抗生素使用与骨质疏松性骨折风险之间的关联:全国代表性的回顾性队列研究
Ji Won Lee1,2, Sun Jae Park1, Young Jun Park3
1Department of Biomedical Sciences, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Archives of osteoporosis
|August 30, 2024
概括
长期使用抗生素和接触多种抗生素类别与成人骨质疏松性骨折风险增加有关. 这一发现凸显了抗生素处方对骨健康的潜在影响.
科学领域:
- 流行病学 流行病学
- 药理学 药理学是指药理学的学科.
- 骨健康 骨健康 骨健康
背景情况:
- 骨质疏松性骨折对公众健康构成重大挑战,特别是在老年人群中.
- 常见药物,如抗生素在骨折风险中的作用需要进一步调查.
研究的目的:
- 调查抗生素暴露时间和使用的抗生素类别数量与骨质疏松性骨折风险之间的关联.
- 为了在50岁及以上的韩国成年人中分析这一关系.
主要方法:
- 一项回顾性队列研究,利用国家健康保险服务-国家健康查队列 (NHIS-HEALS) 数据库 (2002-2019).
- 暴露变量包括累积抗生素处方日和2004-2008年间使用的不同类型抗生素的数量.
- 骨质疏松性骨折发生率是主要结局,使用Cox比例危险回归分析.
主要成果:
- 91天或更长时间使用抗生素与骨质疏松性骨折的风险增加有关 (aHR,1.12;95% CI,1.03-1.21).
- 与非使用者相比,处方超过四种不同的抗生素类别也增加了骨质疏松性骨折风险 (aHR,1.10;95% CI,1.02-1.18).
结论:
- 抗生素的使用与骨质疏松性骨折的风险增加有关.
- 抗生素暴露的持续时间和处方的抗生素类别的多样性都可能导致这种风险增加.
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