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

Disparities and Risk Factors for Septicemia Deaths , Open Forum Infect Dis; ePub 2018 Nov 15; Kempker, et al

Predicting Severe Outcomes in US Norovirus Outbreaks, J Infect Dis; ePub 2018 Nov 15; Burke, et al

RSV vs Influenza in Hospitalized Older Adults, Clin Infect Dis; ePub 2018 Nov 19; Ackerson, et al

Differences in HPV Seroprevalence By Sex, Clin Infect Dis; ePub 2018 Nov 24; Lewis, et al

Genital Wart Recurrence Among Unvaccinated Men, J Infect Dis; ePub 2018 Nov 2; Giuliano, et al

Must Reads in HIV

HIV-associated Cryptococcal Meningitis at Higher CD4 Counts, J Infect Dis; ePub 2018 Oct 16; Tugume, et al

Sex Differences in HIV-associated Cognitive Impairment, AIDS; ePub 2018 Oct 4; Sundermann, et al

Parenting Desires in Men & Women Living with HIV, Open Forum Infect Dis; ePub 2018 Sep 15; Cohn, et al

Mobile Health Intervention for PrEP in Young MSM, Clin Infect Dis; ePub 2018 Sep 15; Liu, et al

Food Insecurity & Inflammation in Women Living with HIV, J Infect Dis; ePub 2018 Aug 27; Leddy, et al