Usual opioid dosing does not adversely affect the course of healthcare-associated Clostridioides difficile infection

  • Monica Chowdhry
  • , Douglas Haden
  • , Suzanne Kemper
  • , Kristen Helmick
  • , Muhammad Kawsara
  • , Ashley Huggett
  • , Andrea Stark
  • , Ahmad Khan
  • , Muhammad Shah
  • , Mustafa Bhaty
  • , Junaid Farooq
  • , Shailendra Singh
  • , Brittain McJunkin

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: We sought to determine if opioid exposure may have a detrimental effect on the course of Clostridioides difficile infection (CDI). Materials & methods: We compared opioid exposure in patients with well-defined severe CDI and non-severe CDI. Results: Following exclusions, 403 records were reviewed. Of this group, 128/403 (31.7%) were determined to have severe CDI by strict criteria, and 275/403 (68.3%) were found to have non-severe CDI. Full multivariate regression and reduced model of potential predictors for severe CDI showed no association with opioids prescribed. Conclusion: Opioid exposure (predominantly in modest range) does not appear to be a risk factor for severe healthcare-associated CDI.

Original languageEnglish (US)
Pages (from-to)151-157
Number of pages7
JournalPain Management
Volume11
Issue number2
DOIs
StatePublished - Mar 2021
Externally publishedYes

Keywords

  • Clostridium difficile infection
  • healthcare-associated infections
  • nosocomial infections
  • opioids
  • pain management
  • severe Clostridioides difficile infection

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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