Drug consumption and additional risk factors associated with microscopic colitis: case-control study
Rev. esp. enferm. dig
; 107(6): 347-353, jun. 2015. tab
Artigo
em Inglês
| IBECS
| ID: ibc-141853
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
BACKGROUND:
Microscopic colitis has now emerged as a common cause of chronic diarrhoea, but its aetiology remains unknown. Some studies suggest that commonly prescribed drugs and other additional risk factors may be triggers.AIMS:
To evaluate the effects of drug intake and other risk factors on microscopic colitis patients.METHODS:
A prospective, case-control study with all consecutive adult patients referred to the Hospital General de Tomelloso (Ciudad Real, Spain) for chronic watery diarrhoea (from 2008 to 2011) was performed. Microscopic colitis was diagnosed following the commonly accepted histopathological criteria.RESULTS:
46 consecutive new cases of microscopic colitis and 317 chronic diarrhoea controls were recruited. Five independent risk factors significantly associated with microscopic colitis were identified Abdominal pain (OR 3.25; 95%CI, 1.49-7.08), weight loss (OR 2.67; 95%CI, 1.16-6.15), celiac disease (OR 15.3; 95%CI, 3.70-63.5), topiramate intake (OR 13.6; 95%CI, 1.84- 100.8), and older age at diagnosis (OR 1 year increase 1.022; 95%CI, 1.002-1.042). Use of non-steroidal anti-inflammatory drugs was associated with microscopic colitis in the subgroup of patients who fulfilled irritable bowel syndrome criteria (38.5% vs. 10.8%; p < 0.017).CONCLUSIONS:
Microscopic colitis is associated with autoimmune disease, an increased age at diagnosis, topiramate intake and only in a sub-group of irritable bowel disease patients with non-steroidal anti-inflammatory drugsRESUMEN
No disponible
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
/
Doenças Negligenciadas
Problema de saúde:
Objetivo 9: Redução de doenças não transmissíveis
/
Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
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Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
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Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
/
Diarreia
Base de dados:
IBECS
Assunto principal:
Preparações Farmacêuticas
/
Neoplasias Colorretais
/
Dor Abdominal
/
Colite
/
Disenteria
/
Usuários de Drogas
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Estudo de avaliação
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2015
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital General La Mancha Centro/Spain
/
Hospital General de Tomelloso/Spain