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Fsadni C, Fsadni P, Fava S, et al. Association of prevalence of rhinitis, atopic eczema, rhinoconjunctivitis and wheezing with mortality from infectious diseases and with antibiotic susceptibility at a country level. Asia Pac Allergy. 2015;5(3):145-55doi: 10.5415/apallergy.2015.5.3.145.
Fsadni, C., Fsadni, P., Fava, S., & Montefort, S. (2015). Association of prevalence of rhinitis, atopic eczema, rhinoconjunctivitis and wheezing with mortality from infectious diseases and with antibiotic susceptibility at a country level. Asia Pacific allergy, 5(3), 145-55. https://doi.org/10.5415/apallergy.2015.5.3.145
Fsadni, Claudia, et al. "Association of prevalence of rhinitis, atopic eczema, rhinoconjunctivitis and wheezing with mortality from infectious diseases and with antibiotic susceptibility at a country level." Asia Pacific allergy vol. 5,3 (2015): 145-55. doi: https://doi.org/10.5415/apallergy.2015.5.3.145
Fsadni C, Fsadni P, Fava S, Montefort S. Association of prevalence of rhinitis, atopic eczema, rhinoconjunctivitis and wheezing with mortality from infectious diseases and with antibiotic susceptibility at a country level. Asia Pac Allergy. 2015 Jul;5(3):145-55. doi: 10.5415/apallergy.2015.5.3.145. Epub 2015 Jul 29. PMID: 26240791; PMCID: PMC4521163.
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Asia Pac Allergy. 2015 Jul;5(3):145-55. doi: 10.5415/apallergy.2015.5.3.145. Epub 2015 Jul 29.

Association of prevalence of rhinitis, atopic eczema, rhinoconjunctivitis and wheezing with mortality from infectious diseases and with antibiotic susceptibility at a country level.

Asia Pacific allergy

Claudia Fsadni, Peter Fsadni, Stephen Fava, Stephen Montefort

Affiliations

  1. Department of Medicine, Mater Dei Hospital, Msida, MSD 2090, Malta. ; Faculty of Medicine and Surgery, University of Malta, Msida, MSD 2090, Malta.

PMID: 26240791 PMCID: PMC4521163 DOI: 10.5415/apallergy.2015.5.3.145

Abstract

BACKGROUND: It was previously reported that there is a positive correlation between incidence of type 1 diabetes and prevalence of asthma and atopic eczema. A negative correlation between the prevalence of type 1 diabetes and mortality from infectious diseases as well as a positive correlation with antibiotic susceptibility at a country level have also been reported.

OBJECTIVE: The aim of this study was to investigate the association between country prevalence of rhinitis, atopic eczema, rhinoconjunctivitis, and wheezing with mortality from infectious diseases and also with antibiotic susceptibility at a country level.

METHODS: Data for prevalence of rhinitis, eczema, rhinoconjunctivitis, and wheezing was obtained from the International Study of Asthma and Allergies in Childhood study (ISAAC). ISAAC Phase one was a multicentre multicountry cross sectional study involving over 700,000 children in 2 age groups of school children, 13-14 years old (adolescents) and 6-7 years old (children) in 156 centres from 56 countries. Mortality from infectious diseases was taken from World Health Organisation data. The Alexander project was used to identify antibiotic susceptibilities to common bacteria.

RESULTS: There were significant positive correlations between atopic eczema and mortality from all infectious diseases studied, diarrhoeal illness, tropical infections, and childhood infections. A negative correlation exists between the prevalence of rhinitis and Streptococcus pneumoniae susceptibility to penicillin and to erythromycin, rhinitis and Haemophilus influenzae susceptibility to ampicillin and between rhinoconjunctivitis and H. influenzae susceptibility to ampicillin.

CONCLUSION: Th1/Th2 responses might influence the pathogenesis of infectious disease mortality, while antibiotic overprescription could explain the negative association between atopy and antibiotic susceptibility.

Keywords: Anti-Infective Agents; Asthma; Communicable Diseases; Conjunctivitis, Allergic; Eczema; Rhinitis

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