Urine| Hair Follicle | Oral Fluid | Blood | ETG
Hair screening is recognized as an efficient means for identifying drug and alcohol usage. Hair captures a comprehensive timeline of substances by embedding biomarkers within the fibers of an extending hair strand. When clipped close to the scalp, hair can reveal a detection period of up to three months for alcohol and drugs. This method is straightforward for collection, resistant to tampering, and simple to transport.
A sample size of 1.5 inches bearing about 200 hair strands (comparable to a #2 pencil) near the scalp yields 100mg, which is the preferred quantity for both screening and confirmation. For EtG, additional tests, or panels over 10, a specimen of 150mg is advised. It is suggested to weigh the sample using a jeweler’s scale. Should scalp hair be inaccessible, a comparable quantity of body hair may be used. When head hair is mentioned, it specifically refers to scalp hair. Body hair includes all other hair forms (facial, axillary, etc.).
Process Overview
There are four key stages in the laboratory handling of a drug test outcome: Accessioning, Screening, Extraction, and Confirmation.
Accessioning concerns the initial incorporation of a sample into the lab’s system. This entails ensuring the sample is correctly sealed and transported, allocating a unique LAN (Laboratory Accessioning Number), and executing any further data entries absent from an electronic chain of custody system.
Screening is a preliminary assessment for substance abuse. Although Screening provides a cost-efficient method to exclude drug usage in the bulk of samples, a positive result needs confirmation before it is deemed court-admissible. Any samples yielding a presumptive positive outcome in Screening necessitate a secondary confirmation.
Should a sample show a presumptive positive during the Screening phase, extra hair is taken from the initial sample and prepped for Extraction. Drugs are extracted from hair at significantly reduced concentrations than in other methods (e.g., urine or oral fluid), making hair drug screening the most challenging method to execute.
Confirmation of any positive screen outcome is through GC/MS, GC/MS/MS, or LC/MS/MS. All samples with a presumptive positive screening undergo washing before confirmation, if required. The full laboratory procedure from Accessioning to Confirmation is assessed against both the CAP (College of American Pathologists) Hair designation and ISO / IEC 17025 accreditation standards.
Advantages of hair drug testing:
Limitations:
Note: Commonly called "hair follicle tests," this procedure examines the hair strand instead of the follicle beneath the scalp.
Why Hair Follicle Testing Beats Urine Testing in Sheldon, TX
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