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Test ID: U Benzodiaz Scr
Benzodiazepine Screen Urine
Useful For

To detect drug intoxication or overdose and to screen for drug abuse involving benzodiazepine.

Method name and description

Kinetic interaction of microparticles in solution (KIMS) as measured by changes in light transmission performed on the Roche cobas c-systems. In the absence of sample drug, soluble drug conjugates bind to antibody-bound microparticles, causing the formation of particle aggregates. As the aggregation reaction proceeds in the absence of sample drug, the absorbance increases. When a urine sample contains the drug in question, this drug competes with the drug derivative conjugate for microparticle-bound antibody. Antibody bound to sample drug is no longer available to promote particle aggregation, and subsequent particle lattice formation is inhibited. The presence of sample drug diminishes the increasing absorbance in proportion to the concentration of drug in the sample. Sample drug content is determined relative to the value obtained for a known cutoff concentration of drug.The presence of β‑glucuronidase enzyme enhances the Benzodiazepines II assay cross‑reactivity to some of the glucuronidated metabolites.

Reporting name

U Benzodiaz Scr

Clinical information

The benzodiazepines constitute a class of versatile and widely prescribed central nervous system (CNS) depressant drugs with medically useful anxiolytic, sedative, hypnotic, muscle relaxant, and anticonvulsant activities. Benzodiazepine overdoses are frequently associated with co‑administration of drugs of other classes. Acute or chronic alcohol ingestion and benzodiazepines co‑administered may lead to various significant toxicological interactions.  (Roche Cobas Benzodiazepines II package insert).

Aliases

Diazepam, Valium

Specimen type / Specimen volume / Specimen container

Specimen type: Random Urine (Spot Urine)

Minimum volume of 5 mL freshly voided urine in clean container or aliquoted tube.

Collection instructions / Special Precautions / Timing of collection

No preservative required. Urine specimens is recommended to be stored at 2‑8°C when delay in transport.

Storage and transport instructions

Storage: 5 days at  2-8°C

Transport: 2-25°C 

Specimen Rejection Criteria

Leaking specimen, contaminated sample, adulterated sample.

Biological reference intervals and clinical decision values

Qualitative assay for 200 ng/mL cut-off

Negative: <200 ng/mL

Positive: >200 ng/mL

(This is a screening test; results have to be considered in the clinical setting only. Other than clinical use, it is mandatory to confirm results with a definitive method).

Turnaround time / Days and times test performed / Specimen retention time

Daily (24/7)

Turn-around time:

STAT: 1 hour

Routine: One working day

Specimen Retention: 4 days