Celiac Disease and Increased Risk of Pneumococcal Infection: a Systematic Review and Meta-Analysis

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Celiac Disease and Increased Risk of Pneumococcal Infection : a Systematic Review and Meta-Analysis

Simons, Malorie (författare): Division of Internal Medicine, Alpert Medical School of Brown University and Rhode Island Hospital, Providence RI, USA

Scott-Sheldon, Lori A. J. (författare): Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence RI, USA

Risech-Neyman, Yesenia (författare): Division of Gastroenterology, Alpert Medical School of Brown University and Rhode Island Hospital, Providence RI, USA

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Moss, Steven (författare): Division of Gastroenterology, Alpert Medical School of Brown University and Rhode Island Hospital, Providence RI, USA

Ludvigsson, Jonas F., 1969- (författare): Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Pediatrics, Örebro University Hospital, Örebro, Sweden; Division of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, United Kingdom; Celiac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York NY, USA

Green, Peter H. R. (författare): Celiac Disease Center, Department of Medicine, Columbia University College of Physicians and Surgeons, New York NY, USA

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Elsevier, 2017
2017
Engelska.
Ingår i: American Journal of Medicine. - : Elsevier. - 0002-9343 .- 1555-7162. ; 131:1, s. 83-89

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Abstract Ämnesord

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BACKGROUND: Celiac disease has been associated with hyposplenism and multiple case reports link Celiac disease and pneumococcal infections; however, increased risk of pneumococcal infection in celiac disease has not been confirmed. The purpose of this study was to conduct a systematic review to determine the risk of pneumococcal infections in celiac disease.METHODS: Relevant studies were identified using electronic bibliographic searches of PubMed, OVID Medline and EMBASE (1980 to February 2017) and reviewing abstracts from major conferences in gastroenterology. Using number of events in celiac patients and referent patients we calculated a summary relative risk of pneumococcal infections. All analyses were conducted in Comprehensive Meta-analysis software using random-effects assumptions.RESULTS: Of a total of 156 manuscripts, 3, representing three large databases including the Swedish National Inpatient Register; the Oxford Record Linkage Study; and the English National Hospital Episode Statistics, were included. Each compared patients with celiac disease and confirmed pneumococcal infection to a specific reference group: inpatients and/or the general population. Overall, the odds of pneumococcal infection were higher among hospitalized celiac patients compared to controls (odds ratio= 1.66; CI 95% 1.43, 1.92). There was no evidence of heterogeneity (Q[1] = 1.17, p = .56, I(2) = 0%).CONCLUSIONS: Celiac disease is associated with an increased risk of pneumococcal infection. Preventive pneumococcal vaccination should be considered for those with celiac disease, with special attention to those ages 15 to 64 who have not received the scheduled pneumococcal vaccination series as a child.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)

Nyckelord

Celiac disease
hyposplenism
infection
pneumococcus
splenic atrophy

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Av författaren/redakt...: Simons, Malorie; Scott-Sheldon, L ...; Risech-Neyman, Y ...; Moss, Steven; Ludvigsson, Jona ...; Green, Peter H. ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Gastroenterologi

Artiklar i publikationen: American Journal ...

Av lärosätet: Örebro universitet; Karolinska Institutet

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