7
Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Embed Size (px)

Citation preview

Page 1: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Toxicology Laboratory

Updates

DRE In-Service, March 2010

Dr. Fiona Couper, State Toxicologist

Brian Capron, Supervisor/Forensic Toxicologist

Page 2: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

General stats

Year 2008 2009Total # of DRE Cases

1327 1390

WSP 601 594

Allied 591 571

DRE Certifications 135 225

% Males 70 % 70 %

Page 3: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

# Drugs found per DRE case

Year 2008 2009

No drugs detected

93 (8 %) 87 (7 %)

1 drug 442 (37 %) 470 (40 %)

2 drugs 249 (21 %) 256 (22 %)

3 drugs 200 (17 %) 180 (15 %)

4 drugs 117 (10 %) 100 (9 %)

5 drugs 51 (4 %) 47 (4 %)

6 drugs 30 (2.5 %) 20 (2 %)

7 drugs 6 (<1 %) 5 (<1 %)

8 drugs 4 (<1 %) 0

Page 4: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Most frequent drugs – top 10Freq

2009 # cases 2008 # cases

1 THC 331 (28%)

THC 339 (28%)

2 Methamphet.

173 (15%)

Methamphet. 168 (14%)

3 Alprazolam 144 (12%)

Alprazolam 139 (12%)

4 Methadone 115 Oxycodone 131

5 Oxycodone 101 Methadone 122

6 Clonazepam 92 Diazepam 105

7 Diazepam 84 Clonazepam 90

8 Citalopram 78 Hydrocodone 89

9 Zolpidem 73 Morphine 83

10 Lorazepam 72 Carisoprodol 82Note: Ethanol detected in 82 cases in 2009; 80 cases in 2008)

Page 5: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Most frequent drugs – top 20

Freq

2009 # cases

2008 # cases

11 Morphine 57 Zolpidem 78

12 Carisoprodol

49 Citalopram 72

13 Temazepam 48 Cocaine 69

14 Hydrocodone

43 Lorazepam 64

15 Trazodone 40 Diphenhyd. 44

16 Oxazepam 39 Trazodone 36

17 Fluoxetine 32 Temazepam 34

18 Quetiapine 30 Fluoxetine 26

19 Diphenhyd. 29 Quetiapine 24

20 Cocaine 23 Oxazepam 22

Page 6: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Odds and Ends

Drugs we do not routinely look for: Aripiprazole, GHB, Risperidone, Ziprasidone,

LSD, Buprenorphine, Mushrooms

Don’t routinely report out: Caffeine, EME, EDDP, nicotine

Accreditation concerns We now have to confirm all drugs (i.e. 2nd test) We now have strict Limits of Quantitation

(LOQ’s)

Page 7: Toxicology Laboratory Updates DRE In-Service, March 2010 Dr. Fiona Couper, State Toxicologist Brian Capron, Supervisor/Forensic Toxicologist

Paperwork & Tox Reports

Paperwork Please send in Face Sheets and include any/all

drugs Enter correct agency contact information

Proposed changes to Tox Reports New LIMS system Will list all analyst(s) who did testing Will provide information on which drugs/classes

we actually tested for, even if it’s negative