TY - JOUR PY - 2010// TI - Abstinence monitoring of suspected drinking drivers: ethyl glucuronide in hair versus CDT JO - Traffic injury prevention A1 - Liniger, Bruno A1 - Nguyen, Ariane A1 - Friedrich-Koch, Andrea A1 - Yegles, Michel SP - 123 EP - 126 VL - 11 IS - 2 N2 - OBJECTIVE: Ethyl glucuronide (EtG) determinations in the hair of self-reported teetotalers were reviewed and compared with carbohydrate-deficient transferrin (CDT) blood tests (by immunochemistry and high-performance liquid chromatography [HPLC]). METHODS: A retrospective study was carried out on 154 people whose fitness to drive had to be assessed because of the suspicion of relevant alcohol problems. RESULTS: EtG was detected in 55 percent of the hair samples and abstinence thus disproved. In two thirds (67%) of these cases, alcohol consumption was even shown to be excessive (EtG values > 30 pg/mg). Of the EtG-positive subjects 54 and 82 percent had CDT values within the reference range by immunochemistry and HPLC, respectively. Thirty-nine percent of the EtG-negative subjects had increased immunochemical CDT values; in contrast, 96 percent had HPLC CDT values within the normal range. CONCLUSIONS: EtG analysis in hair is a useful tool for assessing fitness to drive in suspected drinking drivers; compared to CDT values it provides a direct and unequivocal marker for reliable abstinence monitoring over a period of several months, depending on the length of the hair.
Language: en
LA - en SN - 1538-9588 UR - http://dx.doi.org/10.1080/15389580903518280 ID - ref1 ER -