Use of antibiotics during pregnancy increases the risk of asthma in early childhood
- PMID: 23140881
- DOI: 10.1016/j.jpeds.2012.09.049
V体育官网 - Use of antibiotics during pregnancy increases the risk of asthma in early childhood
Abstract
Objectives: To investigate the hypothesis that mother's use of antibiotics in pregnancy could influence asthma and eczema in early life VSports手机版. .
Study design: Subjects were included from the Copenhagen Prospective Study on Asthma in Childhood cohort of children born of mothers with asthma (N = 411). Severe asthma exacerbations and eczema were diagnosed by research unit physicians. Replication was sought in children from the Danish National Birth Cohort (N = 30 675). Asthma outcomes were hospitalization and use of inhaled corticosteroids. Eczema was defined by an algorithm developed from cases of clinically verified eczema V体育安卓版. All children were followed to age 5 years in a cohort study design. .
Results: The Copenhagen Prospective Study on Asthma in Childhood data showed increased risk of asthma exacerbation (hazard ratio 1. 98 [95% CI 1. 08-3. 63]) if mothers had used antibiotics during third trimester. The Danish National Birth Cohort confirmed increased risk of asthma hospitalization (hazard ratio 1. 17 [1. 00-1. 36]), and inhaled corticosteroids (1. 18 [1. 10-1. 27]) in the children if mothers used antibiotics any time during pregnancy. In the subgroup of mothers using antibiotics for nonrespiratory infection, the children also had increased risk of asthma V体育ios版. .
Conclusion: We found increased risk of asthma associated with maternal antibiotic use in a clinical study of a birth cohort with increased risk of asthma and replicated this finding in an unselected national birth cohort, and in a subgroup using antibiotics for nonrespiratory infections. This supports a role for bacterial ecology in pre- or perinatal life for the development of asthma. VSports最新版本.
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