婴儿期早期使用抗生素与患性疾病的高风险有关 自免疫性:基于人口的研究
Tal Cozacov1, Michal Yackobovitch-Gavan2, Anat Guz-Mark1,3
1From the Institute of Gastroenterology, Nutrition and Liver diseases, Schneider Children's Medical Center of Israel, Petach-Tikva.
婴儿早期接触抗生素与性疾病自身免疫性 (CDA) 风险的增加有关,特别是更多的处方. 这种关联在女性中更明显,突出了这种自身免疫性疾病的潜在环境触发因素.
科学领域:
- 儿科自身免疫性疾病儿童自身免疫性疾病
- 微生物组和免疫学
- 环境健康影响环境健康影响
背景情况:
- 乳病 (CD) 是由遗传倾向和环境因素引起的.
- 早期使用抗生素是对CD发展的潜在环境影响.
研究的目的:
- 为了调查早期抗生素暴露和乳性疾病自身免疫力 (CDA) 之间的联系.
- 探索这种关联中的剂量反应关系和效果修饰剂.
主要方法:
- 在以色列1995年至2022年出生超过180万名儿童的回顾性队列研究.
- 根据类型,时间和生命第一年的数量评估抗生素暴露.
- 通过血清学诊断的CDA;根据性别,种族和社会经济地位 (SEP) 调整的Cox模型.
主要成果:
- 56%的儿童在第一年接受了抗生素.
- 第一年的抗生素暴露与9%的CDA风险增加相关 (HR1.090).
- 观察到剂量反应,≥10处方显著增加风险 (HR 1.426);女性更强,SEP低.
结论:
- 第一年的抗生素暴露与CDA风险增加有关.
- 越来越多的处方增加了这种风险,特别是在女性身上.
- 早期使用抗生素是CDA病原发生的一个重要环境因素.
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