CONCORDANCE OF TWO IMMUNOLOGICAL METHODS TO DETERMINE URINARY BENZODIAZEPINE METABOLITES
DOI:
https://doi.org/10.31052/1853.1180.v23.n3.21974Keywords:
benzodiazepine metabolites, concordance, immunological testsAbstract
Due to the great number of commercial tests available in the market to determine urinary benzodiazepine metabolites, we decided to assess the concordance between two immunological tests available in the Toxicology lab in our hospital. Urine samples received in our lab were analyzed by both methods at the same time. Statistics tests of Kappa and Chi-Square are used for evaluation. The usefulness of these tests in cases of the diagnostic suspicion of benzodiazepine consumption in certain pathologies deserves the availability of these immunological tests since they can provide results in a short time which will let the medical professional make timely decisions regarding the problem presented by the patient. In this work we have been able to verify that both methods show good concordance (Kappa Test = 0.88) so, both can be indistinctly used for the cases presented by the Toxicology lab.
Downloads
References
1. Rang, H. P., y otros. Rang and Dale - Farmacología. s.l. : Elsevier, 2016. pág. 539.
2. Brunton, L., Chabner, B. y Knollman, B. Goodman and Gilman - Las bases farmaacológicas de la terapéutoca. s.l. : McGraw Hill, 2011. pág. 458.
3. Rang, H. P., y otros. Rang and Dale - Farmacología. s.l. : Elsevier, 2016. pág. 541.
4. Brunton, L., Chabner, B. y Knollman, B. Goodman and Gilman - Las bases farmacológicas de la terapéutica. s.l. : McGraw Hill, 2011. pág. 463.
5. Analytical methodologies for the determination of benzodiazepines in biological samples. Persona, K., y otros. 2015, Journal of Pharmaceutical and Biomedical Analysis, Vol. 113, pág. 245.
6. Evaluation of four immunoassay screening kits for the detection of benzodiazepines in urine. DeRienz, R., y otros. 2008, Journal of Analytical Toxicology, Vol. 32, pág. 433.
7. Rang, H. P., y otros. Rang and Dale - Farmacología. s.l. : Elsevier, 2016. pág. 542.
8. Toxicodynetics in nordiazepam and oxazepam overdoses. Sacre, L., y otros. 3, 2017, Annales Pharmaceutiques Fracaisses, Vol. 75, págs. 163-171.
9. Analytical methodologies for the determination of benzodiazepines in biological samples. Persona, K., y otros. 2015, Journal of Pharmaceutical and Biomedical Analysis, Vol. 113, pág. 244.
10. Rang, H. P., y otros. Rang and Dale - Farmacología. s.l. : Elsevier, 2016. pág. 542.
11. Analytical methodologies for the determination of benzodiazepines in biological samples. Persona, K., y otros. 2015, Journal of Pharmaceutical and Biomedical Analysis, Vol. 113, pág. 252.
12. Urine Benzodiazepine Screening using Roche Online| KIMS Immunoassay Spectrometry. Klette, K. L., y otros. 2005, Vol. 29, págs. 193-200.
13. Evaluation of Four Immunoassay Screening Kits for the Detection of Benzodiazepines in Urine. DeRienz, R. T., y otros. [ed.] 32. 2008, Jouernal of Analytical Toxicology, pág. 433.
14. Monitoring opioid and benzodiazepine use and abuse: Is oral fluid or urine the preferred specimen type? Petrides, A. K., y otros. 2018, Clinica Chimica Acta, Vol. 481, págs. 75-82.
15. Fatal poisoning of childhood in the Eastern Black Sea refion of Turkey (2009-2013). Karadeniz, H., y otros. 2015, Journal of Forensic and Legal Medicine, Vol. 34, págs. 109-112.
16. Mintegui, S. Manual de intoxicaciones en pediatría. Madrid : Ergon, 2003. págs. 145-149.
17. Perfil epidemiológico de las intoxicaciones por benzodiazepinas recibidas en el CIAT. Domínguez Trobo, V., y otros. 1, 2015, Revista Médica Uruguaya, Vol. 31, pág. 35.
18. Two decades of adolescent suicides assessed at Milan University's medicolegal unit: Epidemiology, forensic pathology and psychopathology. Clerici, C. A., y otros. 2016, Journal of Forensic and Legal Medicine, Vol. 37, págs. 15-21.
19. ABC of adolescence Suicide and deliberate self harmn in young people. Hawton, K. y James, A. 2005, British Medical Journal, Vol. 330, págs. 891-894.
20. Toxicology findings in suicides: Concentrations of ethanol and other drugs in femoral blood in victims of hanging and poisoning in relation to age and gender of the deceased. Jones, A. W., Holmgren, A. y Ahlner, J. 2013, Journal of Forensic and Legal Medicine, Vol. 20, págs. 824-847.
21. Clinical and epidemiological characteristics of patients with acute drug intoxication admitted to ICU. Orsini, J., y otros. 4, 2017, Journal of Community Hospital Internal Medicine Perspectives, Vol. 7, págs. 202-207.
22. Perfil epidemiológico de las intoxicaciones por benzodiazepinas recibidas en el CIAT. Domínguez Trobo, V., y otros. 1, 2015, Revista Médica Uruguaya, Vol. 31, pág. 33.
23. Ataxia de aparición aguda en la infancia: etiología, tratamiento y seguimiento. Martínez-González, M. J., y otros. 6, 2006, Revista de Neurología, Vol. 42, págs. 321-324.
24. Evaluation of Roche Diagnostics ONLINE| DAT ||, a New Generation of Assays for the Detection of Drugs of Abuse. Feldman, M., Kuntz, D. y Botelho, K. 2004, Vol. 28, págs. 593-598.
Downloads
Published
Issue
Section
License
Copyright (c) 2019 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License which allows the work to be copied, distributed, exhibited and interpreted as long as it is not done for commercial purposes.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after the publication process. (See The Effect of Open Access). (See The Effect of Open Access).