Abstract | BACKGROUND: Ethyl glucuronide (EtG) and ethyl sulfate (EtS) have been proposed as markers for detecting alcohol use because they exhibit extended excretion lifetimes when compared with ethanol; however, their presence is not considered as absolute proof of alcohol use. Two methods are currently used for the detection and quantitation of EtG: immunoassay and mass spectrometry. The purpose of this study was to provide more patient data to better compare the two methods. METHODS: A retrospective diagnostic accuracy study was performed to compare the methods. EtS was also measured by liquid chromatography-tandem mass spectrometry (LC-MS/MS) as an additional comparative analyte. The investigators examined 4,287 sequential urines from pain patients to determine the incidence of alcohol use and the corresponding presence of EtG by immunoassay at a cutoff of 500 ng/mL. EtG and EtS were subsequently quantitated in all the urines using LC-MS/MS. RESULTS: A total of 794 samples were found positive by immunoassay, and these results were compared at three distinct LC-MS/MS cutoffs of 100, 500, and 1,000 ng/mL. The incidence of ethanol use in this population was found to be at least 12 percent. CONCLUSIONS: Approximately 30 percent of the samples screened by immunoassay as positive were confirmed to be negative by LC-MS/MS.
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Authors | Bridgit Crews, Sergey Latyshev, Charles Mikel, Perla Almazan, Robert West, Amadeo Pesce, Cameron West |
Journal | Journal of opioid management
(J Opioid Manag)
Vol. 6
Issue 6
Pg. 415-21
( 2010)
ISSN: 1551-7489 [Print] United States |
PMID | 21269002
(Publication Type: Journal Article)
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Chemical References |
- Analgesics, Opioid
- Glucuronates
- Sulfuric Acid Esters
- ethyl glucuronide
- diethyl sulfate
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Topics |
- Analgesics, Opioid
(therapeutic use)
- Chromatography, Liquid
(methods)
- Glucuronates
(urine)
- High-Throughput Screening Assays
- Humans
- Pain
(drug therapy, urine)
- Sulfuric Acid Esters
(urine)
- Tandem Mass Spectrometry
(methods)
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