与乳腺癌风险相关的抗生素使用
Christine M Velicer1, Susan R Heckbert, Johanna W Lampe
1Department of Epidemiology, University of Washington, Seattle, USA.
JAMA
|February 19, 2004
概括
抗生素使用与患乳腺癌和死于乳腺癌的风险更高有关. 需要进一步的研究来确认因果关系,但建议谨慎使用抗生素.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 药理学 药理学 是一个学科.
背景情况:
- 抗生素的使用可能会通过免疫,炎症和代谢途径影响乳腺癌风险.
- 关于抗生素暴露与乳腺癌发病率之间的关联,临床数据有限.
研究的目的:
- 研究抗生素消费与患乳腺癌的风险之间的关系.
主要方法:
- 一项涉及2266名患有乳腺癌的妇女和7953名对照者的病例控制研究.
- 用药房记录评估了抗生素的使用情况.
- 分析了数据,以查看累积抗生素服用日数与乳腺癌风险之间的关联.
主要成果:
- 增加的累积抗生素使用与更高的乳腺癌风险相关.
- 在所有研究的抗生素类别中观察到这种关联.
- 与呼吸道感染相比,对于某些抗生素用于或粉红没有发现增加的风险.
结论:
- 抗生素使用与发生性和致命乳腺癌的风险增加有关.
- 因果关系和指示或免疫功能的作用需要进一步调查.
- 建议谨慎长期使用抗生素.
相关概念视频
Antibiotic Selection
Overview
Combined Effects of Drugs: Synergism
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
Development of Antibiotic Resistance
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Microbiota Modulation by Antibiotics
Antibiotics have revolutionized modern medicine by saving countless lives from bacterial infections. However, their widespread use has inadvertently harmed the delicate balance of the human gut microbiota. The gut microbiota, a complex community of bacteria, archaea, viruses, and fungi, plays a vital role in regulating metabolism, immune responses, and maintaining intestinal health. Antibiotics, especially broad-spectrum types, disrupt this ecosystem by eradicating both harmful and beneficial...
Mechanism of Antibiotic Resistance in MRSA
Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Clinical Significance of Antibiotic Resistance
Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...


