Meta AnalysisID 2739

使用组胺-2受体拮抗剂是新生儿感染、坏死性小肠结肠炎和死亡的危险因素吗?

CRD42017060887

Is histamine-2 receptor antagonists use a risk factor for infection, necrotizing enterocolitis and mortality in neonates?

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Record Fields

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Meta Analysis Id
2739
Evidence Id
11297
Core Evidence Id
11297
Source Meta Analysis Id
2689
Herb2 Meta Analysis Id
HBMA002689
Crd Id
CRD42017060887
Title
Is histamine-2 receptor antagonists use a risk factor for infection, necrotizing enterocolitis and mortality in neonates?
Review Question
Is histamine-2 receptor antagonists use a risk factor for infection, necrotizing enterocolitis and mortality in neonates?
Study Type Included
Case-control studies, cohort studies and clinical trials.
Condition Being Studied
Histamine-2 receptor antagonists (H2RA) are frequently prescribed off-label to neonates admitted to neonatal intensive care units (NICU). Some studies show that the use of H2RA may predispose to infections in adults and older children, and possibly necrotising enterocolitis (NEC) in neonates, but this association has not been systematically examined.
Participant
Inclusion: all neonates hospitalized in a NICU who have or have not been exposed to ranitidine treatment. Exclusion: neonates born from mothers with trans-placental infection potential (i.e. human immunodeficiency virus, syphilis, hepatitis, toxoplasmosis, rubella and cytomegalovirus), neonates with congenital malformation (i.e, hydrocephalus, intestinal atresia, gastroschisis, meningoencephalocele, hydronephrosis), and neonates with genetic syndromes.
Animal
Human Disease Modelled
Intervention
Neonates who have been exposed to histamine-2 receptor antagonists.
Comparator Control
Neonates who have not been exposed to histamine-2 receptor antagonists.
Main Outcome
The rate of infections in neonates exposed or not to treatment with Histamine-2 receptor antagonist. Measures of effect Odds ratios.
Outcome Measure
Additional Outcome
The occurrence of NEC, mortality, and hospital stays. Measures of effect Odds ratios.
Study Method
Intervention, Meta-analysis, Prognostic, Systematic review
Keyword
Enterocolitis, Necrotizing; Humans; Infant Health; Infant, Newborn; Infant, Newborn, Diseases; Infant, Premature; Perinatal Death; Ranitidine; Risk Factors; Treatment Outcome
Contact
Victor Santos [email protected]
Organisational Affiliation
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Brazil
Review Stage
Review Completed published
First Submission Date
2018-01-24
Registration Date
2017-04-03
Anticipated Start Date
2017-02-21
Anticipated Completion Date
2017-06-30
Title Cn
使用组胺-2受体拮抗剂是新生儿感染、坏死性小肠结肠炎和死亡的危险因素吗?
Title En
Is histamine-2 receptor antagonists use a risk factor for infection, necrotizing enterocolitis and mortality in neonates?
Bilingual Status
complete