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. Author manuscript; available in PMC: 2022 Jan 1.
Published in final edited form as: Mayo Clin Proc. 2020 Nov 16;96(1):66–77. doi: 10.1016/j.mayocp.2020.07.019

Table 3.

Association between the Type of Antibiotics Prescribed and Risk of Several Common Childhood Health Conditions.

Condition Class Females HR (95% CI) P-value Males HR (95% CI) P-value
Asthma Penicillins 1.50 (1.21–1.87) <.001 1.35 (1.12–1.62) .001
Cephalosporins 1.39 (1.13–1.71) .002 1.29 (1.09–1.53) .004
Sulfonamides 1.27 (0.93–1.74) .130 0.92 (0.66–1.27) .602
Macrolides 1.33 (1.08–1.62) .006 1.34 (1.14–1.58) .001

Allergic rhinitis Penicillins 1.15 (0.91–1.46) .247 1.16 (0.95–1.41) .148
Cephalosporins 1.83 (1.46–2.30) <.001 1.29 (1.07–1.55) .008
Sulfonamides 1.16 (0.81–1.66) .405 1.10 (0.80–1.52) .557
Macrolides 1.11 (0.88–1.40) .359 1.39 (1.16–1.66) <.001

Food allergy Penicillins 0.74 (0.47–1.15) .181 1.06 (0.73–1.53) .774
Cephalosporins 2.73 (1.74–4.28) <.001 1.96 (1.39–2.76) <.001
Sulfonamides 1.27 (0.65–2.49) .490 0.67 (0.31–1.43) .299
Macrolides 1.00 (0.62–1.59) .985 0.99 (0.69–1.41) .944

Atopic dermatitis Penicillins 1.27 (0.87–1.87) .220 1.40 (0.96–2.03) .079
Cephalosporins 1.69 (1.14–2.52) .010 1.29 (0.90–1.84) .166
Sulfonamides 0.98 (0.49–1.96) .953 1.37 (0.75–2.51) .301
Macrolides 0.59 (0.37–0.92) .021 0.83 (0.57–1.19) .304

Celiac disease Penicillins 6.74 (1.56–29.23) .011 1.61 (0.51–5.12) .417
Cephalosporins 0.49 (0.16–1.50) .213 1.53 (0.59–3.95) .383
Sulfonamides 0.57 (0.07–4.28) .582 1.42 (0.32–6.34) .648
Macrolides 1.26 (0.53–3.03) .600 1.08 (0.42–2.79) .869

Overweight Penicillins 1.11 (1.02–1.22) .021 1.13 (1.03–1.24) .007
Cephalosporins 1.10 (1.00–1.22) .057 1.11 (1.01–1.22) .027
Sulphonamides 1.11 (0.94–1.31) .232 1.20 (1.01–1.41) .033
Macrolides 1.16 (1.05–1.28) .002 1.11 (1.01–1.21) .027

Obesity Penicillins 1.05 (0.92–1.19) .497 1.15 (1.02–1.31) .023
Cephalosporins 1.17 (1.02–1.35) .029 1.08 (0.96–1.22) .217
Sulfonamides 1.15 (0.92–1.45) .221 1.11 (0.89–1.39) .338
Macrolides 1.08 (0.94–1.24) .263 1.15 (1.02–1.29) .022

ADHD Penicillins 1.50 (1.14–1.96) .003 1.08 (0.91–1.27) .382
Cephalosporins 1.21 (0.92–1.59) .175 1.18 (1.00–1.39) .053
Sulfonamides 0.65 (0.38–1.10) .110 1.19 (0.89–1.58) .233
Macrolides 1.03 (0.79–1.34) .846 1.09 (0.93–1.28) .283

Autism Penicillins 0.39 (0.16–0.95) .038 0.96 (0.62–1.47) .836
Cephalosporins 2.77 (1.09–7.02) .032 1.89 (1.25–2.84) .002
Sulfonamides 1.08 (0.24–4.81) .915 1.13 (0.54–2.35) .752
Macrolides 1.21 (0.47–3.14) .695 0.83 (0.55–1.28) .406

Learning disability Penicillins 1.18 (0.88–1.58) .279 1.06 (0.87–1.29) .562
Cephalosporins 1.36 (0.99–1.85) .056 1.48 (1.21–1.80) <.001
Sulfonamides 0.96 (0.56–1.64) .874 1.03 (0.71–1.51) .866
Macrolides 0.93 (0.68–1.28) .666 0.79 (0.65–0.98) .028