FORENSIC TOXICOLOGY

A syringe can retain its original drug concentration even when a separate question about sterility remains unanswered. Anderson and MacKay tested chemical stability for several medications stored individually in polypropylene syringes.

What the study assayed

The researchers used liquid chromatography with diode-array detection to measure concentrations initially, around day 50 and at day 100. Both tested midazolam preparations, 0.4 mg/mL in 5% dextrose and 5 mg/mL, retained more than 95% of their initial concentration at day 100 under the study conditions. Visual inspection was also recorded.

Why the distinction matters in a record review

A concentration assay measures the drug remaining in the tested sample. It does not establish microbial sterility or the condition of a different syringe stored or prepared another way. The authors explicitly limited their result to stability. A review of an actual syringe should keep chemical potency, preparation history and sterility evidence separate.

Anderson and MacKay, Pharmacy (2015)