Urine ethyl glucuronide (EtG) was screened in 75 patients during a hospital-based treatment for an alcohol use disorder. During follow-up, EtG was detected in 35 (14.6%) of the 239 urine samples. Positive screens were found in 22 patients (29%), of whom nine were outpatients (39.1% of all outpatients) and 13 inpatients (25.0% of all inpatients). Of the 22 patients with positive EtG, five (22%) also gave a positive breath alcohol test and 10 (45.5%) reported recent alcohol consumption; 12 (54.5%) gave a negative breath alcohol test and declared no alcohol lapse. Ethyl glucuronide has been found useful in detecting covered lapses.
From the Centre de traitement des addictions (PL, LM, NM, BP, H-J A) and Laboratoire de biologie (CC, CA), Limeil-Brévannes cedex, France; Service de pharmacie (CD), Groupe Hospitalier Albert Chenevier—Henri Mondor, Créteil cedex, France; and Centre de traitement des addictions (H-J A), Hôpital Paul Brousse University Paris-Sud, Villejuif, France.
Send correspondence and reprint requests to Pierre Lahmek, MD, Centre de traitement des addictions, Hôpital Emile Roux 1 Avenue de Verdun 94450 Limeil-Brévannes cedex, France. E-mail: email@example.com
Received March 05, 2010
Accepted May 06, 2011