Rifampicin causes false-positive immunoassay results for urine opiates.

Abstract:

:The treatment of tuberculosis usually includes the antibiotic rifampicin, especially in patients with concomitant human immunodeficiency virus infection. Some of these patients are in withdrawal therapy for drug abuse. When opiate screening is carried out in patients receiving rifampicin, false positive results are detected with the kinetic interaction of microparticles in solution method. We evaluated this interference in a Cobas-Integra analyzer and found a 12% cross-reactivity of rifampicin for antibiotic concentrations ranging from 0.19 to 6.08 mumol/l (156 to 5000 micrograms/l). This effect is not explained by the colour of the rifampicin solutions. Calculations assuming first order kinetics of elimination show that more than 18 hours after a single oral dose of 600 mg of rifampicin, a false positive result for opiates could be obtained. This indicates that the risk of a false positive result must always be considered when urine samples from these patients are analyzed.

journal_name

Clin Chem Lab Med

authors

de Paula M,Saiz LC,González-Revaldería J,Pascual T,Alberola C,Miravalles E

doi

10.1515/CCLM.1998.041

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

241-3

issue

4

eissn

1434-6621

issn

1437-4331

journal_volume

36

pub_type

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