Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Chronic Opioid Therapy in HIV-Infected Patients

Clin Infect Dis; ePub 2018 May 31; Colasanti, et al

Among people living with HIV (PLHIV) on chronic opioid therapy (COT), opioid misuse and awareness of the addictive potential of COT are common, yet monitoring practices were not concordant with guidelines. Researchers assessed opioid risk behaviors, perceptions of risk, opioid monitoring and associated Current Opioid Misuse Measure (COMM) scores of PLHIV on COT. COT was defined as ≥3 opioid prescriptions ≥21 days apart in the past 6 months. They found:

  • 166 participants on COT were included (66% male, 72% black, median age 54 years).
  • The COMM score was high in 43% of participants.
  • 30% had an opioid treatment agreement, 66% a urine drug test (UDT), and 12% were on a pill count.
  • 90% acknowledged opioids can be addictive.
  • Patients who received monitoring practices reported high satisfaction.

Citation:

Colasanti J, Lira MC, Cheng DM, et al. Chronic opioid therapy in HIV-infected patients: Patients’ perspectives on risks, monitoring and guidelines. [Published online ahead of print May 31, 2018]. Clin Infect Dis. doi:10.1093/cid/ciy452.

This Week's Must Reads

Difficult-to-Treat Resistance in GNBSIs, Clin Infect Dis; ePub 2018 Jul 23; Kadri, et al

Missed Opportunities for HIV Testing, Open Forum Infect Dis; ePub 2018 Jul 19; Kapadia, et al

Bacterial STI Screening Rates Among MSM, Sex Transm Dis; ePub 2018 Jul 24; Jenness, et al

Patient Engagement in HIV Care, AIDS; ePub 2018 Jul 12; Lee, Wu, et al

IDSA/ASM Lab Guide for Diagnosis of IDs, Clin Infect Dis; ePub 2018 Jun 28; Miller, et al

Must Reads in HIV

Missed Opportunities for HIV Testing, Open Forum Infect Dis; ePub 2018 Jul 19; Kapadia, et al

Syphilis Testing Among HIV-Positive MSM , Clin Infect Dis; ePub 2018 Jul 7; de Voux, et al

Predictors of Longitudinal PrEP Adherence Among MSM, J Infect Dis; ePub 2018 Jun 22; Pasipanodya, et al

Decreasing Incidence of SSTIs at US EDs, Clin Infect Dis; ePub 2018 Jun 15; Morgan, et al

Depressive Symptoms After ART Initiation, Clin Infect Dis; ePub 2018 Jun 12; Bengtson, et al