Saliva as a diagnostic matrix for drug abuse

Int J Immunopathol Pharmacol. 2005 Jul-Sep;18(3):567-73. doi: 10.1177/039463200501800317.

Abstract

Scientific interest in saliva as a diagnostic matrix has greatly increased over the last decade. The Triage screening test (Biosite Diagnostics), a rapid immunological test used to detect recreational drugs in the urine, was used to compare two biological matrixes: a non-conventional one, saliva, and a traditional one, urine. Twenty-one drug abusers collected one urine and one saliva specimen, both of which were tested with the Triage kit. Data were validated by gas-chromatography-mass-spectrometry (GC-MS). Results were positive for methadone in 9 saliva and 14 urine specimens, for opiates in 2 and 10, respectively, and for barbiturates in 2 specimens. Saliva specimens were negative for cannabis, THC, benzodiazepines and tricyclic antidepressants, although the GC-MS analysis revealed low concentrations of these drugs in the saliva. The study demonstrates the possibility of using saliva as a diagnostic matrix to test for drug-taking; however, the Triage kit must be improved before being used with saliva.

Publication types

  • Comparative Study
  • Evaluation Study

MeSH terms

  • Adult
  • Antidepressive Agents, Tricyclic / analysis
  • Barbiturates / analysis
  • Evaluation Studies as Topic
  • Feasibility Studies
  • Female
  • Gas Chromatography-Mass Spectrometry
  • Humans
  • Illicit Drugs / analysis*
  • Immunoenzyme Techniques
  • Male
  • Methadone / analysis
  • Narcotics / analysis
  • Reproducibility of Results
  • Saliva / chemistry*
  • Substance Abuse Detection / instrumentation
  • Substance Abuse Detection / methods*
  • Substance-Related Disorders / diagnosis*
  • Urine / chemistry

Substances

  • Antidepressive Agents, Tricyclic
  • Barbiturates
  • Illicit Drugs
  • Narcotics
  • Methadone