Community Infections
Conditions
Brief summary
Pharmacological treatment of physiologic Gastro-esophageal Reflux disease (GERD) is excessive in France, as 65%-85% of children below 11 years are being treated, frequently with Proton Pump Inhibitors (PPIs) PPI have been associated, in adults, with an increase of infection rate but data in pediatry are scarce, especially in community medecine. Recently a study conducted in England brought up controversial results suggesting that the use of PPIs can be associated with a reduced risk of community acquired pneumonia. Our study was aimed to assess, on a population-based database, the association between PPI prescription and community infections in children of 11 years or under.
Interventions
all children with at least one prescription of PPI
all children with no prescription of PPI
Sponsors
Study design
Eligibility
Inclusion criteria
* Children aged 11 years or below with at least 2 consultations during the follow up
Exclusion criteria
* chronic pulmonary or cardiac * muscoviscidosis * immunodeficiency * H. pylori infection * Diabetes * Denutrition * known digestive upper tract malformation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of overall infections | 4 years | Comparison of number of infections between PPI exposed and non-exposed children. All infections are taken in account |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of specific infections | 4 years | Comparison of number of infections between PPI exposed and non-exposed |
Countries
France