Drug Consumption and the Risk of Microscopic Colitis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-02

AUTHORS

Fernando Fernández-Bañares, Maria Esteve, Jorge C Espinós, Mercé Rosinach, Montserrat Forné, Antonio Salas, Josep Maria Viver

ABSTRACT

BACKGROUND: Microscopic colitis is a rare disease of unknown etiology. It has been described that some drugs could cause or worsen the disease; however, the scientific evidence is limited. AIM: To investigate the possible association of chronic drug consumption with microscopic colitis. METHODS: This was a case-control study in which groups of cases were: Group 1-39 patients with collagenous colitis; Group 2-39 patients with lymphocytic colitis; and Group 3-52 patients with chronic watery diarrhea of functional characteristics. 103 subjects formed the control group. At diagnosis, a drug consumption history of at least 2-wk duration was registered. An age- and sex-adjusted logistic regression analysis was used, and the odds ratio (OR, 95% CI) was calculated. RESULTS: Drug consumption was more frequent in lymphocytic colitis than in the control group (92.3%vs 76.3%, P < 0.05). The mean daily number of drugs by person was also higher in lymphocytic colitis (3.79 +/- 0.44 vs 2.13 +/- 0.22, P= 0.04). The following associations as compared with the control group were observed: Group 1-Consumption of NSAIDs (46.2%vs 23%, OR 2.9, 1.3-6.4), selective serotonin reuptake inhibitors (SSRIs) (18%vs 1%, OR 21, 2.5-177), specifically, sertraline (15.4%vs 0%, P < 0.0005); Group 2-SSRIs (28%vs 1%, OR 37.7, 4.7-304), beta-blockers (13 vs 3%, OR 4.79, 1.04-20), statins (13%vs 3%, OR 4.6, 1.04-20), biphosphonates (8%vs 0%, P= 0.022); Group 3-SSRIs (15%vs 1%, OR 16.2, 2-135), statins (11.5%vs 3%, OR 5.4, 1.2-24). As compared with the chronic diarrhea group, a significant association with the usage of sertraline in LC (P= 0.005) and a trend for NSAIDs in CC (P= 0.057) were found. CONCLUSIONS: Drug consumption increases the risk of microscopic colitis. Some drugs might be trigger factors of colonic inflammation in predisposed hosts, and others might only worsen self-evolving microscopic colitis. More... »

PAGES

ajg200753

References to SciGraph publications

  • 1999-02. Incidence of collagenous and lymphocytic colitis: a 5-year population-based study in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2003-02. Collagenous and Lymphocytic Colitis: Evaluation of Clinical and Histological Features, Response to Treatment, and Long-Term Follow-Up in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2002-11. Lymphocytic Colitis: clinical features, treatment, and outcomes in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2000-01. Drug-Induced Diarrhoea in DRUG SAFETY
  • 1999-02. Incidence of collagenous and lymphocytic colitis: a 5-year population-based study in THE AMERICAN JOURNAL OF GASTROENTEROLOGY
  • 2006. Epidemiology of microscopic colitis in COLITIS: DIAGNOSIS AND THERAPEUTIC STRATEGIES
  • 1993-01. A community survey of psychotropic drug consumption in South Verona: prevalence and associated variables in SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1111/j.1572-0241.2006.00902.x

    DOI

    http://dx.doi.org/10.1111/j.1572-0241.2006.00902.x

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1038980463

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17100977


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