抗生素暴露和儿童类皮肤炎之间的关联:系统性审查和元分析
Huawei Zhao1,2, Yijun Luo3, Wenmi Li3
1Department of Pharmacy, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, China.
EClinicalMedicine
|June 23, 2025
概括
在怀孕和童年期间暴露于抗生素会增加患儿类皮肤炎 (AD) 的风险. 儿童暴露带来了比产前暴露更高的风险,这凸显了儿童谨慎使用抗生素的必要性.
科学领域:
- 儿科健康 儿科健康
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 抗生素经常被处方给儿童,这引发了人们对长期健康影响的担忧.
- 儿童类皮肤炎 (AD) 是一种普遍的疾病,儿童的发病率高于成人.
- 早期抗生素暴露与AD风险之间的潜在联系是一个重大的公共卫生问题.
研究的目的:
- 进行一项元分析,评估抗生素暴露与儿童类皮肤炎 (AD) 风险之间的关联.
- 调查暴露时间 (产前与童年) 和其他因素对AD风险的影响.
主要方法:
- 在主要的英语和中文数据库中进行全面的文献搜索,截至2025年5月.
- 对39项涉及7,487,925名儿童的研究进行随机效应元分析.
- 分析子组以探索影响因素,如诊断标准,种族和年龄.
主要成果:
- 怀孕和童年期间的抗生素暴露与儿童AD风险增加有关 (OR = 1.22).
- 儿童抗生素暴露显示,与产前暴露相比,阿尔茨海默病的风险更高.
- 风险受诊断标准,种族,抗生素频率和类型的影响,但不是生活区域.
结论:
- 早期接触抗生素,特别是在童年期间,会增加患亚托皮炎的风险.
- 诊断标准,种族和特定抗生素特征等因素会改变这种关联.
- 虽然在统计学上显著,但这些发现需要谨慎的解释和进一步的高质量研究.
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