title: Comprehensive drug screening in blood for detecting abused drugs or drugs potentially hazardous for traffic safety.
abstract: A comprehensive drug screening procedure for detecting drugs in the blood samples of car drivers suspected of driving under the influence of drugs, is presented. Amphetamines, cannabinoids, opioids, cocaine and benzodiazepines were screened by an immunological EMIT ETS system after acetone precipitation. Gas chromatographic methods were used to screen and quantitate basic, neutral and acidic drugs. The free amino groups of basic drugs were derivatized with heptafluorobutyric anhydride. Analysis was performed by a dual channel gas chromatograph combined with a nitrogen phosphorus and an electron capture detector. Phenyltrimethylammonium hydroxide was used as a methylathing agent for acidic substances before analysis with a gas chromatograph connected to a nitrogen phosphorus detector. A gas chromatograph/mass spectrometry was used as a common confirmation method. Tetrahydrocannabinol was quantitated after bis(trimethylsilyl)trifluoroacetamide derivatization, opiates after pentafluoropropionic anhydride derivatization and benzoylecgonine after pentafluoropropionic anhydride and pentafluoropropanol derivatization. Excluding benzodiazepines, which were confirmed with a gas chromatograph connected to a nitrogen phosphorus and an electron capture detector, the other basic drugs as well as the acidic drugs were confirmed after the same derivatization procedures as in the screening methods. Alcohols were quantitated in triplicate by gas chromatography using three different kinds of columns. Although urine is the most important specimen for screening abused drugs, it has only limited use in forensic toxicology. The described system is most useful for analyzing a wide range of substances, including illicit drugs, benzodiazepines, barbiturates, antidepressants and phenothiazenes in forensic samples when urine is not available.
authors.affiliation: National Public Health Institute, Department of Drugs and Traffic, Helsinki, Finland.
authors.forename: P
authors.initials: P
authors.lastname: Lillsunde
authors.forename: L
authors.initials: L
authors.lastname: Michelson
authors.forename: T
authors.initials: T
authors.lastname: Forsstrom
authors.forename: T
authors.initials: T
authors.lastname: Korte
authors.forename: E
authors.initials: E
authors.lastname: Schultz
authors.forename: K
authors.initials: K
authors.lastname: Ariniemi
authors.forename: M
authors.initials: M
authors.lastname: Portman
authors.forename: M L
authors.initials: ML
authors.lastname: Sihvonen
authors.forename: T
authors.initials: T
authors.lastname: Seppala
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control*; D001334:Automobile Driving; D002849:Chromatography, Gas; D017248:Enzyme Multiplied Immunoassay Technique; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D019966:Substance-Related Disorders / Q000097:blood*