In utero xylazine exposure associated with feeding difficulties in infants with Neonatal Opioid Withdrawal Syndrome

Presenter's Name(s)

Stefanie Kelsey

Abstract

Xylazine is a significant adulterant in the US illicit drug supply. We reviewed medical and veterinary literature regarding neonatal xylazine exposure and withdrawal and associated symptomology. A retrospective College of Arts and Sciencese review of infants born >35 weeks monitored for neonatal opioid withdrawal syndrome (NOWS) with known xylazine exposure was conducted. 7 out of 52 infants had xylazine exposure. Exposed infants demonstrated differences in NOWS scoring and feeding patterns and required increased feeding support. Animal data indicates developmental risks from prenatal xylazine exposure, but human data is limited. In our College of Arts and Sciencese series, exposure was associated with feeding difficulties.

Primary Faculty Mentor Name

Julia Litzky

Status

Medical Students

Student College

Larner College of Medicine

Program/Major

Medical Student

Primary Research Category

Clinical

Abstract only.

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In utero xylazine exposure associated with feeding difficulties in infants with Neonatal Opioid Withdrawal Syndrome

Xylazine is a significant adulterant in the US illicit drug supply. We reviewed medical and veterinary literature regarding neonatal xylazine exposure and withdrawal and associated symptomology. A retrospective College of Arts and Sciencese review of infants born >35 weeks monitored for neonatal opioid withdrawal syndrome (NOWS) with known xylazine exposure was conducted. 7 out of 52 infants had xylazine exposure. Exposed infants demonstrated differences in NOWS scoring and feeding patterns and required increased feeding support. Animal data indicates developmental risks from prenatal xylazine exposure, but human data is limited. In our College of Arts and Sciencese series, exposure was associated with feeding difficulties.