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Pharmacoepidemiological study of association between prenatal and postnatal exposure of antibiotics and allergic diseases in children

Research Project

Project/Area Number 16K19182
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Applied pharmacology
Research InstitutionKyoto University

Principal Investigator

Yoshida Satomi  京都大学, 医学研究科, 特定助教 (30635066)

Project Period (FY) 2016-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords薬剤疫学 / 抗菌薬の使用実態 / アレルギー疾患 / 公衆衛生学 / 胎児期曝露 / 出生コホート / 抗菌薬の適正使用 / 胎生期曝露 / 薬剤疫学研究 / レセプトデータベース / 抗菌薬 / 乳幼児 / 小児喘息 / アトピー / 小児喘息・アレルギー疾患
Outline of Final Research Achievements

The purpose of our study was to evaluate the association between antibiotic exposure in early life and allergic diseases in childhood. We conducted a retrospective cohort study by using a large-scale claim database in Japan. Data were obtained from an administrative claims database maintained by the Japan Medical Data Center.
Our results showed that exposure to antibiotics during the first year of life was associated with development of childhood asthma. In contrast, we did not find enough evidence for an association between prenatal exposure and asthma development because of the weak relationship observed.
While, our analysis did not identifying the situation for which antibiotics had been prescribed. Children who are at a risk of asthma may likely be prescribed antibiotics, resulting in an indication bias between antibiotic use and asthma development and thus, further studies addressing indication bias of antibiotics are needed.

Report

(3 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • Research Products

    (5 results)

All 2018 2017 2016

All Journal Article (3 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (2 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Prenatal and early-life antibiotic use and risk of childhood asthma: A retrospective cohort study.2018

    • Author(s)
      Satomi Yoshida, Kazuki Ide, Masato Takeuchi, Koji Kawakami.
    • Journal Title

      Pediatric Allergy and Immunology.

      Volume: in press Issue: 5 Pages: 490-495

    • DOI

      10.1111/pai.12902

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prescription of antibiotics to pre-school children from 2005 to 2014 in Japan: a retrospective claims database study2017

    • Author(s)
      Yoshida S, Takeuchi M, Kawakami K.
    • Journal Title

      Journal of Public Health.

      Volume: in press Issue: 2 Pages: 1-7

    • DOI

      10.1093/pubmed/fdx045

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] 乳児期の抗菌薬曝露と小児喘息発症との関連2016

    • Author(s)
      吉田 都美
    • Journal Title

      アレルギーの臨床

      Volume: 7 Pages: 61-64

    • Related Report
      2016 Research-status Report
  • [Presentation] Fetal and infant exposure to antibiotics and risk of asthma development in childhood.2017

    • Author(s)
      Satomi Yoshida, Masato Takeuchi, Kahori Seto, Koji Kawakami.
    • Organizer
      5th Conference on Prenatal Programming and Toxicity (pptoxV).
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Fetal and infant exposure to antibiotics and risk of asthma development in childhood.2016

    • Author(s)
      Yoshida S, Takeuchi M, Seto K, Kawakami K.
    • Organizer
      5th Conference on Prenatal Programming and Toxicity (pptoxV)
    • Place of Presentation
      Fukuoka, Japan
    • Year and Date
      2016-11-14
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2019-03-29  

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