Position of chromatographic techniques in screening for detection of drugs or poisons in clinical and forensic toxicology and/or doping control

Verfasser / Beitragende:
[Hans H. Maurer]
Ort, Verlag, Jahr:
2004
Enthalten in:
Clinical Chemistry and Laboratory Medicine, 42/11(2004-11-01), 1310-1324
Format:
Artikel (online)
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024 7 0 |a 10.1515/CCLM.2004.250  |2 doi 
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100 1 |a Maurer  |D Hans H.  |u 1. Department of Experimental and Clinical Toxicology, Institute of Experimental and Clinical Pharmacology and Toxicology, University of Saarland, Homburg (Saar), Germany 
245 1 0 |a Position of chromatographic techniques in screening for detection of drugs or poisons in clinical and forensic toxicology and/or doping control  |h [Elektronische Daten]  |c [Hans H. Maurer] 
520 3 |a This paper reviews chromatographic screening procedures for simultaneous detection of several drug classes relevant to clinical and forensic toxicology or doping control in urine or blood using gas chromatography-mass spectrometry (GC-MS), liquid chromatography coupled with a diode-array detector (LC-DAD) or a mass spectrometer (LC-MS). The pros and cons of the different techniques and procedures are discussed leading to the following conclusions and perspectives. GC-MS, especially in the electron ionization full-scan mode, is still the method of choice for comprehensive screening providing best separation power, specificity and universality, although requiring derivatization. LC-DAD is also often used for screening, but its separation power and its specificity are still inferior to those of GC-MS. Finally, LC-MS has shown to be an ideal supplement, especially for the detection of more polar, thermolabile and/or low-dose drugs, especially in blood plasma. It may become the gold standard in clinical and forensic toxicology and doping control if, at a later date, the costs of the apparatus will be markedly reduced, the current disadvantages like irreproducibility of fragmentation, reduction of ionization by matrix, etc. will be overcome, and finally if one of the increasing number of quite different techniques will become the apparatus standard. 
540 |a © Walter de Gruyter 
690 7 |a Medical equipment & techniques  |2 nationallicence 
690 7 |a Medical diagnosis  |2 nationallicence 
690 7 |a Diseases & disorders  |2 nationallicence 
690 7 |a chromatography  |2 nationallicence 
690 7 |a diode-array detection  |2 nationallicence 
690 7 |a drugs  |2 nationallicence 
690 7 |a mass spectrometry  |2 nationallicence 
690 7 |a screening  |2 nationallicence 
773 0 |t Clinical Chemistry and Laboratory Medicine  |d Walter de Gruyter  |g 42/11(2004-11-01), 1310-1324  |x 1434-6621  |q 42:11<1310  |1 2004  |2 42  |o cclm 
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950 |B NATIONALLICENCE  |P 100  |E 1-  |a Maurer  |D Hans H.  |u 1. Department of Experimental and Clinical Toxicology, Institute of Experimental and Clinical Pharmacology and Toxicology, University of Saarland, Homburg (Saar), Germany 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Clinical Chemistry and Laboratory Medicine  |d Walter de Gruyter  |g 42/11(2004-11-01), 1310-1324  |x 1434-6621  |q 42:11<1310  |1 2004  |2 42  |o cclm 
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