Effect of Ethanol in Oral Antiseptic Sprays on Breath Alcohol Measurement
    PDF
    Cite
    Share
    Request
    Original Research
    P: 1-7
    April 2021

    Effect of Ethanol in Oral Antiseptic Sprays on Breath Alcohol Measurement

    The Bulletin of Legal Medicine 2021;26(1):1-7
    1. Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Adli Tıp Anabilim Dalı, Hatay, Türkiye
    2. Muğla Sıtkı Koçman Üniversitesi Tıp Fakültesi, Adli Tıp Anabilim Dalı, Muğla, Türkiye
    3. Adli Tıp Kurumu Afyonkarahisar Adli Tıp Şube Müdürlüğü, Afyonkarahisar, Türkiye
    4. Adli Tıp Kurumu, Muğla Adli Tıp Şube Müdürlüğü, Muğla, Türkiye
    5. Siena College, Matematik, New York, Amerika
    No information available.
    No information available
    Received Date: 26.04.2019
    Accepted Date: 26.08.2019
    Publish Date: 21.04.2021
    PDF
    Cite
    Share
    Request

    ABSTRACT

    Objective:

    Breath alcohol concentration (BrAC) in routine traffic control might be higher due to reasons which affect mouth alcohol concentration. According to Highways Traffic Regulation, there is no possibility to recheck/remeasure with technical device. In this study, we aimed to answer firstly how oral antiseptic sprays affect BrAC and then what correlation there is between BrACs and time.

    Methods:

    This study included 30 healthy volunteers’ results. In this study, three oral antiseptic sprays (OAS) containing ethanol and a portable electrochemical sensorized breathalyzer were used. BrAC (Tbefore), which is used before spray, was checked and saved for each subject. Subjects sprayed 3 puffs of OAS into their mouths and immediately underwent a breathalyzer examination to evaluate BrAC (T0). Two more examinations were conducted 3 minutes later (T3) and 5 minutes later (T5).

    Results:

    The highest BrAC value (4.25 permille) was attained at T0 in 12 subjects; all BrAC values (before spray use) were checked and saved. The BrAC median values decreased under legal limit zero as time passed by from T0 to T3 and T5). T3 values were lower than the corresponding T0 values for all three medications and all T5 values were lower than corresponding T0 and T3 values (all p<0.001).

    Conclusion:

    This research study shows that ethanol containing sprays may alter the results of a single breathalyzer test. Based on our results, the BrAC values are indeed affected by residual ethanol in the oral cavity due to prior use of OAS and this explains why BrAC decrease rate is remarkable.

    Keywords: Breath alcohol level, oral antiseptic sprays, breathalyzer

    References

    1
    Sebbane M, Claret PG, Jreige R, Dumont R, Lefebvre S, Rubenovitch J, et al. Breath analyzer screening of emergency department patients suspected of alcohol intoxication. J Emerg Med. 2012;43(4):747-753. https://doi. org/10.1016/j.jemermed.2011.06.147
    2
    Jaffe DH, Siman-Tov M, Gopher A, Peleg K. Variability in the blood/breath alcohol ratio and implications for evidentiary purpose. J Forensic Sci. 2013;58(5):1405. https://doi.org/10.1111/1556‐4029.12157
    3
    Uysal C, Karapirli M, İnanıcı MA. Effects of some of the regional Turkish fermented foods and medications on respiratory alcohol levels. Turk J Med Sci. 2014;44:720-727. https://doi.org/10.3906/sag-1308-24
    4
    Logan BK, Distefano S. Ethanol content of various foods and soft drinks and their potential for interference with a breathalcohol test. J Anal Toxicol. 1998;22(3):181-183. https://doi.org/ 10.1592/phco.19.10.860.31565.
    5
    Foglio-Bonda PL, Poggia F, Foglio-Bonda A, Mantovani C, Pattarino F, Giglietta A. Determination of breath alcohol value after using mouthwashes containing ethanol in healthy young adults. Eur Rev Med Pharmacol Sci. 2015;19(14):2562-2566.
    6
    Baduroğlu E, Durak D. The forensic medicine problems related with alcohol. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2010;36(2):65-71. http://dergipark. gov.tr/uutfd/issue/35282/391543
    7
    Lindberg L, Grubb D, Dencker D, Finnhult M, Olsson S-G. Detection of mouth alcohol during breath alcohol analysis. J For Sci Int. 2015;249:66-72. https:// doi.org/10.1016/j.forsciint.2015.01.017
    8
    Sterling K. The rate of dissipation of mouth alcohol in alcohol positive subjects. J Forensic Sci 2012;57(3):802-805. https://doi.org/10.1111/j.1556- 4029.2011.02023.x
    9
    Wigmore JG, Leslie GM. The effect of swallowing or rinsing alcohol solution on the mouth alcohol effect and slope detection of the intoxilyzer 5000. J Anal Toxicol. 2001:25(2):112-114. https://doi.org/10.1093/jat/25.2.1112
    10
    Harding PM, McMurray MC, Laessig RH, Simley DO 2nd, Correll PJ, Tsunehiro JK. The effect of dentures and denture adhesives on mouth alcohol retention. J Forensic Sci. 1992;37(4):999-1007.
    11
    Uysal C, Karapirli M, İnanici MA. Effects of some of the regional Turkish fermented foodsand medications on respiratory alcohol levels. Turk J Med Sci. 2014;44:720-727. https://doi.org/10.3906/sag-1308-24
    12
    Fessler CC, Tulleners FA, Howitt DG, Richards JR. Determination of mouth alcohol using the Dräger Evidential Portable Alcohol System. Sci Justice. 2008;48:16-23. https://doi.org/10.1016/j.scijus.2007.08.004
    13
    Garcia JMI, Garcia JMI, Barrios JA, Iglesias CH. Influence of asthma inhalers on a breath alcohol test. Med Clin (Barc). 2002;118(9):332-334. https://doi. org/10.1016/s0025-7753(02)72377-4
    14
    Modell JG, Taylor JP, Lee JY. Breath alcohol values following mouthwash use. JAMA. 1993;270(24):2955-2956. https://doi.org/10.1001/jama.1993.03510240067034
    2024 ©️ Galenos Publishing House