Wiergowski Marek, Reguła Krystyna, Pieśniak Dorota, Galer-Tatarowicz Katarzyna, Szpiech Beata, Jankowski Zbigniew
Z Katedry i Zakładu Medycyny Sadowej Akademii Medycznej w Gdańsku.
Arch Med Sadowej Kryminol. 2007 Apr-Jun;57(2):223-30.
The present paper emphasizes the most common mistakes committed at the beginning of an analytical procedure. To shorten the time and decrease the cost of determinations of substances with similar to alcohol activity, it is postulated to introduce mass-scale screening analysis of saliva collected from a living subject at the site of the event, with all positive results confirmed in blood or urine samples. If no saliva sample is collected for toxicology, a urine sample, allowing for a stat fast screening analysis, and a blood sample, to confirm the result, should be ensured. Inappropriate storage of a blood sample in the tube without a preservative can cause sample spilling and its irretrievable loss. The authors propose updating the "Blood/urine sampling protocol", with the updated version to be introduced into practice following consultations and revisions.
本文着重介绍了分析程序开始时最常见的错误。为缩短时间并降低测定具有类似酒精活性物质的成本,建议在事件现场对活体受试者采集的唾液进行大规模筛查分析,所有阳性结果均需在血液或尿液样本中得到确认。如果未采集唾液样本进行毒理学检测,则应确保采集一份可进行快速即时筛查分析的尿液样本和一份用于确认结果的血液样本。将血液样本保存在没有防腐剂的试管中会导致样本溢出且无法挽回地丢失。作者建议更新“血液/尿液采样方案”,更新后的版本将在咨询和修订后付诸实践。