Original contributionImpact of drug screening in suspected overdose
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2019, Clinical Pediatric Emergency MedicineCitation Excerpt :The standard urine drug screen used by most US hospitals will not detect synthetic cannabinoids, synthetic cathinones and other synthetic amphetamines, fentanyl and fentanyl analogs, and most synthetic opioids. A number of studies have shown that drug screening rarely results in any change of management in both adult and pediatric patients being evaluated for drug ingestions.33-36 In addition, urine drug screens can produce false positive results.
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2017, Physician Assistant ClinicsCitation Excerpt :Interpretation of routine UDS results is plagued by many confounders, including delayed drug metabolism, false-positive results caused by cross reactivity, false-negative results, and the possibility that not all drugs within a class will be detected.5 Many investigators have shown that UDS test results rarely affect management decisions.5,8,23 The osmolar gap may be increased in the presence of low-molecular-weight substances, such as ethanol, other alcohols, and glycols, any of which can contribute to the measured, but not the calculated, osmolality.24
Utilization management in toxicology
2014, Clinica Chimica Acta
Presented at the Southern Section, American Federation for Clinical Research, New Orleans, Louisiana, February 1986.
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Dr Kellermann was a fellow in the University of Washington Robert Wood Johnson Clinical Scholars Program at the time this work was completed. The views expressed are those of the authors and do not necessarily reflect those of the Robert Wood Johnson Foundation.