PMID- 12609014 OWN - NLM STAT- MEDLINE DCOM- 20030904 LR - 20190819 IS - 0042-9007 (Print) IS - 0042-9007 (Linking) VI - 84 IP - 2 DP - 2003 Feb TI - Prevalence of illicit drug use in plasmapheresis donors. PG - 91-5 AB - BACKGROUND AND OBJECTIVES: No data are presently available concerning the frequency of illicit drug use in plasmapheresis donors. We therefore examined source plasma units produced in the United States (US) and in Germany for evidence of illicit drug use among donors. MATERIALS AND METHODS: Seventy-five US plasma units from 10 different US states and 75 German plasma units that had been analysed principally for their protein composition were screened for drugs. Determinations were made, using automated immunoassays, of the presence of cannabis, cocaine, amphetamine, methamphetamine, methylenedioxymethamphetamine (MDMA), methylenedioxyethylamphetamine (MDE) and opiates. Positive results were confirmed by gas chromatography-mass spectrometry. RESULTS: Eleven US plasma units were found to be positive for cocaine (14.6%), whereas all German samples were cocaine negative (P = 0.0007). Fifteen US plasma units (20%) and one German unit (1.3%) were confirmed as positive for cannabis (P = 0.0003). Three out of 75 US plasma units were positive for both cannabis and cocaine. In none of the 150 samples were amphetamine, methamphetamine, MDMA, MDE or opiates detected. CONCLUSIONS: Our results strongly suggest differences in cocaine and cannabis consumption between US and German plasmapheresis donors. If these results are confirmed by larger-scale studies, random drug screening (including cocaine) of donors should be implemented in order to reduce the number of drug-containing plasma units, especially in the USA. FAU - Peters, F T AU - Peters FT AD - Department of Experimental and Clinical Toxicology, University of Saarland, Homburg-Saar, Germany. peterhellstern@medicusnet.de FAU - Maurer, H H AU - Maurer HH FAU - Hellstern, P AU - Hellstern P LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Vox Sang JT - Vox sanguinis JID - 0413606 RN - 0 (Cannabinoids) RN - 0 (Vasoconstrictor Agents) RN - I5Y540LHVR (Cocaine) SB - IM MH - *Blood Donors MH - Cannabinoids/analysis MH - Chromatography, Gas MH - Cocaine/analysis MH - Germany MH - Humans MH - *Plasmapheresis MH - Prevalence MH - Substance Abuse Detection MH - Substance-Related Disorders/*epidemiology MH - United States MH - Vasoconstrictor Agents/analysis EDAT- 2003/03/01 04:00 MHDA- 2003/09/05 05:00 CRDT- 2003/03/01 04:00 PHST- 2003/03/01 04:00 [pubmed] PHST- 2003/09/05 05:00 [medline] PHST- 2003/03/01 04:00 [entrez] AID - 264 [pii] AID - 10.1046/j.1423-0410.2003.00264.x [doi] PST - ppublish SO - Vox Sang. 2003 Feb;84(2):91-5. doi: 10.1046/j.1423-0410.2003.00264.x.