What Color Does a Positive Mouth Swab Turn?

Mouth swab tests offer a non-invasive way to detect substances by analyzing saliva. These tests are widely used for employment screenings or roadside checks, providing a convenient and efficient method. They aim to identify recent substance use, typically within a few hours to a couple of days, making them suitable for situations requiring immediate results.

The Visual Indicator: What a Positive Swab Looks Like

When a mouth swab drug test indicates a positive result, it generally involves a specific color change or the absence of a line on the test strip. For many rapid oral fluid tests, a positive result for any substance is shown by the appearance of a colored line in the control region, but no colored line in the test region for that specific drug. The color of the control line is typically reddish-purple.

Conversely, a negative result is indicated by two colored bands: one in the control region and another in the test region for the substance in question. The intensity or size of these lines does not matter; any visible line in both areas signifies a negative result. If no line appears in the control area, or no color appears at all, the test is considered invalid, indicating that the test did not function correctly.

Some mouth swab devices also incorporate a saturation indicator, which changes color to confirm that enough saliva has been collected for an accurate test. This indicator might turn red or blue when sufficient oral fluid is present, which is separate from the result interpretation for drug presence. After this, the device is ready for the actual drug detection process.

How the Color Appears: The Science of Detection

The color changes observed in a mouth swab test are based on immunoassay technology. This method uses the specific interaction between antibodies and antigens to detect the presence of substances or their byproducts, known as metabolites, in the saliva. When saliva is collected, it is introduced to the test device containing reagents, which are chemicals designed to react with target substances.

In a typical immunoassay, the test strip contains antibodies that are specific to certain drug metabolites. If the target substance is present in the saliva sample above a predetermined cutoff level, it binds to these antibodies. This binding prevents the antibodies from reacting with a colored conjugate that would normally form a line in the test region. Therefore, the absence of a line in the test region, while a control line still appears, signals a positive result.

Conversely, if the substance is not present or is below the cutoff level, the antibodies remain free to bind with the colored conjugate, resulting in the formation of a visible line in the test region. This reaction creates a clear visual signal, allowing for rapid interpretation of results, often within minutes.