How safe is doxycycline for young children or for pregnant or breastfeeding women?


Journal

Diagnostic microbiology and infectious disease
ISSN: 1879-0070
Titre abrégé: Diagn Microbiol Infect Dis
Pays: United States
ID NLM: 8305899

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 05 03 2018
revised: 15 09 2018
accepted: 25 09 2018
pubmed: 18 11 2018
medline: 13 4 2019
entrez: 17 11 2018
Statut: ppublish

Résumé

Tetracycline antimicrobials entered into clinical usage in the late 1940s. Permanent dental staining from tetracyclines was first appreciated in 1956, eventually leading to avoidance of this class of antibiotics whenever possible in young children and pregnant or breastfeeding women. Doxycycline, introduced in 1967, binds calcium less avidly than prior tetracyclines and is regarded by some authorities as safe to prescribe for pregnant women and young children. Review of the available data, however, suggests that this interpretation may be incorrect or at least premature. In conclusion, until more definitive data are developed, doxycycline should continue to be only selectively prescribed for young children and pregnant or breastfeeding women for whom alternative, safer antibiotics are not available, and courses of treatment should be of as short a duration as possible.

Identifiants

pubmed: 30442509
pii: S0732-8893(18)30438-3
doi: 10.1016/j.diagmicrobio.2018.09.015
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0
Doxycycline N12000U13O

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

238-242

Informations de copyright

Copyright © 2018 Elsevier Inc. All rights reserved.

Auteurs

Gary P Wormser (GP)

Division of Infectious Diseases, New York Medical College, Valhalla, NY 10595. Electronic address: gwormser@nymc.edu.

Ronald P Wormser (RP)

910 Via De La Paz, Suite 108, Pacific Palisades, CA 90272.

Franc Strle (F)

Department of Infectious Diseases, University Medical Center Ljubljana, Slovenia. Electronic address: franc.strle@kclj.si.

Ronnie Myers (R)

Touro College of Dental Medicine at New York Medical College, Valhalla, NY 10595.

Burke A Cunha (BA)

Infectious Diseases Division, Winthrop University Hospital, Mineola, NY.

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Classifications MeSH