Accuracy of five on-site immunoassay drugs-of-abuse testing devices

J Anal Toxicol. 1999 Mar-Apr;23(2):119-24. doi: 10.1093/jat/23.2.119.

Abstract

Many current "on-site" urine drug-testing products claim performance equivalent to laboratory testing. Five commercially available products (PharmScreen, Roche TestCup, Accusign DOA 2, Status DS, and American Bio Medica-Rapid Drug Screen) were challenged with quality-control specimens of known drug metabolite concentrations, 25% above and 25% below the SAMHSA cutoffs, and with known positive and negative donor specimens previously analyzed by immunoassay and gas chromatography-mass spectrometry. The results indicate discrepancies between claims and performance for all products, particularly with amphetamines. The implications for employer-based drug testing are discussed.

MeSH terms

  • Drug Interactions
  • Gas Chromatography-Mass Spectrometry
  • Guidelines as Topic
  • Humans
  • Illicit Drugs / urine*
  • Immunoassay / instrumentation*
  • Immunoassay / methods
  • Quality Control
  • Sensitivity and Specificity
  • Substance Abuse Detection / methods*
  • United States
  • United States Substance Abuse and Mental Health Services Administration / standards

Substances

  • Illicit Drugs