scholarly journals A Case of Esmolol-Induced False-Positive Amphetamine Urine Drug Test

Cureus ◽  
2021 ◽  
Author(s):  
Jacob J Adashek ◽  
Arjun Khadilkar ◽  
Juan Enciso ◽  
Rishi Rane ◽  
Robby Wu
Keyword(s):  
False Positive ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

A Prediction Model for Positive Infant Meconium and Urine Drug Tests

2020 ◽  
Author(s):  
Elizabeth A. Simpson ◽  
David A. Skoglund ◽  
Sarah E. Stone ◽  
Ashley K. Sherman
Keyword(s):  
Prediction Model ◽  
Drug Testing ◽  
Clinical Decision Making ◽  
Drugs Of Abuse ◽  
Clinical Decision ◽  
P Value ◽  
Test Characteristics ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

Objective This study aimed to determine the factors associated with positive infant drug screen and create a shortened screen and a prediction model. Study Design This is a retrospective cohort study of all infants who were tested for drugs of abuse from May 2012 through May 2014. The primary outcome was positive infant urine or meconium drug test. Multivariable logistic regression was used to identify independent risk factors. A combined screen was created, and test characteristics were analyzed. Results Among the 3,861 live births, a total of 804 infants underwent drug tests. Variables associated with having a positive infant test were (1) positive maternal urine test, (2) substance use during pregnancy, (3) ≤ one prenatal visit, and (4) remote substance abuse; each p-value was less than 0.0001. A model with an indicator for having at least one of these four predictors had a sensitivity of 94% and a specificity of 69%. Application of this screen to our population would have decreased drug testing by 57%. No infants had a positive urine drug test when their mother's urine drug test was negative. Conclusion This simplified screen can guide clinical decision making for determining which infants should undergo drug testing. Infant urine drug tests may not be needed when a maternal drug test result is negative. Key Points

Tapentadol is the least common opioid found in admission urine drug-test results at an intensive outpatient opioid-use disorder treatment program in Ohio: A brief report

2021 ◽  
Vol 17 (1) ◽  
pp. 13-17
Author(s):  
Adam Rzetelny, PhD ◽  
Diana Meske, PhD ◽  
Parag Patel, MD, FACOG, FASAM ◽  
Steven Passik, PhD
Keyword(s):  
Treatment Program ◽  
Opioid Use Disorder ◽  
Common Finding ◽  
Prescription Opioid ◽  
Test Results ◽  
Opioid Use ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test ◽  
Dispensing Data

Background: Previous data suggest that tapentadol, an atypical opioid with a putative dual mechanism of action, has relatively low rates of abuse. A better understanding of the rates of abuse among different prescription opioids may help clinicians when considering their potential risks and benefits. The results of urine drug tests (UDTs) may provide a unique opportunity to help answer this question.Method: To investigate different rates of prescription-opioid abuse in this retrospective study, we examined urine drug test results from patients seeking treatment at four facilities of an opioid-use-disorder (OUD) treatment program in Ohio. Urine specimens were collected on admission, one from each patient, in the regular course of care. The opioids reviewed in the present study were tapentadol, hydrocodone, oxycodone, hydromorphone, oxymorphone, and tramadol. Drug dispensing data, including morphine-milligram equivalents (MME) dispensed, were examined to adjust for the relative prevalence of each opioid being examined.Results: Data from 4,162 patients were examined. Tapentadol was the least common finding in UDT results in this cohort and remained so after adjusting for drug availability. The percentage of specimens positive for a given opioid ranged from 0.12 percent (tapentadol) to 7.04 percent (oxycodone). The availability and MME adjustments resulted in a change of rank order, with tapentadol remaining the lowest but tramadol replacing oxycodone as the prescription opioid with the highest rate of abuse.Conclusions: In this sample of UDT results from patients seeking treatment at an OUD program in Ohio, tapentadol was the least frequent finding among the opioids examined, and this remained true when adjusting for dispensing data. Factors potentially contributing to this difference may include pharmacological properties unique to tapentadol. Several important limitations notwithstanding, these findings are consistent with previous real-world evidence and warrant an ongoing line of inquiry. 

scholarly journals Rate of Fentanyl Positivity Among Urine Drug Test Results Positive for Cocaine or Methamphetamine

2019 ◽  
Vol 2 (4) ◽  
pp. e192851 ◽  
Author(s):  
Leah LaRue ◽  
Robert K. Twillman ◽  
Eric Dawson ◽  
Penn Whitley ◽  
Melissa A. Frasco ◽  
...  
Keyword(s):  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

scholarly journals Evaluation of Trends of Near-Real-Time Urine Drug Test Results for Methamphetamine, Cocaine, Heroin, and Fentanyl

2020 ◽  
Vol 3 (1) ◽  
pp. e1918514 ◽  
Author(s):  
Robert K. Twillman ◽  
Eric Dawson ◽  
Leah LaRue ◽  
Maria G. Guevara ◽  
Penn Whitley ◽  
...  
Keyword(s):  
Real Time ◽  
Test Results ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

Association Between Urine Drug Test Results and Treatment Outcome in High-Risk Chronic Pain Patients on Opioids

2010 ◽  
Vol 4 (3) ◽  
pp. 167-173 ◽  
Author(s):  
Kelly S. Barth ◽  
William C. Becker ◽  
Nancy L. Wiedemer ◽  
Shahrzad Mavandadi ◽  
David W. Oslin ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Treatment Outcome ◽  
High Risk ◽  
Test Results ◽  
Drug Test ◽  
Chronic Pain Patients ◽  
Urine Drug ◽  
Urine Drug Test ◽  
Pain Patients

scholarly journals Urine Drug Test Interpretation: An Educational Program's Impact on Resident Knowledge and Comfort Level

MedEdPORTAL ◽  
2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Whitney Aultman ◽  
Janna Fett ◽  
Colleen Lauster ◽  
Sarah Muench ◽  
Alexandra Halalau
Keyword(s):  
Comfort Level ◽  
Test Interpretation ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test

scholarly journals Polysubstance Use Among Patients Treated With Buprenorphine From a National Urine Drug Test Database

2021 ◽  
Vol 4 (9) ◽  
pp. e2123019 ◽  
Author(s):  
Brendan Saloner ◽  
Penn Whitley ◽  
Leah LaRue ◽  
Eric Dawson ◽  
Angela Huskey
Keyword(s):  
Polysubstance Use ◽  
Drug Test ◽  
Urine Drug ◽  
Urine Drug Test ◽  
Test Database

Concordance Between Self-Report Psychoactive Substance Use and Urine Drug Test Among Students of University of Ilorin, Nigeria

2021 ◽  
Author(s):  
Baba Awoye Issa ◽  
Dr. Alfred Bamiso Makanjuola ◽  
Prof. Peter Omoniyi Ajiboye ◽  
Dr. Olusola Abejide Adegunloye ◽  
Prof. Mosunmola Florence Tunde-Ayinmode ◽  
...  
Keyword(s):  
Substance Use ◽  
Self Report ◽  
Psychoactive Substance ◽  
Drug Test ◽  
Urine Drug ◽  
Psychoactive Substance Use ◽  
Urine Drug Test
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