Hair testing of GHB: an everlasting issue in forensic toxicology

Background:: In this paper, the authors present a critical review of different studies regarding hair testing of endogenous γ-hydroxybutyrate (GHB), concentrations in chronic users, and values measured after a single GHB exposure in drug facilitated sexual assault (DFSA) cases together with the role of a recently identified GHB metabolite, GHB-glucuronide. Content:: The following databases (up to March 2017) PubMed, Scopus and Web of Science were used, searching the following key words: γ-hydroxybutyrate, GHB, GHB glucuronide, hair. The main key words “GHB” and “γ-hydroxybutyrate” were searched singularly and then associated individually to each of the other keywords. Summary:: Of the 2304 sources found, only 20 were considered appropriate for the purpose of this paper. Summing up all the studies investigating endogenous GHB concentration in hair, a very broad concentration range from 0 to 12 ng/mg was found. In order to detect a single GHB dose in hair it is necessary to commonly wait 1 month for collecting hair and a segmental analysis of 3 or 5 mm fragments and the calculation of a ratio between the targeted segment and the others represent a reliable method to detect a single GHB intake considering that the ratios presently proposed vary from 3 and 10. The only two studies so far performed, investigating GHB-Glucuronide in hair, show that the latter does not seem to provide any diagnostic information regarding GHB exposure. Outlook:: A practical operative protocol is proposed to be applied in all suspected cases of GHB-facilitated sexual assault (GHB-FSA).

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Hair testing of GHB: an everlasting issue in forensic toxicology ; volume:56 ; number:2 ; year:2018 ; pages:198-208 ; extent:11
Clinical chemistry and laboratory medicine ; 56, Heft 2 (2018), 198-208 (gesamt 11)

Creator
Busardò, Francesco Paolo
Pichini, Simona
Zaami, Simona
Pacifici, Roberta
Kintz, Pascal

DOI
10.1515/cclm-2017-0397
URN
urn:nbn:de:101:1-2022061015043711419342
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:30 AM CEST

Data provider

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Associated

  • Busardò, Francesco Paolo
  • Pichini, Simona
  • Zaami, Simona
  • Pacifici, Roberta
  • Kintz, Pascal

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