Evidence map›Paper›PMID 41872049›Full record

Observational studyJournal of pediatric gastroenterology and nutrition2026

Antibiotics in the first week of life are not associated with functional gastrointestinal disorders at 9-12 years of age.

Nora C Carpay, Kim Kamphorst, Ruurd M van Elburg, Arine M Vlieger

Abstract readObservational Study
In one paragraph

Observational study in Journal of pediatric gastroenterology and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

4 authors.

Nora C CarpayAmsterdam UMC, University of Amsterdam, Department of Paediatrics, Amsterdam Gastroenterology Endocrinology Metabolism Research Institute, Amsterdam Reproduction and Development Research Institute, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0002-0260-6992
Kim KamphorstDepartment of Paediatrics, Deventer Hospital, Deventer, the Netherlands.ORCID https://orcid.org/0000-0002-7081-9180
Ruurd M van ElburgAmsterdam UMC, University of Amsterdam, Department of Paediatrics, Amsterdam Gastroenterology Endocrinology Metabolism Research Institute, Amsterdam Reproduction and Development Research Institute, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-0310-6540
Arine M VliegerDepartment of Paediatrics, St Antonius Hospital, Utrecht, the Netherlands.ORCID https://orcid.org/0000-0002-3869-2896

Funding

None
6 · The paper itself

Abstract

objectivesDysbiosis due to early-life antibiotics may contribute to the development of functional gastrointestinal disorders (FGIDs). This follow-up study of a birth cohort primarily investigates the association between antibiotic treatment in the first week of life and the presence of FGIDs at 9-12 years. Secondarily, it examines whether a history of infantile colic or current food allergy is associated with FGIDs.

methodsA prospective observational birth cohort of 436 term-born infants was followed up at the age of 9-12 years; 151 received intravenous antibiotics in the first week of life due to suspected early onset sepsis (AB+) and 285 did not (AB-). Participants filled out questionnaires on the presence of FGIDs (Rome IV questionnaire) and food allergies, and FGID diagnoses were reported by general practitioners. Statistical analyses included chi-squared tests and multivariable logistic regression.

resultsThree hundred and six of 388 eligible participants (79.5%) participated in the follow-up study: 109 (35.6%) AB+ and 197 (64.4%) AB-. FGID prevalence at 9-12 years was similar in AB+ and AB- (any FGID: odds ratio [OR] 1.083, 95% confidence interval [CI] 0.608-1.932). Infantile colic was not significantly associated with FAPDs after adjusting for confounders (adjusted OR 2.007, 95% CI 0.978-4.003, p = 0.051). Children with a food allergy were more likely to have a functional abdominal pain disorder (FAPD) (adjusted OR 4.028, 95% CI 1.532-10.286).

conclusionsNo statistically significant association was observed between first-week antibiotics or infantile colic and FGIDs at 9-12 years of age, but FAPDs were significantly more prevalent in children with food allergies.

Indexed as

Anti-Bacterial AgentsGastrointestinal DiseasesBirth CohortChildColicDysbiosisFemaleFollow-Up StudiesFood HypersensitivityHumansInfant, NewbornMalePrevalenceProspective StudiesSepsisSurveys and QuestionnairesAnti-Bacterial Agentsallergyearly onset sepsisfunctional abdominal painirritable bowel syndromemicrobiome

Identifiers

PMID41872049
PMCPMC13238363

What OpenQuestion holds

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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.