Evidence map›Paper›PMID 39340678›Full record

ArticleEuropean journal of pediatrics2024

Neonatal and early infancy antibiotic exposure is associated with childhood atopic dermatitis, wheeze and asthma.

Santeri Räty, Helena Ollila, Olli Turta, Anna Pärtty, Ville Peltola, Hanna Lagström, Johanna Lempainen, Samuli Rautava

Abstract read
In one paragraph

Article in European journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Microbial Infections and Antimicrobial Use in Neonates and Infants.Tropical medicine and infectious disease · 2025
    Article
  9. Review
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

8 authors.

Santeri RätyDepartment of Paediatrics, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. sanrat@utu.fi.
Helena OllilaDepartment of Biostatistics, University of Turku and Turku University Hospital, Turku, Finland.
Olli TurtaDepartment of Paediatrics, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland.
Anna PärttyDepartment of Paediatrics, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland.
Ville PeltolaDepartment of Paediatrics, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland.
Hanna LagströmDepartment of Public Health, University of Turku, Turku, Finland.
Johanna LempainenDepartment of Paediatrics, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland.
Samuli RautavaDepartment of Pediatrics, University of Helsinki, Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antibiotics are frequently administered in the neonatal period and early infancy. Little is known about the long-term health consequences of early life antibiotic exposure. The objective is to investigate the association between neonatal and early life (0-6 months) antibiotic treatment and the development of atopic dermatitis, asthma and the use of inhaled corticosteroid medication later in childhood. We analyzed data obtained from hospital records and national registers in a cohort of 11,255 children. The association between early antibiotic exposure and the outcomes were analyzed using logistic regression. Confounding factors were included in the model. Neonatal antibiotic therapy for confirmed infection was associated with childhood atopic dermatitis (adjusted odds ratio 1.49; 95% confidence interval 1.15-1.94). Antibiotic therapy by six months of age was more common in children developing atopic dermatitis (adjusted odds ratio 1.38; 95% confidence interval 1.15-1.64), asthma (adjusted odds ratio 1.56; 95% confidence interval 1.32- 1.85) and inhaled corticosteroid medication use (adjusted odds ratio 1.88; 95% confidence interval 1.66-2.13).  Conclusions: Neonatal antibiotic therapy for confirmed or clinically diagnosed infection is associated with increased risk of atopic dermatitis later in childhood. Antibiotic treatment before six months of age is associated with atopic dermatitis, asthma and inhaled corticosteroid use. What is known: • The use of antibiotics early in life has been associated with an increased risk of developing atopic dermatitis or asthma. • Confounding by indication or reverse causation may underlie the observed associations. What is new: • Our results demonstrate that neonatal antibiotic therapy for confirmed or clinically diagnosed infection was associated with increased risk of atopic dermatitis and antibiotic treatment before six months of age was associated with atopic dermatitis, asthma and inhaled corticosteroid use in analyses adjusted for confounding factors.

Indexed as

Anti-Bacterial AgentsAsthmaDermatitis, AtopicRespiratory SoundsAdrenal Cortex HormonesChildChild, PreschoolFemaleHumansInfantInfant, NewbornLogistic ModelsMaleRegistriesRisk FactorsAdrenal Cortex HormonesAnti-Bacterial AgentsAntibioticsAsthmaAtopicDermatitisNewborn

Identifiers

PMID39340678
PMCPMC11527921

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Registered trials

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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.