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Published:
Journal of Analytical Toxicology,
ISSN 0146-4760,
Volume 25,
Number 6 September 2001, pp. 471-475
TECHNICAL
NOTE: Effects of Stealth Adulterant on Immunoassay Testing for Drugs
of Abuse
John
T. Cody
Academy of Health Sciences, MCCS-HMP PA Branch, 3151 Scott Road, Fort Sam
Houston, Texas 78234-6138
Sandra Valtier
Clinical Research Squadron, 59th Medical Wing, Lackland AFB, Texas 78236-5319
Stealth
is an adulterant advertised as being undetectable by adulteration tests. It
has been described as peroxidase and peroxide, which, when added to urine
samples, are intended to prevent a positive drug test. Characterization of
the effect of Stealth on urine samples and immunoassay results was undertaken
to assist in detection of this adulterant. Stealth was added to a number of
urine matrices, and various parameters were evaluated including pH, specific
gravity, color, creatinine, chloride, urea, blood, glucose, and nitrite. Samples
were spiked with THC acid metabolite, benzoylecgonine, morphine, secobarbital,
PCP, amphetamine, and lysergic acid diethylamide (LSD) then tested by Roche
OnLine and Microgenics CEDIA immunoassay reagents. Results of these analyses
showed Stealth did not cause the urine sample to exceed any of the monitored
parameters including those routinely used in drug-testing laboratories that
would indicate adulteration of a sample. It did, however, cause samples positive
for the marijuana metabolite (11-nor-D9-tetrahydrocannibinol-9-carboxylic
acid), LSD, and opiate (morphine) at 125150% of cutoff to screen negative
by immunoassay. Adulterating an authentic positive sample provided by a marijuana
user caused that sample to screen negative using these immunoassay reagents
as well.
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