Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis

The aim of this study was to determine whether there is an association between antenatal antibi-otic exposure and the incidence of necrotizing enterocolitis (NEC) in low birth weight infants.Study design: A retrospective case-control study was conducted on all infants with NEC who were born between...

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Main Authors: L. G. Bochkova, A. S. Eiberman, Y. V. Chernenkov, O. K. Kirilochev
Format: Article
Language:Russian
Published: LLC "Diagnostics and Vaccines" 2021-07-01
Series:Детские инфекции (Москва)
Subjects:
Online Access:https://detinf.elpub.ru/jour/article/view/595
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author L. G. Bochkova
A. S. Eiberman
Y. V. Chernenkov
O. K. Kirilochev
author_facet L. G. Bochkova
A. S. Eiberman
Y. V. Chernenkov
O. K. Kirilochev
author_sort L. G. Bochkova
collection DOAJ
description The aim of this study was to determine whether there is an association between antenatal antibi-otic exposure and the incidence of necrotizing enterocolitis (NEC) in low birth weight infants.Study design: A retrospective case-control study was conducted on all infants with NEC who were born between 201 0 and 2020. Medical histories of all infants diagnosed with NEC ≥ Bella IIA stage and corresponding controls without NEC were examined. Maternal and newborn char-acteristics were compared using the Cochran-Mantel-Haenszel method, and logistic regression models were constructed to account for bias.Results. Clinical data were analyzed for 97 matched pairs. The adjusted odds ratio (OR) for pre-natal ampicillin exposure was significantly higher for infants who developed NEC (OR 2.3, 95% CI 1.1,4.8, P = 0.003) than for children in the control group. Infants who developed NEC were more likely to have a history of intrauterine exposure to ampicillin in the immediate prenatal period than infants who did not develop NEC.
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spelling doaj.art-af62361dbf3141e7a1aebf936584e8f82023-03-13T07:28:26ZrusLLC "Diagnostics and Vaccines"Детские инфекции (Москва)2072-81072021-07-01202333710.22627/2072-8107-2021-20-2-33-37500Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing EnterocolitisL. G. Bochkova0A. S. Eiberman1Y. V. Chernenkov2O. K. Kirilochev3ФГБОУ ВПО Саратовский государственный медицинский университет им. В.И. Разумовского Министерства здравоохранения Российской ФедерацииФГБОУ ВПО Саратовский государственный медицинский университет им. В.И. Разумовского Министерства здравоохранения Российской ФедерацииФГБОУ ВПО Саратовский государственный медицинский университет им. В.И. Разумовского Министерства здравоохранения Российской ФедерацииАстраханский государственный медицинский университет Министерства здравоохранения Российской ФедерацииThe aim of this study was to determine whether there is an association between antenatal antibi-otic exposure and the incidence of necrotizing enterocolitis (NEC) in low birth weight infants.Study design: A retrospective case-control study was conducted on all infants with NEC who were born between 201 0 and 2020. Medical histories of all infants diagnosed with NEC ≥ Bella IIA stage and corresponding controls without NEC were examined. Maternal and newborn char-acteristics were compared using the Cochran-Mantel-Haenszel method, and logistic regression models were constructed to account for bias.Results. Clinical data were analyzed for 97 matched pairs. The adjusted odds ratio (OR) for pre-natal ampicillin exposure was significantly higher for infants who developed NEC (OR 2.3, 95% CI 1.1,4.8, P = 0.003) than for children in the control group. Infants who developed NEC were more likely to have a history of intrauterine exposure to ampicillin in the immediate prenatal period than infants who did not develop NEC.https://detinf.elpub.ru/jour/article/view/595некротизирующий энтероколитнедоношенные новорожденныеантибиотикотерапияфакторы риска
spellingShingle L. G. Bochkova
A. S. Eiberman
Y. V. Chernenkov
O. K. Kirilochev
Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis
Детские инфекции (Москва)
некротизирующий энтероколит
недоношенные новорожденные
антибиотикотерапия
факторы риска
title Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis
title_full Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis
title_fullStr Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis
title_full_unstemmed Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis
title_short Prenatal antibiotic therapy as a risk factor for Neonatal Necrotizing Enterocolitis
title_sort prenatal antibiotic therapy as a risk factor for neonatal necrotizing enterocolitis
topic некротизирующий энтероколит
недоношенные новорожденные
антибиотикотерапия
факторы риска
url https://detinf.elpub.ru/jour/article/view/595
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AT aseiberman prenatalantibiotictherapyasariskfactorforneonatalnecrotizingenterocolitis
AT yvchernenkov prenatalantibiotictherapyasariskfactorforneonatalnecrotizingenterocolitis
AT okkirilochev prenatalantibiotictherapyasariskfactorforneonatalnecrotizingenterocolitis