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ETHYLGLUCURONIDE ALCOHOL SCREENING
What is Ethylglucuronide?
- Ethylglucuronide (EtG) is a breakdown product ("metabolite") of beverage alcohol consumption.
- When Alcohol is ingested, EtG is quickly created.
- EtG can be detected in urine up to 80 hours after consumption.
Why use Ethylglucuronide testing?
- All common alcohol tests other than EtG test for actual alcohol in the body.
- Alcohol is eliminated from the body at the average rate of one drink per hour, although this varies by weight and gender.
- Alcohol in the body reflects current use - the person has been drinking in the past few hours, dependent on quantity consumed.
- Only EtG goes back in time. So EtG testing can confirm sobriety or reveal secret drinking.
How is Ethylglucuronide detected?
- EtG is detected through urine testing.
- EtG testing can only be performed in a laboratory-can not be determined through a "rapid" or "dip" test.
- Laboratories use sophisticated instruments to detect EtG:
- Liquid Chromatography, Tandem Mass Spectrometry (LC/MS/MS) is the most sensitive test.
- Gas Chromatography/Mass Spectrometry (GC/MS) is less sensitive
- Immunoassay testing is the least sensitive method.
EtG Testing is a Highly Accurate Method for Monitoring Recovery
- Since an EtG negative is proof of abstinence for alcohol use, it is an effective method to verify on-going recovery.
Concerns Regarding Inadvertent Alcohol Exposure
- Positive EtG are always confirmed by reference labs; initial positive are subject to confirmatory re-testing, so a positive EtG will always reflect alcohol in the individual's body.
- All EtG's collected by ESM are tested at 2000ng, which is the highest level of detection to avoid any cause of a false positive.
EtG is the Best Available Method for Monitoring Alcohol Use
- EtG is Accurate- the absence of false positives makes it an extremely reliable method to monitor recovery.
- When EtG positives are disputed, alcohol use can be evaluated with alternative assessments and tests.
- Other technologies, such as Transdermal testing, have limited data regarding false positives or the impact of inadvertent exposure in vulnerable individuals: EtG testing can be used to confirm the results of technologies such as Transdermal testing.
EtG Detection Levels and Use in Prior 80 Hours
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Immunoassay Forensic
(Detects 60-90% of abuse episodes)
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GC/MS
(Detects 80% of abuse episodes)
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LC/MS/MS For-Cause
(MRO evaluation recommended)
Detects 98% of abuse episodes
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LC/MS/MS Impaired Professionals
(MRO evaluation strongly recommended)
Detects 100% of abuse episodes
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Contact Employee Screening Management at info@pre-screen.com or 1.888.371.4615 for additional information.
© 2008 Employee Screening Management Site Updates by Scribe Marketing, Inc.
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