Urine| Hair Follicle | Oral Fluid | Blood | ETG
Hair testing has increasingly become recognized as a highly effective method for detecting drug and alcohol consumption. Hair strands encapsulate biomarkers, offering a comprehensive history of substance use by embedding them within the growing strands. When collected from near the scalp, hair can reveal alcohol and drug use over an approximate 90-day period. Hair collection is straightforward, challenging to tamper with, and simple to transport.
A specimen consisting of a 1.5-inch sample of roughly 200 hairs (about the diameter of a #2 pencil) nearest to the scalp provides 100mg of hair, ideal for screening and validation. For EtG, extra tests, and/or those exceeding 10 panels, a 150mg sample is advised. It's best to use a jeweler’s scale for weighing the specimen. If scalp hair isn't present, an equivalent amount from body hair may be used. Head hair specifically pertains to scalp hair, while body hair includes all other types (facial, axillary, etc.).
Process Overview
The essential steps in processing a drug test result in the lab are Accessioning, Screening, Extraction, and Confirmation.
Accessioning entails the initial processing of a sample into the lab’s system. This process verifies the sample's sealing and shipping integrity, assigns it a unique LAN (Laboratory Accessioning Number), and completes any pending data entry not handled by an electronic chain of custody system.
Screening offers an initial rapid examination for the presence of drugs. While it is an economical approach to eliminate drug use in most samples, a positive screen requires confirmation to be valid in legal proceedings. Samples testing presumptively positive in Screening require additional confirmation.
When a sample is flagged as presumptively positive during Screening, additional hair is extracted from the original specimen for the Extraction phase. Here, substances are extracted from hair at a significantly reduced concentration compared to other methods (e.g., urine or saliva), making hair drug screening the most challenging technique.
Confirmation of any positive screening outcome is carried out through GC/MS, GC/MS/MS, or LC/MS/MS. Every presumptively positive specimen is cleansed before confirmation if necessary. The comprehensive process from Accessioning to Confirmation is evaluated according to the CAP (College of American Pathologists) Hair standards and accredited under ISO / IEC 17025 standards.
Advantages of hair drug testing:
Limitations:
Note: Although often called "hair follicle tests", the evaluation is performed on the hair strand and not on the follicle beneath the scalp.
Why Hair Follicle Testing Beats Urine Testing
Extended Detection Window
Tamper-Resistant Testing Method
Convenient Nationwide Testing Locations
Simple, Confidential Process
Affordable Pricing and Fast Turnaround
Fast, Accurate, and Reliable Results
Compliance and Peace of Mind for Employers