Systemic quinolones and risk of retinal detachment III: a nested case–control study using a US electronic health records database.

Autor: Taher, Mohamed Kadry, Crispo, James A. G., Fortin, Yannick, Moog, Ryan, McNair, Douglas, Bjerre, Lise M., Momoli, Franco, Mattison, Donald, Krewski, Daniel
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Zdroj: European Journal of Clinical Pharmacology; Jun2022, Vol. 78 Issue 6, p1019-1028, 10p, 1 Diagram, 3 Charts
Abstrakt: Background: Quinolones are popular antibiotics that are known for their potency, broad coverage, and reasonable safety. Concerns have been raised about a possible association between quinolones and retinal detachment (RD). Methods: We conducted a nested case–control study using electronic health records (EHR) from the Health Facts® Database. The initial cohort included all patients who were admitted between 2000 and 2016, with no history of eye disease, and had a minimum medical history of one year. Eligible cases comprised inpatients who were first admitted with a primary diagnosis of RD between 2010 and 2015. Each eligible case was matched without replacement to five unique controls by sex, race, age, and period-at-risk. We used conditional logistic regression to calculate RD risk, adjusting for exposure to other medications, and major risk factors. Results: We identified 772 cases and 3860 controls. Whereas our primary analysis of all subjects revealed no quinolone-associated RD risk, elevated but non-significant risks were noted in African Americans (ciprofloxacin and levofloxacin), those aged 56–70 years old (moxifloxacin), and women (ciprofloxacin). Conclusion: Our study did not identify an elevated RD risk within 30 days following systemic administration of quinolone antibiotics. Suggestions of increased risk observed in some population subgroups warrant further investigation. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index