Odds are low, but study points to another downside of overuse
WebMD News from HealthDay
By Alan Mozes
HealthDay Reporter
MONDAY, July 20, 2015 (HealthDay News) -- Here's yet another reason not to overuse antibiotics: Children treated with the antibacterial drugs may face a greater risk for developing juvenile arthritis, new research suggests.
The study found that children and teens prescribed antibiotics had about twice the risk of developing juvenile arthritis compared to children the same age who were not prescribed the drugs.
"This risk was greatest within a year of receiving antibiotics and increased with the number of antibiotic courses children were prescribed," said study lead author Dr. Daniel Horton, a research fellow with the Rutgers Biomedical and Health Sciences Child Health Institute of New Jersey.
Antifungal and antiviral drugs did not show the same effect, he said.
The results suggest antibiotics may trigger juvenile arthritis in a small subset of children who are prone to developing this disease, Horton said.
Parents shouldn't panic, however. "The majority of children who receive antibiotics will not develop arthritis as a result," he added.
Between 4,300 and 9,700 U.S. kids under age 16 are diagnosed with juvenile arthritis each year, according to the U.S. Centers for Disease Control and Prevention. The autoimmune disease may involve pain and swelling in one or many joints, and cause other symptoms such as fevers, rash and/or eye inflammation, says the American College of Rheumatology.
As genetics seem to account for only about one quarter of cases, interest has turned to environmental factors as possible links to juvenile arthritis.
To analyze the possibility of an antibiotic exposure connection, investigators sifted through information obtained from a British electronic records system.
The database included details on 152 juvenile arthritis diagnoses among more than 450,000 children in the United Kingdom between 1 and 15 years old who were diagnosed from 1994 to 2013.
After cross-referencing antibiotic prescription histories among 1,520 healthy children and those with newly developed juvenile arthritis, the study team concluded that taking antibiotics in childhood was linked to double the risk for the painful disorder. And in the wake of five antibiotic courses, the risk tripled.
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