Exposure to antibiotics and mental disorders in children: a community-based cross-sectional study

التفاصيل البيبلوغرافية
العنوان: Exposure to antibiotics and mental disorders in children: a community-based cross-sectional study
المؤلفون: Ying Ma, Kaiyong Liu, Linsheng Yang, Annuo Liu, Zhong-xiu Jin, Jingjing Zhang, Sufang Wang, Li Wang, Liang Sun, Fangbiao Tao, Yitian Zhu, Xinji Liu, Rong Wei
المصدر: Environmental Geochemistry and Health. 43:3237-3253
بيانات النشر: Springer Science and Business Media LLC, 2021.
سنة النشر: 2021
مصطلحات موضوعية: China, medicine.medical_specialty, Environmental Engineering, 010504 meteorology & atmospheric sciences, Cross-sectional study, medicine.drug_class, Antibiotics, 010501 environmental sciences, 01 natural sciences, Child mental disorder, Geochemistry and Petrology, Internal medicine, medicine, Humans, Environmental Chemistry, Child, 0105 earth and related environmental sciences, General Environmental Science, Water Science and Technology, business.industry, Mental Disorders, Public health, General Medicine, Strengths and Difficulties Questionnaire, Mental health, Anti-Bacterial Agents, Ciprofloxacin, Cross-Sectional Studies, Observational study, business, Biological Monitoring, medicine.drug
الوصف: Although exposure to antibiotics at a critical developmental time window has been implicated in mental health in observational and experimental studies, very limited bio-monitoring data are available for exposure to antibiotics associated with child mental disorders. The goal of our study was to examine the association between urinary exposure of children to antibiotics and mental health. The participants were 278 children from 256 eligible families in the urban-rural fringe of Fuyang city in China since June in 2017. A single-point urine sample was collected to measure the antibiotic concentrations to characterize the exposure levels. A total of 45 antibiotics from nine classes and their two metabolites were monitored through liquid chromatography electrospray tandem mass spectrometry. We used multivariable regressions to estimate the covariate-adjusted associations between urine-antibiotic concentrations and mental impairments, as assessed using the parent version of Strengths and Difficulties Questionnaire. Among the participants, ciprofloxacin was associated with an increased risk of mental disorders at both lower concentrations (OR = 4.06; 95% CI 1.69-9.78) and higher concentrations OR = 6.04; 95% CI 2.59-14.08). After categorizing the detected antibiotics, the positive associations were observed between abnormal score in total difficulties and higher levels exposure to fluoroquinolones (OR = 2.83, 95% CI 1.38-5.80) and antibiotics preferred for veterinary use (PVAs) (OR = 3.20; 95% CI 1.41-7.27), respectively. Our findings suggest that ciprofloxacin, fluoroquinolones and PVAs, probably from contaminated food or environment, may be associated with child mental disorders.
تدمد: 1573-2983
0269-4042
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8cddfe063fed46a4aac138ef5df755e6
https://doi.org/10.1007/s10653-021-00840-2
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....8cddfe063fed46a4aac138ef5df755e6
قاعدة البيانات: OpenAIRE