Narrative reviewindependent cross-checkabstract only checked I-ABX-11 standard review

Antibiotics and vaginal thrush

Antibiotic-associated Vulvovaginal Candidiasis.

Overview

Xu J & Sobel JD. Curr Infect Dis Rep 2003 · PMID 14642189 · DOI 10.1007/s11908-003-0091-x

Antibiotics may trigger yeast infections, but evidence is limited and conflicting.

Does the study support the specific claim? Partly · Methodological quality: low

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Review.

How was the study done?

Narrative.

What was actually found?

Possible link.

What do the results mean in everyday life?

Thrush after antibiotics happens.

What are the study's limitations?

Weak evidence.

What does it say about Elawady's specific claim?

Partly supports.

Do the results apply to Germany and Europe?

High.

What can explicitly not be concluded from this study?

Frequency.

Scientific in-depth review

1. Full reference

Authors
Xu J & Sobel JD
Journal
Curr Infect Dis Rep
Year
2003
Identifier
PMID 14642189 DOI 10.1007/s11908-003-0091-x
Verification
verified – PubMed efetch 2026-10-25
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

not stated in abstract/record

2. Research question

Is antibiotic use associated with vulvovaginal candidiasis?

3. Study design and population

Study design
Narrative review – Narrative review
Population

Women

Period

2003

4. Methods and endpoints

Exposure / intervention

Antibiotics

Endpoints

VVC

5. Actual results

Results

Overuse of antibiotics suggested as major factor; evidence 'limited' and 'existing data ... are conflicting'.

Absolute risks

not reported

Authors' conclusion

Reviews incidence and mechanisms.

6. Strengths

  • Specialist authors

7. Weaknesses

  • Old
  • Narrative

8. Risk of bias

Orienting tool
none applicable
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
not assessable

9. Assessment of the statistical interpretation

10. Relevance to the specific claim

C-ABX-11 (mixed).

11. Independent contrary findings

12. Transferability to Germany and Europe

High.

13. Overall methodological judgement

Phenomenon recognised, evidence limited.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitylow
Risk of biasnot assessable
Precision of resultsnot applicable
Directnessdirect
Reproducibilitypartly replicated
Consistency with the overall evidencemixed
Regional transferabilityhigh
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

15. Linked fact checks