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首页> 外文期刊>Journal of Analytical Toxicology >Case management in a DUI lab: effect on drugs reported.
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Case management in a DUI lab: effect on drugs reported.

机译:DUI实验室中的病例管理:对所报告药物的影响。

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摘要

An evaluation of an internal laboratory decision to implement a protocol for limiting drug testing based on ethanol concentration in laboratory analysis for driving under the influence (DUI) cases is presented. The described case management strategy is supported by known impairment of ethanol at relatively high concentrations, difficulty assigning a level of contributing impairment from drugs in the presence of high ethanol levels and the likelihood that the drug results may be suppressed at trial. Although the results of this study reinforce the assertion that such protocols lead to the under reporting of drugs in DUI cases, for the majority of cases, 95% in this study, the drug analysis results were not significant and did not warrant the time and resources needed for the additional blood drug testing. Furthermore, the study demonstrated that a high drug positivity rate does not necessarily mean that those drug results are legally or pharmacologically meaningful. Additional research should be conducted with quantitative drug results and casework impact of blood drug screen protocols as previous studies only report drug positivity rates and not whether the drug results would be meaningful to the case.
机译:提出了对内部实验室决策的评估,该决策将实施一种基于影响下驾驶的实验室分析中乙醇浓度的限制药物测试的方案(DUI)。所描述的病例管理策略由较高浓度的已知乙醇损害,在高乙醇水平存在下难以确定药物引起的损害水平以及在试验中可能抑制药物结果的支持。尽管这项研究的结果强化了这样的断言,即此类方案导致DUI病例中的药物报告不足,但在大多数情况下,本研究中95%的病例,药物分析结果并不重要,并且不保证时间和资源需要进行其他血液药物测试。此外,研究表明,较高的药物阳性率并不一定意味着这些药物的结果在法律上或药理上都是有意义的。应进行定量药物结果和血液药物筛选方案对个案工作的影响的其他研究,因为以前的研究仅报告药物阳性率,而不是药物结果是否对病例有意义。

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