Evidence map›Paper›PMID 41916675›Full record

ArticleGut2026

Commonly prescribed drugs as risk factors for

Annelies Boven, Harry Vranken, Erika Vlieghe, Annemarie Boleij, Katja Fall, Lars Engstrand, Nele Brusselaers

Abstract read
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In one paragraph

Article in Gut, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Influence of COVID-19 on Clinical Outcomes ofAntibiotics (Basel, Switzerland) · 2026
    Article
  3. 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

7 authors.

Annelies BovenDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Harry VrankenDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Erika VliegheGlobal Health Institute, Department of Family Medicine and Population Health, Antwerp University, Antwerp, Belgium.
Annemarie BoleijDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-4495-5880
Katja FallSchool of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Lars EngstrandDepartment of Microbiology, Tumour and Cell Biology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-7713-2373
Nele BrusselaersDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden nele.brusselaers@ki.se.ORCID http://orcid.org/0000-0003-0137-447X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background

objectivesTo investigate the association between antibiotic and non-antibiotic drugs with microbiome-modulating activity on new occurrences of CDI.

designWe conducted a Swedish population-based case-control study from 2006 to 2019 including 42 921 cases matched with 355 159 population controls on age and sex, obtained from multiple linked Swedish registries. The effect of antibiotic and non-antibiotic use within 30 days from the index date on CDI occurrence was estimated using multivariable conditional logistic regression additionally with a lasso penalty. Models were adjusted for age and sex by design and for Charlson Comorbidity Index and concomitant drug use, providing adjusted ORs (aORs) with 95% CIs.

resultsAntibiotics with the greatest CDI risk were lincosamides (aOR=31.4, 95% CI 27.9 to 35.3), combinations of penicillins (aOR=19.8, 95% CI 15.9 to 24.5), sulfonamides and trimethoprim, and cephalosporins, though no association for tetracyclines. Among non-antibiotic drugs, we found decreased risks of CDI for lipid-modifiers (aOR=0.8, 95% CI 0.8 to 0.8) and aspirin (aOR=0.8, 95% CI 0.7 to 0.8) and increased risks for antidiarrhoeals (aOR=7.3, 95% CI 6.8 to 7.8), corticosteroids (aOR=2.4, 95% CI 2.3 to 2.5), proton-pump inhibitors (PPIs) (aOR=1.8, 95% CI 1.7 to 1.8), nervous system drugs, constipation drugs, histamine H2-receptor antagonists, antidepressants, and beta blockers, but no significant risk for non-steroidal anti-inflammatory drugs.

conclusionsWe found varying effects of antibiotics on CDI, providing evidence for ongoing efforts in prudent prescribing decisions and antimicrobial stewardship. We confirmed PPI as a main risk factor for CDI and provided new evidence for other non-antibiotic drugs as potentially important risk factors considering their high prescription prevalence.

Indexed as

Anti-Bacterial AgentsClostridium InfectionsPrescription DrugsAdultAgedAged, 80 and overCase-Control StudiesClostridioides difficileFemaleHumansMaleMiddle AgedRegistriesRisk FactorsSwedenAnti-Bacterial AgentsPrescription DrugsANTIBIOTICSENTERIC INFECTIONSINFECTIOUS DIARRHOEAPHARMACOTHERAPY

Identifiers

What OpenQuestion holds

Textmetadata
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.