Interpretation Of Doa Results: Saliva Drug Test

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 Wear protective clothing such as laboratory coats, disposable gloves and eye protection when
NOTE:
1. The intensity of color in the test region (T) may vary depending on the concentration of analytes
specimens are assayed.
Saliva Drug Test
present in the specimen. Therefore, any shade of color in the test region (T) should be considered
STORAGE AND STABILITY
negative. Please note that this is a qualitative test only, and cannot determine the concentration of
The kit should be stored at 2-30°C until the expiry date printed on the sealed pouch.
INTENDED USE
analytes in the specimen.
The test must remain in the sealed pouch until use.
2. Insufficient specimen volume, incorrect operating procedure or expired tests are the most likely
The Oral Express Saliva Drug Test is a rapid visual immunoassay for the qualitative detection of drugs
Do not freeze.
reasons for control band failure.
of abuse in human oral fluid specimens. The test system consists of up to 16 membrane strips mounted
Kits should be kept out of direct sunlight.
QUALITY CONTROL
in a plastic device. This test detects combinations of the following drugs at the concentrations listed
Care should be taken to protect the components of the kit from contamination. Do not use if
below. Specific combinations will vary according to the test in question:
Internal procedural controls are included in the test. A colored band appearing in the control region (C)
there is evidence of microbial contamination or precipitation. Biological contamination of
Test
Calibrator
Cut-off (ng/ml)
is considered an internal positive procedural control, confirming sufficient specimen volume and correct
dispensing equipment, containers or reagents can lead to false results.
Amphetamine (AMP)
D-Amphetamine
50
procedural technique.
SPECIMEN COLLECTION AND STORAGE
Barbiturate(BAR)
Barbiturate
50
External controls are not supplied with this kit. It is recommended that positive and negative controls be
Benzodiazepine (BZO)
Oxazepam
10
The Oral Express Saliva Drug Test is intended for use with human oral fluid specimens only.
tested as a good laboratory practice to confirm the test procedure and to verify proper test performance.
Oral fluid specimens must be collected according to the directions in the Procedure section of this
Buprenorphine(BUP)
Buprenorphine
5
LIMITATIONS OF THE TEST
Cocaine (COC)
Cocaine
20
package insert.
1.
The Oral Express Saliva Drug Test is for professional in vitro diagnostic use, and should be only
Cotinine(COT)
Cotinine
50
Perform testing immediately after specimen collection.
used for the qualitative detection of drugs of abuse in oral fluid.
EDDP(EDDP)
2-Ethyliden-1,5-Dimethyl-3,3-Diphenylpyrrolidine
20
If specimens are to be shipped, pack them in compliance with all applicable regulations for
2.
This assay provides a preliminary analytical test result only. A more specific alternative chemical
Ketamine(KET)
Ketamine
50
transportation of etiological agents.
method must be used in order to obtain a confirmed analytical result. Gas chromatography/mass
Methadone (MTD)
Methadone
30
PROCEDURE
spectrometry (GC/MS) has been established as the preferred confirmatory method by the National
Methamphetamine (MET)
D-Methamphetamine
50
Bring tests, specimens, and/or controls to room temperature (15-30°C) before use. Donors should
Institute on Drug Abuse (NIDA). Clinical consideration and professional judgment should be
Ecstasy(MDMA)
3,4-Methylenedioxymethamphetamine
50
avoid placing anything (including food, drink, gum and tobacco products) in their mouth for at
applied to any test result, particularly when preliminary positive results are indicated.
6-MAM
6-Monoacetylmorphine
25
least 10 minutes prior to specimen collection.
3.
There is a possibility that technical or procedural errors as well as other substances and factors may
Opiates (OPI)
Morphine
40
The oral fluid specimen should be collected using the collector provided with the kit. No other
interfere with the test and cause false results.
Opiates (OPI)
Morphine
25
collection devices should be used with this assay.
4.
A positive result indicates the presence of a drug/metabolite only, and does not indicate or measure
Oxycodone(OXY)
Oxycodone
40
Instruct the donor to not place anything in the mouth including food, drink, gum, or tobacco
intoxication.
Phencyclidine (PCP)
Phencyclidine
10
products for at least 10 minutes prior to collection.
5.
A negative result does not at any time rule out the presence of drugs/metabolites in saliva, as they
Propoxyphene(PPX)
Propoxyphene
50
Bring tests, specimens, and/or controls to room temperature (15-30°C) before use.
9
may be present below the minimum detection level of the test.
Marijuana (THC)
11-nor-Δ
-THC-9-COOH
12
Using the provided collection swab, have donor sweep inside of mouth (cheek, gums, and tongue)
Δ
9
6.
This test does not distinguish between drugs of abuse and certain medications.
Marijuana (THC)
-THC
50
several times, and then hold swab in mouth until color on the saturation indicator strip appears in the
PERFORMANCE CHARACTERISTICS
PRINCIPLE
indicator window of collection swab. Important: Do not bite, suck, or chew on the sponge.
A. Sensitivity
NOTE: If after 7 minutes, color on the saturation indicator has not appeared in the indicator
The Oral Express Saliva Drug Test is an immunoassay based on the principle of competitive binding.
A phosphate-buffered saline (PBS) pool was spiked with drugs to target concentrations of  50% cut-off
Drugs that may be present in the oral fluid specimen compete against their respective drug conjugate for
window, proceed with the test below.
and  25% cut-off and tested with The Oral Express Saliva Drug Test. The results are summarized
binding sites on their specific antibody.
