PMID- 31129564 OWN - NLM STAT- MEDLINE DCOM- 20200331 LR - 20200331 IS - 1468-2044 (Electronic) IS - 0003-9888 (Linking) VI - 104 IP - 11 DP - 2019 Nov TI - Association between early life (prenatal and postnatal) antibiotic administration and coeliac disease: a systematic review. PG - 1083-1089 LID - 10.1136/archdischild-2019-317174 [doi] AB - OBJECTIVE: Whether prenatal or postnatal exposure to antibiotics is associated with an increased risk of coeliac disease (CD) is unclear. We systematically reviewed studies on the association between early life antibiotic exposure and the risk of CD or CD autoimmunity. DESIGN: Systematic review of observational studies. DATA SOURCES: The PubMed and Embase databases were searched up to December 2018, with no language restrictions. Additional references were obtained from reviewed articles. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Cohort, cross-sectional and case-control studies that assessed the association between prenatal and/or postnatal antibiotic exposure and the odds of developing CD (as defined by authors of the original studies) or CD autoimmunity were eligible for inclusion. RESULTS: Six studies were included. In two large cohort studies that focused on prenatal antibiotic exposure, no association with the risk of CD was found (adjusted OR=1.16; 95% CI 0.94 to 1.43 and adjusted HR=1.33; 95% CI 0.69 to 2.56) in the Norwegian and Swedish cohorts, respectively. In three studies that evaluated the association of postnatal antibiotic exposure with the risk of CD, the results were contradictory, with only the Italian cohort study reporting a significant positive association (adjusted incidence rate ratio=1.24; 95% CI 1.07 to 1.43). A large, multicentre cohort study that evaluated the association between postnatal antibiotic exposure and CD autoimmunity in human leukocyte antigen (HLA)-positive subjects found no association. CONCLUSIONS: We found no evidence of an association between prenatal or postnatal antibiotic exposure and CD. CI - (c) Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Kolodziej, Maciej AU - Kolodziej M AUID- ORCID: 0000-0001-8123-2126 AD - Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland. FAU - Patro-Golab, Bernadeta AU - Patro-Golab B AD - Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland. FAU - Gieruszczak-Bialek, Dorota AU - Gieruszczak-Bialek D AD - Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland. FAU - Skorka, Agata AU - Skorka A AD - Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland. FAU - Piescik-Lech, Malgorzata AU - Piescik-Lech M AD - Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland. FAU - Baron, Ruth AU - Baron R AD - Division Youth and Lifestyle, Vrije Universiteit Amsterdam - Sarphati Amsterdam, Amsterdam, The Netherlands. FAU - Szajewska, Hania AU - Szajewska H AD - Department of Paediatrics, The Medical University of Warsaw, Warsaw, Poland. CN - behalf of the SAWANTI Working Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20190525 PL - England TA - Arch Dis Child JT - Archives of disease in childhood JID - 0372434 RN - 0 (Anti-Bacterial Agents) SB - IM MH - Anti-Bacterial Agents/*administration & dosage/adverse effects MH - Celiac Disease/*etiology MH - Female MH - Humans MH - Observational Studies as Topic MH - Pregnancy MH - Pregnancy Complications, Infectious/*drug therapy/microbiology MH - Prenatal Exposure Delayed Effects/*microbiology MH - Risk Factors OTO - NOTNLM OT - antibiotics OT - celiac disease OT - children OT - prenatal OT - systematic review COIS- Competing interests: None declared. FIR - Baron, Ruth IR - Baron R FIR - Der Vaart, Isolde Besseling-van IR - Der Vaart IB FIR - Gieruszczak-Bialek, Dorota IR - Gieruszczak-Bialek D FIR - Horvath, Andrea IR - Horvath A FIR - Lukasik, Jan IR - Lukasik J FIR - Kolodziej, Maciej IR - Kolodziej M FIR - Patro-Golab, Bernadeta IR - Patro-Golab B FIR - Piescik-Lech, Malgorzata IR - Piescik-Lech M FIR - Seidell, Jaap IR - Seidell J FIR - Skorka, Agata IR - Skorka A FIR - Szajewska, Hania IR - Szajewska H FIR - Taye, Meron IR - Taye M FIR - Ujcic, Joanne IR - Ujcic J FIR - Verhoeff, And Arnoud IR - Verhoeff AA EDAT- 2019/05/28 06:00 MHDA- 2020/04/01 06:00 CRDT- 2019/05/27 06:00 PHST- 2019/03/06 00:00 [received] PHST- 2019/04/29 00:00 [revised] PHST- 2019/04/30 00:00 [accepted] PHST- 2019/05/28 06:00 [pubmed] PHST- 2020/04/01 06:00 [medline] PHST- 2019/05/27 06:00 [entrez] AID - archdischild-2019-317174 [pii] AID - 10.1136/archdischild-2019-317174 [doi] PST - ppublish SO - Arch Dis Child. 2019 Nov;104(11):1083-1089. doi: 10.1136/archdischild-2019-317174. Epub 2019 May 25.