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g testing: current recommendations and best practices – PubMed

. 2012 Jul;15(3 Suppl):ES119-33.

Affiliations


  • PMID:

    22786451

Free article

Urine drug testing: current recommendations and best practices

Graves T Owen et al.


Pain Physician.


2012 Jul.

Free article

Abstract


Background:

The precise role of urine drug testing (UDT) in the practice of pain medicine is currently being defined. Confusion exists as to best practices, and even to what constitutes standard of care. A member survey by our state pain society revealed variability in practice and a lack of consensus.


Objective:

The authors sought to further clarify the importance of routine UDT as an important part of an overall treatment plan that includes chronic opioid prescribing. Further, we wish to clarify best practices based on consensus and data where available.


Methods:

A 20-item membership survey was sent to Texas Pain Society members. A group of chronic pain experts from the Texas Pain Society undertook an effort to review the best practices in the literature. The rationale for current UDT practices is clarified, with risk management strategies outlined, and recommendations for UDT outlined in detail. A detailed insight into the limitations of point-of-care (enzyme-linked immunosorbent assay, test cups, test strips) versus the more sensitive and specific laboratory methods is provided.


Limitations:

Our membership survey was of a limited sample size in one geographic area in the United States and may not represent national patterns. Finally, there is limited data as to the efficacy of UDT practices in improving compliance and curtailing overall medication misuse.


Conclusions:

UDT must be done routinely as part of an overall best practice program in order to prescribe chronic opioid therapy. This program may include risk stratification; baseline and periodic UDT; behavioral monitoring; and prescription monitoring programs as the best available tools to monitor chronic opioid compliance.

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Urine drug testing: current recommendations and best practices

Urine drug testing: current recommendations and best practices

  • Author: pubmed.ncbi.nlm.nih.gov

  • Rating: 4⭐ (667964 rating)

  • Highest Rate: 5⭐

  • Lowest Rate: 2⭐

  • Sumary: UDT must be done routinely as part of an overall best practice program in order to prescribe chronic opioid therapy. This program may include risk stratification; baseline and periodic UDT; behavioral monitoring; and prescription monitoring programs as the best available tools to monitor chronic opi …

  • Matching Result: by GT Owen · 2012 · Cited by 145 — UDT must be done routinely as part of an overall best practice program in order to prescribe chronic opioid therapy. This program may include risk …

  • Intro: Urine drug testing: current recommendations and best practices – PubMed . 2012 Jul;15(3 Suppl):ES119-33. Affiliations PMID: 22786451 Free article Urine drug testing: current recommendations and best practices Graves T Owen et al. Pain Physician. 2012 Jul. Free article Abstract Background: The precise role of urine drug testing (UDT) in the practice…
  • Source: https://pubmed.ncbi.nlm.nih.gov/22786451/

Urine drug testing: current recommendations and best practices.

Urine drug testing: current recommendations and best practices.

  • Author: step2.medbullets.com

  • Rating: 4⭐ (667964 rating)

  • Highest Rate: 5⭐

  • Lowest Rate: 2⭐

  • Sumary: BACKGROUND: The precise role of urine drug testing (UDT) in the practice of pain medicine is currently being defined. Confusion exists as to best practices, and even to what constitutes standard of care. A member survey by our state pain society revealed…

  • Matching Result: BACKGROUND: The precise role of urine drug testing (UDT) in the practice of pain medicine is currently being defined. Confusion exists as to best practices, …

  • Intro: Urine drug testing: current recommendations and best practices. – Post BACKGROUND: The precise role of urine drug testing (UDT) in the practice of pain medicine is currently being defined. Confusion exists as to best practices, and even to what constitutes standard of care. A member survey by our state pain…
  • Source: https://step2.medbullets.com/evidence/22786451

Urine Drug Testing | AACC.org

Urine Drug Testing | AACC.org

  • Author: aacc.org

  • Rating: 4⭐ (667964 rating)

  • Highest Rate: 5⭐

  • Lowest Rate: 2⭐

  • Sumary: As laboratories adjust their testing methodologies to address clinical needs during the opioid crisis, defining more specific guidelines on the critical components of a definitive testing panel will be helpful.

  • Matching Result: by AK Petrides · Cited by 1 — National guidelines recommend UDT not only to assess compliance but also to detect undisclosed substances and diversion (7-9). Consequently …

  • Intro: Urine Drug Testing | AACC.org Author: Athena K. Petrides, PhD, and Stacy E.F. Melanson, MD, PhD  // Date: JAN.1.2019  // Source: Clinical Laboratory News Drug overdose deaths increased dramatically from 1980 to 2016, surpassing deaths from guns, HIV, and car crashes (1). At least half of the deaths involved a…
  • Source: https://www.aacc.org/cln/articles/2019/janfeb/urine-drug-testing-debates-over-best-practices-to-assess-compliance-and-manage-the-opioid-crisis

5 Best Practices for Workplace Drug Testing - Accurate

5 Best Practices for Workplace Drug Testing – Accurate

  • Author: accurate.com

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  • Sumary: Learn about top five best practices of drug testing for employers to ensure a drug free workplace at Accurate.

