國家衛生研究院 NHRI:Item 3990099045/7631

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Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/7631

Title:	Acetaminophen and antibiotic use in early life and the development of childhood allergic diseases
Authors:	Liu, LF;Tsai, HJ;Wang, JY
Contributors:	Division of Biostatistics and Bioinformatics
Abstract:	Background: Whether use of acetaminophen and/or antibiotics in early life can cause allergic diseases in later childhood remains inconclusive. The objective of the present study is to investigate the temporal relationship between exposure to acetaminophen and/or antibiotics in early life and developing allergic diseases in later childhood using two independent birth cohorts derived from the National Health Insurance Research Database (NHIRD) in Taiwan. Method: The authors conducted a prospective birth cohort study using 263 620 children born in 1998 and 9910 children born in 2003, separately, from NHIRD. Exposure status of acetaminophen and/or anti-biotics and potential confounding factors were included in the analyses. Cox proportional-hazard models were applied to determine the temporal effect of acetaminophen and/or antibiotic exposure on developing allergic diseases. Results: We observed positive relationship between exposure to acetaminophen and/or antibiotics during the first year of life and the development of three examined atopic diseases in 1998 birth cohort [adjusted hazard ratio (aHR): 1.86 for both use of acetaminophen and antibiotics in atopic dermatitis (95%CI: 1.74 –1.98); aHR: 1.60 for both use in asthma (95%CI: 1.53 – 1.67); aHR: 1.61 for both use in allergic rhinitis (95%CI: 1.55 – 1.67)]. Similar results were observed in 2003 birth cohort. Conclusion: Our findings have provided suggestive evidence the temporal effect of exposure to antibiotics and/or acetaminophen influences the development of childhood common allergic diseases. Further functional studies and/or animal studies will be needed for better understanding underlying regulatory mechanisms on this important clinical/public issue.
Date:	2013-09
Relation:	Allergy. 2013 Sep;68(Suppl. S97):446.
Link to:	http://dx.doi.org/10.1111/all.12251
JIF/Ranking 2023:	http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0105-4538&DestApp=IC2JCR
Cited Times(WOS):	https://www.webofscience.com/wos/woscc/full-record/WOS:000325142904079
Appears in Collections:	[Hui-Ju Tsai] Conference Papers/Meeting Abstract

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