Toward a National System of Expanded Testing of Existing Urine Specimens: The Drug Outbreak Testing Service (DOTS)

NIDA's National Drug Early Warning System (NDEWS) was established in 2014 with the mission of identifying and monitoring emerging drugs in the United States. Identification of emerging drugs has been complicated, however, by the rapid development of novel psychoactive substances such that users...

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Bibliographic Details
Published in:Substance use & misuse 2021-09, Vol.56 (11), p.1576-1585
Main Authors: Wish, Eric D., Billing, Amy S., Heine, Kimberley, Al-Nassir, Marwa F., Massey, Ebonie C., Hsu, Margaret, Artigiani, E. Erin
Format: Article
Language:English
Subjects:
Criminal justice
Diagnostic tests
Drug abuse
Drug surveillance
drug testing
Drugs
emerging drugs
Epidemiology
Examiners
Feasibility
Geography
Hair
Hospitals
Medicine
Multiple drugs
polydrug use
Recruitment
toxicology
Treatment programs
urinalysis
Urine
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Summary:NIDA's National Drug Early Warning System (NDEWS) was established in 2014 with the mission of identifying and monitoring emerging drugs in the United States. Identification of emerging drugs has been complicated, however, by the rapid development of novel psychoactive substances such that users often cannot identify and report the drugs they have ingested. Biologic testing of urine, hair or blood is the only way to reliably identify the substances recently used. Unfortunately, the large number of up-to-date tests required is beyond the resources available to most organizations. The DOTS study tested the feasibility of recruiting organizations to submit up to 25 de-identified urine specimens for testing for approximately 240 drugs, at no cost to them. The results were for epidemiologic purposes only and not for clinical use. Eleven sites who had questions about their patients or the results of their organization's more limited urinalysis screens participated. These sites included drug treatment programs, medical examiners, hospitals and a criminal justice testing program. Extensive polydrug use and geographic differences in the drugs detected were found. All sites found the DOTS collaborating laboratory's test results to be very useful for understanding the types of drugs being used recently and to assess the adequacy of their testing protocols. The U.S. should consider establishing a program of expanded testing of already collected de-identified urine specimens in order to identify emerging drugs and track local patterns of use and availability.
ISSN:1082-6084
1532-2491
DOI:10.1080/10826084.2021.1928213