感染SGLT2抑制剂与DPP4抑制剂的风险:使用抗生素分配数据进行基于人口的队列研究
Maria J Alfonso Arvez1, George S Q Tan1, Sam Wade1
1Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Australia.
Clinical pharmacology and therapeutics
|July 27, 2025
概括
在2型糖尿病患者中,新使用-葡萄糖共运输体-2 (SGLT2) 抑制剂的患者显示,与二二酶-4 (DPP4) 抑制剂相比,抗生素处方较少. 这表明SGLT2抑制剂可能与较低的感染率有关.
科学领域:
- 药理学和药理学流行病学
- 糖尿病研究研究 糖尿病研究
- 传染病流行病学 传染病流行病学
背景情况:
- 2型糖尿病 (T2D) 患者感染的风险增加.
- 抗生素的使用在T2D管理中很常见.
- -葡萄糖共运输体-2 (SGLT2) 抑制剂和二基化酶-4 (DPP4) 抑制剂是通常处方的T2D药物.
研究的目的:
- 在T2D患者中,将SGLT2抑制剂和DPP4抑制剂的新用户之间的抗生素分发进行比较.
- 调查SGLT2抑制剂启动是否与减少抗生素使用有关.
主要方法:
- 一项回顾性队列研究,利用来自澳大利亚维多利亚州的医院数据.
- 在医院出院后12个月的抗生素分发分析.
- 负二项式回归与治疗权重的逆概率 (IPTW) 来比较结果.
主要成果:
- 58.3%的SGLT2抑制剂使用者和61.4%的DPP4抑制剂使用者接受了抗生素.
- 开始使用SGLT2抑制剂的患者总体抗生素发放量较少 (IRR 0.88;95% CI 0.85-0.90).
- 在SGLT2抑制剂发起者中观察到较低的累积定义每日抗生素剂量 (IRR 0.89;95% CI 0.86-0.93).
结论:
- 启动SGLT2抑制剂与T2D患者抗生素使用减少有关.
- 这一发现可能表明潜在的抗感染保护作用.
- 需要进一步的研究来证实这种关联和潜在的机制.
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