Evidence map›Paper›PMID 25532738›Full record

ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2015

Relationship between prenatal antibiotic use and asthma in at-risk children.

Brittany Lapin, Julie Piorkowski, Dennis Ownby, Sally Freels, Noel Chavez, Eva Hernandez, Cynthia Wagner-Cassanova, Darlene Pelzel, Carmen Vergara, Victoria Persky

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05759351 (Appendectomy During Pregnancy in General Anesthesia With Perioperative Management Does Not Influence Normal Child Development), which is not on this map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05759351 completednot on this map

Appendectomy During Pregnancy in General Anesthesia With Perioperative Management Does Not Influence Normal Child Development: 10-year Study

TypeobservationalSponsorClinical Hospital Centre ZagrebRan2006 to 2022Enrolled30ConditionsAppendicitis Acute, Pregnancy Related, Anesthetic Toxicity, Child Development
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 106 citations in OpenAlex.

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  11. Establishing obstetrics-specific metrics and interventions for antimicrobial stewardship.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Brittany LapinDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois. Electronic address: brittany.lapin@gmail.com.
Julie PiorkowskiDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Dennis OwnbySection of Allergy and Immunology, Georgia Regents University, Augusta, Georgia.
Sally FreelsDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Noel ChavezCommunity Health Sciences Division, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Eva HernandezDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Cynthia Wagner-CassanovaDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Darlene PelzelDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Carmen VergaraDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
Victoria PerskyDivision of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, Chicago, Illinois.
University of Illinois Chicago · USGeorgia Regents Medical Center · US

Funding

Peer Education in Pregnancy StudyR01ES011377 · NIEHS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PERSKY, VICTORIA W · 2002 to 2006
$1.9M
COMMUNITY BASED ASTHMA INTERVENTION IN PREGNANT WOMENR21ES008716 · NIEHS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PERSKY, VICTORIA W · 1997 to 2000
$325k
NIEHS NIH HHS R01 ES011377NIEHS NIH HHS R01ES011377NIEHS NIH HHS R21ES08716
6 · The paper itself

Abstract

backgroundAsthma prevalence has doubled in developed countries during the past 30 years. Pre- and perinatal events are essential in shaping the development of the immune system and systemic antibiotic use during this time could alter the maternal or placental microbiome, leading to an increase in the child's risk of developing asthma.

objectiveTo determine whether prenatal antibiotic use is associated with asthma and wheezing in children at risk for asthma.

methodsUsing data from a randomized education intervention of families at risk for asthma from 1998 followed through 2009 in urban Chicago, asthma was defined as ever having a physician asthma diagnosis by year 3 and wheezing in the third year. Logistic regression models controlling for confounders investigated the effect of antibiotic use during pregnancy on these outcomes.

resultsAfter adjustment, prenatal antibiotic use was a risk factor for asthma (odds ratio 3.1, 95% confidence interval 1.4-6.8) but was only weakly associated with wheezing (odds ratio 1.8, 95% confidence interval 0.9-3.3). Analyses of the effects of timing of prenatal antibiotic use on asthma and wheezing showed the relation remained consistent for antibiotic use later in pregnancy, but the outcomes were not associated with antibiotic use in the first trimester.

conclusionThis study suggests prenatal antibiotic use might be associated with the development of asthma in children at risk for asthma. Although the relation with prenatal antibiotics does not hold for wheezing in this study, there might be a trend that could be delineated further within a larger cohort study.

Indexed as

Anti-Bacterial AgentsAsthmaFemaleHumansMicrobiotaPregnancyPrenatal Exposure Delayed EffectsRespiratory SoundsRisk FactorsAnti-Bacterial Agents

Identifiers

PMID25532738
PMCPMC4352392
OpenAlexW2074629950

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.