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Cited by 384

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

Antibiotics Associated With Increased Risk of New-Onset Crohn’s Disease But Not Ulcerative Colitis: A Meta-Analysis

Ungaro, Ryan, Bernstein, Charles N, Gearry, Richard, Hviid, Anders, Kolho, Kaija-Leena, Kronman, Matthew P, Shaw, Souradet, Van Kruiningen, Herbert, Colombel, Jean-Frédéric, Atreja, Ashish·2014·American Journal of Gastroenterology

Abstract

OBJECTIVES: The objective of this study was to perform a meta-analysis investigating antibiotic exposure as a risk factor for developing inflammatory bowel disease (IBD). METHODS: A literature search using Medline, Embase, and Cochrane databases was performed to identify studies providing data on the association between antibiotic use and newly diagnosed IBD. Included studies reported Crohn's disease (CD), ulcerative colitis (UC), or a composite of both (IBD) as the primary outcome and evaluated antibiotic exposure before being diagnosed with IBD. A random-effects meta-analysis was conducted to determine overall pooled estimates and 95% confidence intervals (CIs). RESULTS: A total of 11 observational studies (8 case-control and 3 cohort) including 7,208 patients diagnosed with IBD were analyzed. The pooled odds ratio (OR) for IBD among patients exposed to any antibiotic was 1.57 (95% CI 1.27-1.94). Antibiotic exposure was significantly associated with CD (OR 1.74, 95% CI 1.35-2.23) but was not significant for UC (OR 1.08, 95% CI 0.91-1.27). Exposure to antibiotics most markedly increased the risk of CD in children (OR 2.75, 95% CI 1.72-4.38). All antibiotics were associated with IBD, with the exception of penicillin. Exposure to metronidazole (OR 5.01, 95% CI 1.65-15.25) or fluoroquinolones (OR 1.79, 95% CI 1.03-3.12) was most strongly associated with new-onset IBD. CONCLUSIONS: Exposure to antibiotics appears to increase the odds of being newly diagnosed with CD but not UC. This risk is most marked in children diagnosed with CD.

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Metadata

Authors
Ungaro, R., Bernstein, C. N., Gearry, R., Hviid, A., Kolho, K.-L., Kronman, M. P., Shaw, S., Van Kruiningen, H., Colombel, J.-F., & Atreja, A.
Venue
American Journal of Gastroenterology
Published
2014-11
Volume
109
Issue
11
Pages
1728-1738
ISSN
0002-9270 (ISSN-L)
OpenAlex
W2072447308
Cited by
384
References
43
FWCI
4.35
Type
journal article
Language
en
Open access
closed

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Ungaro, R., Bernstein, C. N., Gearry, R., Hviid, A., Kolho, K.-L., Kronman, M. P., Shaw, S., Van Kruiningen, H., Colombel, J.-F., & Atreja, A. (2014). Antibiotics Associated With Increased Risk of New-Onset Crohn’s Disease But Not Ulcerative Colitis: A Meta-Analysis. American Journal of Gastroenterology. https://doi.org/10.1038/ajg.2014.246

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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