Remove collection swab from mouth and insert it sponge first into the screening device, screw until
below.
the locking flange locks in place in the bottom of the device.
During testing, a portion of the oral fluid specimen migrates upward by capillary action. A drug, if
present in the oral fluid specimen below its cut-off concentration, will not saturate the binding sites of its
Test device upright on flat surface and keep upright while test is running. Wait for the colored bands
Drug Conc.
AMP
BUP
BZO
COC
n
(Cut-off range)
specific antibody. The antibody will then react with the drug-protein conjugate and a visible colored line
to appear in test results area. Read results at 10 minutes.
-
+
-
+
-
+
-
+
will show up in the test line region of the specific drug strip. The presence of drug above the cut-off
NOTE: Once the collection swab locks in place, the device is airtight, tamper evident, and ready to
0% Cut-off
30
30
0
30
0
30
0
30
0
concentration in the oral fluid specimen will saturate all the binding sites of the antibody. Therefore, the
be disposed or sent to lab for confirmation (on presumptive positive result).
-50% Cut-off
30
30
0
30
0
30
0
30
0
colored line will not form in the test line region.
-25% Cut-off
30
30
0
28
2
30
0
29
1
A drug-positive oral fluid specimen will not generate a colored line in the specific test line region of the
Cut-off
30
12
18
11
19
14
16
12
18
strip because of drug competition, while a drug-negative oral fluid specimen will generate a line in the
+25% Cut-off
30
2
28
8
22
4
26
2
28
test line region because of the absence of drug competition. To serve as a procedural control, a colored
+50% Cut-off
30
0
30
0
30
0
30
0
30
line will always appear at the control line region, indicating that proper volume of specimen has been
added and membrane wicking has occurred.
Drug Conc.
COT
EDDP
KET
MET
n
MATERIALS
(Cut-off range)
-
+
-
+
-
+
-
+
0% Cut-off
30
30
0
30
0
30
0
30
0
Materials Provided
-50% Cut-off
30
30
0
30
0
30
0
30
0
-25% Cut-off
30
30
0
30
0
27
3
30
0
Individually packed screening devices
Cut-off
30
11
19
13
17
9
21
13
17
Oral fluid collection swabs
+25% Cut-off
30
1
29
2
28
3
27
3
27
Package insert
+50% Cut-off
30
0
30
0
30
0
30
0
30
Drug Conc.
MOR
MTD
OXY
PCP
n
(Cut-off range)
-
+
-
+
-
+
-
+
0% Cut-off
30
30
0
30
0
30
0
30
0
INTERPRETATION OF RESULTS
-50% Cut-off
30
30
0
30
0
30
0
30
0
 INTERPRETATION OF DOA RESULTS:
-25% Cut-off
30
28
2
30
0
28
2
28
2
Cut-off
30
10
20
10
20
10
20
11
19
+25% Cut-off
30
9
21
2
28
4
26
5
25
Materials Required but Not provided
+50% Cut-off
30
0
30
0
30
0
30
0
30
Timer
Positive and negative controls
Drug Conc.
THC
THC parent
BAR
PPX
PRECAUTIONS
n
(Cut-off range)
-
+
-
+
-
+
-
+
 For professional in vitro diagnostic use only.
0% Cut-off
30
30
0
30
0
30
0
30
0
 Do not use after the expiration date indicated on the package. Do not use the test if the foil pouch is
-50% Cut-off
30
30
0
30
0
30
0
30
0
damaged. Do not reuse tests.
-25% Cut-off
30
30
0
30
0
27
3
30
0
 This kit contains products of animal origin. Certified knowledge of the origin and/or sanitary state of
Cut-off
30
10
20
10
20
9
21
10
20
(See previous illustration)
the animals does not completely guarantee the absence of transmissible pathogenic agents. It is
+25% Cut-off
30
5
25
4
26
3
27
4
26
POSITIVE: Only one colored band appears, in the control region (C). No colored band appears in the
therefore, recommended that these products be treated as potentially infectious, and handled by
+50% Cut-off
30
0
30
0
30
0
30
0
30
test region (T) for the drug in question. A positive result indicates that the drug concentration exceeds
observing usual safety precautions (e.g., do not ingest or inhale).
the detectable level.
 Read the entire procedure carefully prior to testing.
Drug Conc.
MDMA
6-MAM
MOR25
n
 Do not eat, drink or smoke in the area where specimens and kits are handled. Handle all specimens
(Cut-off range)
-
+
-
+
-
+
NEGATIVE: Two colored bands appear on the membrane. One band appears in the control region (C)
as if they contain infectious agents. Observe established precautions against microbiological hazards
0% Cut-off
30
30
0
30
0
30
0
and another band appears in the test region (T) for the drug in question. A negative result indicates that
throughout the procedure and follow standard procedures for the proper disposal of specimens. Wear
the drug concentration is below the detectable level.
-50% Cut-off
30
30
0
30
0
30
0
protective clothing such as laboratory coats, disposable gloves and eye protection when specimens
-25% Cut-off
30
25
5
30
0
26
4
INVALID: Control band fails to appear. Results from any test which has not produced a control band at
are assayed.
Cut-off
30
14
16
15
15
13
17
 Humidity and temperature can adversely affect results.
the specified read time must be discarded. Please review the procedure and repeat with a new test. If the
+25% Cut-off
30
4
26
2
28
9
21
 Used testing materials should be discarded in accordance with local regulations.
problem persists, discontinue using the kit immediately and contact your local distributor.
+50% Cut-off
30
0
30
0
30
0
30
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