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Clinical Chemistry 43: 2099-2105, 1997;
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(Clinical Chemistry. 1997;43:2099-2105.)
© 1997 American Association for Clinical Chemistry, Inc.


Articles

Clinical evaluation of Toxi · PrepTM: a semiautomated solid-phase extraction system for screening of drugs in urine

David M. Steinberg1, Lori J. Sokoll1, Kathy C. Bowles1, James H. Nichols1,a, Roger Roberts2, Stephen K. Schultheis2 and C. Michael O'Donnell2

1 Johns Hopkins Medical Institutions, 600 N. Wolfe St., Baltimore, MD 21287-7065.

2 Ansys, Inc., Irvine, CA 92718.
a Author for correspondence. Fax 410-955-0767; jnichols{at}pathlan.path.jhu.edu

A prototype Toxi · Prep (TP) system that utilizes solid-phase extraction (SPE) has been developed as a method for broad-spectrum drug screening and identification of tetrahydrocannabinol (THC) metabolites in urine. TP can simultaneously extract up to seven specimens while automating the process of sample extraction, washing, and elution onto a chromatogram. TP was compared with the Toxi · Lab A (TL-A) system for extraction of basic drugs only. In a blind study, 33 distinct drugs and metabolites were detected in 55 urines over 13 runs. Of the drug occurrences, 68.8% (141 of 205) were detected on both TP and TL-A. Of the 13 runs, quinidine and quinine, nortriptyline metabolites, and diphenhydramine were noted more frequently on TP than TL-A, whereas nicotine and metabolites, morphine, and methadone metabolites were more frequently noted on TL-A. Twenty specimens were analyzed for THC metabolites. Of the cases positive for THC metabolites, 100% (16 of 16) were positive by both methods. Time and motion studies for all runs proved an overall labor reduction for extraction and spotting by ~40%.







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Copyright © 1997 by the American Association for Clinical Chemistry.