ArticleForensic science international. Synergy2025
The limitations of mouth alcohol detection systems in breath alcohol testing: Case reports.
Article in Forensic science international. Synergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Same pattern, different result: Algorithmic inconsistency in breath alcohol testing-case reports.Forensic science international. Synergy · 2026Article
- Recognising intoxication in healthcare: evidence, challenges, and implications.Addiction science & clinical practice · 2026Review
- Errors in toxicology testing and the need for full discovery.Forensic science international. Synergy · 2025Article
- Compliance by code: The need for automated protocols in breath alcohol testing - case reports.Forensic science international. Synergy · 2025Article
- The limitations of mouth alcohol detection systems in breath alcohol testing: Case reports.Forensic science international. Synergy · 2025Article
- Small samples, big problems-the inability to provide a sample in breath alcohol testing: Case reports.Forensic science international. Synergy · 2025Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Contamination of a person's breath alcohol with alcohol from sources other than the lungs can falsely elevate the results of a breath alcohol test. This is known as "mouth alcohol" contamination in breath alcohol testing. To combat the issue of mouth alcohol contamination, manufacturers of breath alcohol analyzers have incorporated slope detection algorithms into their devices known as "slope detectors." Despite this effort, breath alcohol analyzers sometimes fail to detect mouth alcohol contamination. Three case reports presented in this paper strongly suggest undetected mouth alcohol contamination. The significant legal consequences of a falsely elevated breath alcohol concentration (BrAC) due to mouth alcohol contamination require further research into the ability of slope detectors to identify mouth alcohol. Greater transparency and independent scientific examination of the algorithms involved in mouth alcohol detection systems are needed to ensure accuracy and fairness in breath alcohol testing.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.