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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PPI exposed children | all children with at least one prescription of PPI |
| |
| non-exposed children | all children with no prescription of PPI |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| all children with at least one prescription of PPI | Other | all children with at least one prescription of PPI |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of overall infections | Comparison of number of infections between PPI exposed and non-exposed children. All infections are taken in account | 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Number of specific infections | Comparison of number of infections between PPI exposed and non-exposed | 4 years |
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Inclusion Criteria:
Exclusion Criteria:
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all children included in the LDP-CSD database (Cegedim©) aged 11 or below, between 01/01/2008 and 31/12/2013
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu de Dijon | Dijon | 21079 | France |
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| all children with no prescription of PPI | Other | all children with no prescription of PPI |
|