Table 25.2 Characteristics of Screening Tests for Drugs in Urine
|
Test |
Analytic Method |
Advantages of Method |
Disadvantages of Method |
Detectable drugs |
Relative cost |
|
|
Color (spot) |
Test |
Sample response to color reagents |
Simple. Immediate results can be read by eye. |
Poor specificity (many false positives) Poor sensitivity (misses many true positives). |
Most types |
Cheap |
|
*TLC |
Interpretation of migratory pattern and colors of treated sample. |
Adulteration of sample not possible. |
Requires sample preparation. Hard copy of results difficult to obtain. Poor specificity (many false positives). |
Most types** except cannabinoids, PCP and hallucinogens |
Moderate |
|
|
RIA |
Radioactively labeled sample is compared as an antigen with non-labeled drug. |
Give quantitative result. |
Only one drug can be tested for at a time. Sensitive to tampered sample (produces false negatives). Drugs cross-react (produce false positives and false negatives). |
Opiates, barbiturates amphetamines, cocaine, PCP, cannabis and LSD. |
Equipment cost is high. |
|
|
*EMIT |
Non-radioactive comparison of enzyme activity. |
Rapid. semi-quantitative negatives). May crossreact with some drugs. |
Sensitive to tampered sample (produces false amphetamines, cocaine, PCP, cannabis, benzodiazepine, methaqualone and methadone. |
Opiates, barbiturates, are costly. |
Equipment cost is low. Reagents |
|
|
FPIA |
Measures fluorescence pattern of treated sample. |
Rapid. Easy to do. Quantitative results. Highly sensitive. |
Sensitive to tampered sample. |
Expensive. |