2010
DOI: 10.1136/gut.2010.219683
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Antibiotic use and inflammatory bowel diseases in childhood

Abstract: Antibiotic use is common in childhood and its potential as an environmental risk factor for IBD warrants scrutiny. This is the first prospective study to show a strong association between antibiotic use and CD in childhood. However, as with any observational study, causality cannot be inferred from our results and confounding by indication--in particular, prescribing of antibiotics to children with intestinal symptoms of as yet undiagnosed CD--should also be considered as a possible explanation.

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Cited by 429 publications
(307 citation statements)
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References 18 publications
(17 reference statements)
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“…Metagenomic studies provide a profile of the microbial communities in the human gut and reveal an association between low microbial diversity and several disease states, including IBD, metabolic disorders and IBS. [30][31][32][33][34][35][36] Even if a cause-effect relationship between low microbial richness and disease has not been established, it is known that exposure to antibiotics early in life is a risk factor for the development of IBD 37 or obesity, 38 sug gesting that depletion of some critical commensals might have health consequences later in life. These observations, among others, support the hypothesis that the increasingly vulnerable human microbiota and specifically defective colonization by 'old friends' play a part in the aetiology of a number of disorders of modern society.…”
Section: Should the Probiotic Framework Include Well-defined Beneficimentioning
confidence: 99%
“…Metagenomic studies provide a profile of the microbial communities in the human gut and reveal an association between low microbial diversity and several disease states, including IBD, metabolic disorders and IBS. [30][31][32][33][34][35][36] Even if a cause-effect relationship between low microbial richness and disease has not been established, it is known that exposure to antibiotics early in life is a risk factor for the development of IBD 37 or obesity, 38 sug gesting that depletion of some critical commensals might have health consequences later in life. These observations, among others, support the hypothesis that the increasingly vulnerable human microbiota and specifically defective colonization by 'old friends' play a part in the aetiology of a number of disorders of modern society.…”
Section: Should the Probiotic Framework Include Well-defined Beneficimentioning
confidence: 99%
“…To normalize gut microbiota, rats from all groups were kept in the same room and maintained by the same personal. Study was approved by the bioethical committee of ESC "Institute of Biology" Taras Shevchenko National University of Kyiv (Protocol No 8 issued by Nov, 2,2015).…”
Section: Methodsmentioning
confidence: 99%
“…In 2011, two independent groups reported about positive correlation between longterm use of antibiotics and the risk of IBD in children [2] and adults (average age -43.4 years) [12]. The mechanisms underlying this phenomenon are hypothetical and require empirical study.…”
Section: Introductionmentioning
confidence: 99%
“…15 The relationship between the host-gut microbiota and systemic immunity attracting more and more attention, however, the mechanism for this phenomenon remains unknown.…”
Section: Discussionmentioning
confidence: 99%