Evidence map›Paper›PMID 34853783›Full record

ArticleERJ open research2021

The risk of respiratory tract infections and antibiotic use in a general population and among people with asthma.

Marta A Kisiel, Xingwu Zhou, Eythor Björnsson, Mathias Holm, Anna Dahlman-Höglund, Juan Wang, Cecilie Svanes, Dan Norbäck, Karl A Franklin, Andrei Malinovschi and 3 more

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Adverse respiratory outcomes among patients with resolved asthma: matched retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  5. Article
  6. Article
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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

13 authors at 6 institutions in 3 countries.

Marta A KisielDept of Medical Sciences: Environmental and Occupational Medicine, Uppsala University, Uppsala, Sweden.
Xingwu ZhouDept of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Eythor BjörnssonReykjalundur Rehabilitation Hospital, Mosfellsbær, Iceland.
Mathias HolmSection of Occupational and Environmental Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Anna Dahlman-HöglundSection of Occupational and Environmental Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Juan WangDept of Medical Sciences: Environmental and Occupational Medicine, Uppsala University, Uppsala, Sweden.
Cecilie SvanesDept of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Bergen, Norway.
Dan NorbäckDept of Medical Sciences: Environmental and Occupational Medicine, Uppsala University, Uppsala, Sweden.
Karl A FranklinDept of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-5306-1697
Andrei MalinovschiDept of Medical Sciences: Clinical Physiology, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0002-4098-7765
Ane JohannessenDept of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Bergen, Norway.
Vivi SchlünssenDept of Public Health, Danish Ramazzini Centre, Aarhus University and the National Research Centre for the Working Environment, Copenhagen, Denmark.
Christer JansonDept of Medical Sciences: Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.ORCID https://orcid.org/0000-0001-5093-6980
Uppsala University · SEUniversity of Gothenburg · SEAarhus University · DKHaukeland University Hospital · NOUmeå University · SEUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of this study was to investigate occupational, environmental, early life and other risk factors associated with respiratory infections and antibiotics use in a general population and among asthmatic individuals.

methodThis study included 15 842 participants of the Respiratory Health in Northern Europe (RHINE) study aged 25-54 years from five Nordic countries, who answered a questionnaire covering respiratory outcomes, exposures, demographic characteristics and numbers of infections and courses of antibiotics in the last 12 months. Multiple logistic regression with and without adjustment for age, sex, smoking status, body mass index and centre were used to study the risk of infection and antibiotics in relation to asthma, and also the association between infection and antibiotics and occupations.

resultsIn the whole population, 11.6% reported having three or more respiratory infections, and 14.7% had used antibiotics because of respiratory tract infections within the last year. Asthmatic participants reported tripled odds for such infections (adjusted OR 2.98, 95% CI 2.53-3.52) and antibiotics use (adjusted OR 3.67, 95% CI 3.18-4.24) as compared to non-asthmatic participants. Both in the general and the asthmatic population, female sex, obesity and exposure to building dampness were associated with respiratory infections. Female sex and current smoking and living in Tartu were associated with antibiotic use. The use of antibiotics was doubled in people hospitalised for severe respiratory infection in childhood.

conclusionIn this study we identified several factors associated with increased respiratory infections and use of antibiotics in a general population and among asthmatic individuals. The frequency of respiratory infections and subsequent antibiotic treatment were increased among those with asthma.

Identifiers

PMID34853783
PMCPMC8628194
OpenAlexW3206191607

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.