cannabis
Coca plant
Crack
Opium
Cannabis plant
What can be expected from Pathcare?
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SANAS accredited result generation according to ISO 17025
High quality test analysis
A quote including:
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competitive pricing.
A customer specific Request Form.
A code linking the employee to the customer, customer
requirements (type of specimen, time of collection, type of
reporting, type of account etc).
Bar coded containers linking the patient to the required
testing.
Rapid TAT
A single account.
The Audit trail
Client + RF + Container
Couriers to PathCare Park
Data captured + bar code
Line driven by bar code selecting bench and analyzer
Results down loaded to mainframe
Verification by senior technologist and pathologist
(Grossly abnormal results phoned)
Site specific report generation: hard copy/fax/e-mail
Which types of tests do Pathcare offer?
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Blood analyses:
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Alcohol; barbiturates; benzodiazepines, TCAD.
Urine analyses:
 Most drugs of abuse.
 Urine concentrates the drug over a longer period.
 Urine creatinine
All analyses are antigen-antibody reactions directed at specific
epitopes on the drug giving drug specific results.
All results are linked to a control.
Confirmation of most DOA by means of GC-MS available.
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We do not offer dipstix testing.
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Why lab testing and not dipstix?
Dipstix can be effective but are
prone to mistakes.
Render quick results
Not as sensitive.
False positive reactions.
Use the same basic principles.
Based on an antigen-antibody
reaction
Very specific for the antigen(drug)
and/or its metabolite.
The drug testing is either
qualitative or semi-quantitative.
Thank you