  • Matching Result: The gold standard for drug testing is the 5-panel urine drug test that screens for amphetamines, cocaine, marijuana, opiates, and phencyclidine (PCP). However, …

  • Intro: 5 Best Practices for Workplace Drug Testing The statistics surrounding workplace drug and alcohol use are alarming. Consider the following: According to the National Council on Alcoholism and Drug Dependence, 70% of the estimated 14.8 million Americans who use illegal drugs are employed. According to Quest Diagnostics, the positivity rate…
  • Source: https://www.accurate.com/blog/5-drug-testing-best-practices/

Urine Drug Testing Best Practices - Brennan Manna Diamond

Urine Drug Testing Best Practices – Brennan Manna Diamond

  • Author: bmdllc.com

  • Rating: 4⭐ (667964 rating)

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  • Sumary: The purpose of this suggested compliance plan is to provide guidance and best practices for prescribers of opiates and benzodiazepines. Compliance with OARRS is required. In addition, urine drug testing (UDT) among pain management physicians, OBGYNs, psychiatrists, and orthopedics…

  • Matching Result: Prior to adjusting a patient’s dosage or medication, it is recommended to test the patient to ensure compliance with the first line of treatment …

  • Intro: Urine Drug Testing Best Practices Suggest Compliance Plan for Prescribing Professionals I.  Purpose and Introduction The purpose of this suggested compliance plan is to provide guidance and best practices for prescribers of opiates and benzodiazepines. Compliance with OARRS is required. In addition, urine drug testing (UDT) among pain management physicians,…
  • Source: https://www.bmdllc.com/resources/blog/urine-drug-testing-best-practices/

Best Practices for a Workplace Drug Testing Program

Best Practices for a Workplace Drug Testing Program

  • Author: employerschoicescreening.com

  • Rating: 4⭐ (667964 rating)

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  • Sumary: Best Practices for a Workplace Drug Testing Program. Over the past two decades, workplace drug testing has become an important safety concern to employers. In a recent survey performed by the American Management Association, 80% of companies reported they test for substance abuse by employees and…

  • Matching Result: Both urine workplace drug testing and instant testing methodologies are considered to be best practices for a random drug test as they will both successfully …

  • Intro: Best Practices for a Workplace Drug Testing Program – Employers Choice Screening Over the past two decades, workplace drug testing has become an important safety concern to employers. In a recent survey performed by the American Management Association, 80% of companies reported they test for substance abuse by employees and applicants. It…
  • Source: https://employerschoicescreening.com/news/articles/drug-testing-best-practice/

Frequently Asked Questions About urine drug testing: current recommendations and best practices

If you have questions that need to be answered about the topic urine drug testing: current recommendations and best practices, then this section may help you solve it.

What is the most effective way to test for drugs?

Hair testing has the longest detection window, nearly 90 days, and is the least invasive method of all, but it also has the highest cost. Blood testing is expensive and invasive, but is the most reliable for determining if the person is under the influence of drugs or alcohol right now.

What time of day is ideal for a urine sample drug test?

Wash your hands before collecting the urine; if the container has a lid, remove the lid; and place the container with the inner surface up on the ground. The first urine of the day is best because the level of bacteria and chemicals in your urine will be higher.

How long does it take to clear a urine drug test?

Benzodiazepines and MDMA typically cause a urine test to be flagged for up to 4 days after last dose. Marijuana stays in the system for a bit longer, with amounts being detectable for between 1 and 7 days after last use. Stimulants such as cocaine, meth, and ADHD medications are detectable for approximately 2 or 3 days.

What actions should be avoided prior to a urine test?

– For 24 hours prior to collection and up until collection time, refrain from consuming alcohol, caffeine, tobacco, and engaging in strenuous activity. – For 48 hours prior to the test, refrain from consuming avocados, bananas, eggplant, pineapple, plums, tomatoes, or walnuts.

What is the urine test industry benchmark?

The most sophisticated drug-testing approach is gas chromatography coupled with mass spectrometry (GC/MS), which is regarded as a “gold standard”; it is used in confirmatory testing.

What is the best practice when testing for drugs?

The gold standard for the quantitative, focused analysis of illegal and prescription drugs in urine and blood is now LC-MS/MS.

How much water should I consume before a urine test?

If you see results that indicate you are approaching a dilute sample, try to stop drinking any fluids 2-4 hours prior to providing the sample. The only factor that affects a dilute sample is the amount of fluid taken in within a short period of time prior to providing the urine sample.

Why is testing urine in the morning preferable?

If you’re still very early in your pregnancy and hCG levels are just starting to rise, it may be wise not to test at night. Keep in mind that morning tends to be the best time to take home pregnancy tests because hCG levels in urine are concentrated after a night without much drinking and peeing.

What beverage is ideal for cleansing your system?

Water flushes toxins through your system via your bloodstream, ensuring that they are eliminated from your body, making it one of the best and quickest ways to do so.

How can a first urine test be passed?

You must wait 1 to 2 hours after your last urination before collecting your sample. You must catch the first 10 to 20 milliliters of your urine flow. Exceeding the recommended volume of urine to be collected may decrease the test’s sensitivity. This test requires a “first pass” or “first catch” urine sample.

If you don’t wipe before a urine test, what happens?

The urine sample may be “contaminated” by bacteria that come from the skin or genital region rather than the urinary tract if it is not collected in a sterile manner. This is frequently referred to by the clinical laboratory as “mixed growth bacteria.”

Are wipes recommended before a urine test?

You may be provided with a special clean-catch kit that contains sterile wipes, and you should wash your hands with soap and warm water. Girls and women should wash the area between the vaginal lips (labia).

For a 24-hour urine test, should the first urine be discarded?

All urine after the first flushed specimen must be saved, stored, and kept cold. Don’t save the urine from your first time urinating; flush this first specimen, but note the time; this is the start time of the 24-hour collection.

Why is the first urine of the day discarded?

Empty your bladder completely into the toilet first thing in the morning, as this is urine that was produced and stored in the bladder before your start time and should not be collected.

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