Association between antibiotic treatment during pregnancy and infancy and the development of allergic diseases Article Swipe
Stefanie Metzler
,
Remo Frei
,
Elisabeth Schmaußer‐Hechfellner
,
Erika von Mutius
,
Juha Pekkanen
,
Anne M. Karvonen
,
Pirkka V. Kirjavainen
,
Jean‐Charles Dalphin
,
Amandine Divaret‐Chauveau
,
Josef Riedler
,
Roger Lauener
,
Caroline Roduit
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1111/pai.13039
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1111/pai.13039
Background Allergies are a serious public health issue, and prevalences are rising worldwide. The role of antibiotics in the development of allergies has repeatedly been discussed, as results remain inconsistent. The aim of this study was to investigate the association between pre‐ and post‐natal antibiotic exposure and subsequent development of allergies (atopic dermatitis, food allergy, asthma, atopic sensitization and allergic rhinitis). Methods A total of 1080 children who participated in a European birth cohort study (PASTURE) were included in this analysis. Data on antibiotic exposure during pregnancy and/or first year of life and allergic diseases were collected by questionnaires from pregnancy up to 6 years of age and analysed by performing logistic regressions. To take into account reverse causation, we included models, where children with diagnosis or symptoms of the respective disease in the first year of life were excluded. Results Antibiotic exposure in utero was significantly and positively associated with atopic dermatitis and food allergy. The strongest effect was on diseases with onset within the first year of life (for atopic dermatitis: aOR 1.66, 95% CI 1.11‐2.48 and for food allergy: aOR 3.01, 95% CI 1.22‐7.47). Antibiotics in the first year of life were positively associated with atopic dermatitis up to 4 years (aOR 2.73, 95% CI 1.66‐4.49) and also suggested a dose‐response relationship. A tendency was observed with asthma between 3 and 6 years (aOR 1.65, 95% CI 0.95‐2.86). Conclusions Our findings show positive associations between exposure to antibiotics and allergies, mainly atopic dermatitis and food allergy within the first year of life, after prenatal exposure, and atopic dermatitis and asthma after post‐natal exposure to antibiotics in children born in rural settings.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/pai.13039
- OA Status
- green
- Cited By
- 91
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2913324004
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2913324004Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/pai.13039Digital Object Identifier
- Title
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Association between antibiotic treatment during pregnancy and infancy and the development of allergic diseasesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2019Year of publication
- Publication date
-
2019-02-08Full publication date if available
- Authors
-
Stefanie Metzler, Remo Frei, Elisabeth Schmaußer‐Hechfellner, Erika von Mutius, Juha Pekkanen, Anne M. Karvonen, Pirkka V. Kirjavainen, Jean‐Charles Dalphin, Amandine Divaret‐Chauveau, Josef Riedler, Roger Lauener, Caroline RoduitList of authors in order
- Landing page
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https://doi.org/10.1111/pai.13039Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
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https://hdl.handle.net/10138/312916Direct OA link when available
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Medicine, Pregnancy, Antibiotics, Association (psychology), MEDLINE, Allergy, Pediatrics, Immunology, Intensive care medicine, Microbiology, Philosophy, Law, Genetics, Political science, Biology, EpistemologyTop concepts (fields/topics) attached by OpenAlex
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91Total citation count in OpenAlex
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2025: 9, 2024: 14, 2023: 16, 2022: 24, 2021: 12Per-year citation counts (last 5 years)
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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