PMID- 21377816 OWN - NLM STAT- MEDLINE DCOM- 20120604 LR - 20191210 IS - 1872-6283 (Electronic) IS - 0379-0738 (Linking) VI - 215 IP - 1-3 DP - 2012 Feb 10 TI - The prevalence of drugs in injured drivers. PG - 14-7 LID - 10.1016/j.forsciint.2011.01.040 [doi] AB - In mid 2009 Victoria introduced compulsory drug testing of blood taken from all injured drivers taken to hospital. Delta(9)-Tetrahydrocannabinol (THC), methylamphetamine (MA) and 3,4-methylenedioxy-methylamphetamine (MDMA) are prohibited and if drivers are positive to any amount an automatic penalty is enforced. Laboratory screens were conducted on preserved blood using ELISA testing for cannabis metabolite and methylamphetamines and a fully validated LC-MS/MS method for 105 drugs including THC, amphetamines, opioids, benzodiazepines, antidepressants and antipsychotics and a number of other psychoactive substances using a minimum of two transitions per drug. Conventional GC-testing for ethanol was used to screen and quantify the presence of alcohol. 1714 drivers were tested and showed alcohol in 29% (>/= 0.01 g/100mL) and drugs in 35%. The positive rate for the three drugs prohibited by legislation was 12.5%. The prevalence of THC, MA and MDMA was 9.8%, 3.1%, and 0.8%, respectively. The range of THC concentrations in blood was 2-42 ng/mL (median 7) of which 70% had a concentration of 10 ng/mL or higher. The range of concentrations for MA and MDMA was 0.02-0.4 and 0.03-0.3mg/L (median for both drugs was 0.05 mg/L). Drugs of any type were detected in 35% of cases. The other drugs were largely prescribed drugs such as the antidepressants (9.3%) and benzodiazepines (8.9%). Neither 6-acetylmorphine nor cocaine (or benzoylecgonine) was detected in these cases. CI - Copyright (c) 2011 Elsevier Ireland Ltd. All rights reserved. FAU - Drummer, Olaf H AU - Drummer OH AD - Victorian Institute of Forensic Medicine, 57-83 Kavanagh St, Southbank, Victoria 3006, Australia. olaf@vifm.org FAU - Kourtis, Irene AU - Kourtis I FAU - Beyer, Jochen AU - Beyer J FAU - Tayler, Penny AU - Tayler P FAU - Boorman, Martin AU - Boorman M FAU - Gerostamoulos, Dimitri AU - Gerostamoulos D LA - eng PT - Journal Article DEP - 20110305 PL - Ireland TA - Forensic Sci Int JT - Forensic science international JID - 7902034 RN - 0 (Central Nervous System Depressants) RN - 0 (Illicit Drugs) RN - 0 (Pharmaceutical Preparations) RN - 0 (Psychotropic Drugs) RN - 3K9958V90M (Ethanol) RN - 44RAL3456C (Methamphetamine) RN - 7J8897W37S (Dronabinol) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - *Accidents, Traffic MH - Alcohol Drinking MH - Australia MH - Automobile Driving/*legislation & jurisprudence MH - Central Nervous System Depressants/blood MH - Dronabinol/blood MH - Enzyme-Linked Immunosorbent Assay MH - Ethanol/blood MH - Forensic Toxicology MH - Gas Chromatography-Mass Spectrometry MH - Humans MH - Illicit Drugs/*blood MH - Methamphetamine/blood MH - N-Methyl-3,4-methylenedioxyamphetamine/blood MH - Pharmaceutical Preparations/*blood MH - Psychotropic Drugs/*blood MH - Substance Abuse Detection EDAT- 2011/03/08 06:00 MHDA- 2012/06/05 06:00 CRDT- 2011/03/08 06:00 PHST- 2010/09/12 00:00 [received] PHST- 2010/10/29 00:00 [revised] PHST- 2011/01/30 00:00 [accepted] PHST- 2011/03/08 06:00 [entrez] PHST- 2011/03/08 06:00 [pubmed] PHST- 2012/06/05 06:00 [medline] AID - S0379-0738(11)00055-7 [pii] AID - 10.1016/j.forsciint.2011.01.040 [doi] PST - ppublish SO - Forensic Sci Int. 2012 Feb 10;215(1-3):14-7. doi: 10.1016/j.forsciint.2011.01.040. Epub 2011 Mar 5.