Long term impact of prophylactic antibiotic use before incision versus after cord clamping on children born by caesarean section: longitudinal study of UK electronic health records Article Swipe
Dana Šumilo
,
Krishnarajah Nirantharakumar
,
Brian H Willis
,
Gavin Rudge
,
James Martín
,
Krishna Gokhale
,
Rasiah Thayakaran
,
Nicola J. Adderley
,
Joht Singh Chandan
,
Kelvin Okoth
,
Isobel Marion Harris
,
Ruth Hewston
,
Magdalena Skrybant
,
Jonathan J Deeks
,
Peter Brocklehurst
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/bmj-2021-069704
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1136/bmj-2021-069704
Objective To investigate the impact on child health up to age 5 years of a policy to use antibiotic prophylaxis for caesarean section before incision compared with after cord clamping. Design Observational controlled interrupted time series study. Setting UK primary and secondary care. Participants 515 945 children born in 2006-18 with linked maternal records and registered with general practices contributing to two UK primary care databases (The Health Improvement Network and Clinical Practice Research Datalink), and 7 147 884 children with linked maternal records in the Hospital Episode Statistics database covering England, of which 3 945 351 were linked to hospitals that reported the year of policy change to administer prophylactic antibiotics for caesarean section before incision rather than after cord clamping. Intervention Fetal exposure to antibiotics shortly before birth (using pre-incision antibiotic policy as proxy) compared with no exposure. Main outcome measures The primary outcomes were incidence rate ratios of asthma and eczema in children born by caesarean section when pre-incision prophylactic antibiotics were recommended compared with those born when antibiotics were administered post-cord clamping, adjusted for temporal changes in the incidence rates in children born vaginally. Results Prophylactic antibiotics administered before incision for caesarean section compared with after cord clamping were not associated with a significantly higher risk of asthma (incidence rate ratio 0.91, 95% confidence interval 0.78 to 1.05) or eczema (0.98, 0.94 to 1.03), including asthma and eczema resulting in hospital admission (1.05, 0.99 to 1.11 and 0.96, 0.71 to 1.29, respectively), up to age 5 years. Conclusions This study found no evidence of an association between pre-incision prophylactic antibiotic use and risk of asthma and eczema in early childhood in children born by caesarean section.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/bmj-2021-069704
- https://www.bmj.com/content/bmj/377/bmj-2021-069704.full.pdf
- OA Status
- hybrid
- Cited By
- 12
- References
- 46
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4280555840
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4280555840Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/bmj-2021-069704Digital Object Identifier
- Title
-
Long term impact of prophylactic antibiotic use before incision versus after cord clamping on children born by caesarean section: longitudinal study of UK electronic health recordsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-05-17Full publication date if available
- Authors
-
Dana Šumilo, Krishnarajah Nirantharakumar, Brian H Willis, Gavin Rudge, James Martín, Krishna Gokhale, Rasiah Thayakaran, Nicola J. Adderley, Joht Singh Chandan, Kelvin Okoth, Isobel Marion Harris, Ruth Hewston, Magdalena Skrybant, Jonathan J Deeks, Peter BrocklehurstList of authors in order
- Landing page
-
https://doi.org/10.1136/bmj-2021-069704Publisher landing page
- PDF URL
-
https://www.bmj.com/content/bmj/377/bmj-2021-069704.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://www.bmj.com/content/bmj/377/bmj-2021-069704.full.pdfDirect OA link when available
- Concepts
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Medicine, Caesarean section, Pediatrics, Incidence (geometry), Pregnancy, Rate ratio, Relative risk, Antibiotic prophylaxis, Asthma, Antibiotics, Confidence interval, Medical record, Obstetrics, Surgery, Internal medicine, Physics, Optics, Microbiology, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
12Total citation count in OpenAlex
- Citations by year (recent)
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2025: 7, 2024: 1, 2023: 1, 2022: 3Per-year citation counts (last 5 years)
- References (count)
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46Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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