{"id":"https://openalex.org/W7223674716","doi":"https://doi.org/10.1093/eurpub/ckag169.955","title":"Prenatal PM2.5 and Infant Antibiotics: Birth\u2011Weight Mediation via Causal Analysis","display_name":"Prenatal PM2.5 and Infant Antibiotics: Birth\u2011Weight Mediation via Causal Analysis","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223674716","doi":"https://doi.org/10.1093/eurpub/ckag169.955"},"language":"en","primary_location":{"id":"doi:10.1093/eurpub/ckag169.955","doi":"https://doi.org/10.1093/eurpub/ckag169.955","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.955","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.955/72465866/ckag169.955.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.955/72465866/ckag169.955.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5159662579","display_name":"M Riccio","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":true,"raw_author_name":"M Riccio","raw_affiliation_strings":["Department of Public Health and Infectious Diseases, Sapienza University of Rome , Rome,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health and Infectious Diseases, Sapienza University of Rome , Rome,","institution_ids":["https://openalex.org/I861853513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159598383","display_name":"M Danka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"M Danka","raw_affiliation_strings":["Centre for Longitudinal Studies, UCL Social Research Institute , London,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Longitudinal Studies, UCL Social Research Institute , London,","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159705908","display_name":"S Akaraci","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I126231945","display_name":"Queen's University Belfast","ror":"https://ror.org/00hswnk62","country_code":"GB","type":"education","lineage":["https://openalex.org/I126231945"]},{"id":"https://openalex.org/I4210130048","display_name":"Royal Victoria Hospital","ror":"https://ror.org/03rq50d77","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1289110261","https://openalex.org/I4210130048"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"S Akaraci","raw_affiliation_strings":["Centre for Public Health, Queen\u2019s University Belfast, Royal Victoria Hospital, Institute of Clinical Sciences B , Belfast,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Public Health, Queen\u2019s University Belfast, Royal Victoria Hospital, Institute of Clinical Sciences B , Belfast,","institution_ids":["https://openalex.org/I126231945","https://openalex.org/I4210130048"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159628528","display_name":"A Rammah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"A Rammah","raw_affiliation_strings":["Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health , London,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health , London,","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159608045","display_name":"S Cunningham","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151647","display_name":"Centre for Inflammation Research","ror":"https://ror.org/05wcr1b38","country_code":"GB","type":"facility","lineage":["https://openalex.org/I4210087105","https://openalex.org/I4210151647","https://openalex.org/I90344618","https://openalex.org/I98677209"]},{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"S Cunningham","raw_affiliation_strings":["Centre for Inflammation Research, Institute for Inflammation and Repair, University of Edinburgh , Edinburgh,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Inflammation Research, Institute for Inflammation and Repair, University of Edinburgh , Edinburgh,","institution_ids":["https://openalex.org/I4210151647","https://openalex.org/I98677209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159719071","display_name":"C De Vito","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I861853513","display_name":"Sapienza University of Rome","ror":"https://ror.org/02be6w209","country_code":"IT","type":"education","lineage":["https://openalex.org/I861853513"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"C De Vito","raw_affiliation_strings":["Department of Public Health and Infectious Diseases, Sapienza University of Rome , Rome,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health and Infectious Diseases, Sapienza University of Rome , Rome,","institution_ids":["https://openalex.org/I861853513"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5159596002","display_name":"B De Stavola","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"B De Stavola","raw_affiliation_strings":["Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health , London,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health , London,","institution_ids":["https://openalex.org/I45129253"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5159730508","display_name":"P Hardelid","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45129253","display_name":"University College London","ror":"https://ror.org/02jx3x895","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I45129253"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"P Hardelid","raw_affiliation_strings":["Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health , London,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Population, Policy and Practice Research and Teaching Department, UCL Great Ormond Street Institute of Child Health , London,","institution_ids":["https://openalex.org/I45129253"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5159662579"],"corresponding_institution_ids":["https://openalex.org/I861853513"],"apc_list":{"value":2815,"currency":"EUR","value_usd":3181},"apc_paid":{"value":2815,"currency":"EUR","value_usd":3181},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.75847403,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"36","issue":"Supplement_5","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10190","display_name":"Air Quality and Health Impacts","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},"topics":[{"id":"https://openalex.org/T10190","display_name":"Air Quality and Health Impacts","score":0.9932000041007996,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.0007999999797903001,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11002","display_name":"Indoor Air Quality and Microbial Exposure","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2307","display_name":"Health, Toxicology and Mutagenesis"},"field":{"id":"https://openalex.org/fields/23","display_name":"Environmental Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/air-pollution","display_name":"air pollution","score":0.5419999957084656},{"id":"https://openalex.org/keywords/infant-respiratory-infection","display_name":"infant respiratory infection","score":0.7239999771118164},{"id":"https://openalex.org/keywords/birth-weight","display_name":"birth weight","score":0.718999981880188},{"id":"https://openalex.org/keywords/mediation-analysis","display_name":"mediation analysis","score":0.7929999828338623},{"id":"https://openalex.org/keywords/causal-mediation-analysis","display_name":"causal mediation analysis","score":0.609000027179718},{"id":"https://openalex.org/keywords/controlled-direct-effect","display_name":"controlled direct effect","score":0.8410000205039978},{"id":"https://openalex.org/keywords/counterfactual-scenarios","display_name":"counterfactual scenarios","score":0.6420000195503235},{"id":"https://openalex.org/keywords/maternal-exposure","display_name":"maternal exposure","score":0.4180000126361847}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7814000248908997},{"id":"https://openalex.org/C108650721","wikidata":"https://www.wikidata.org/wiki/Q1783253","display_name":"Counterfactual thinking","level":2,"score":0.588699996471405},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.5794000029563904},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.5260000228881836},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5063999891281128},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.5031999945640564},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5009999871253967},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.49390000104904175},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.4462999999523163},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.44209998846054077},{"id":"https://openalex.org/C2780148112","wikidata":"https://www.wikidata.org/wiki/Q1432581","display_name":"Proxy (statistics)","level":2,"score":0.41589999198913574},{"id":"https://openalex.org/C117354338","wikidata":"https://www.wikidata.org/wiki/Q1165112","display_name":"Singleton","level":3,"score":0.4097000062465668},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.40299999713897705},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.36230000853538513},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.34709998965263367},{"id":"https://openalex.org/C66322754","wikidata":"https://www.wikidata.org/wiki/Q4128476","display_name":"Birth weight","level":3,"score":0.32440000772476196},{"id":"https://openalex.org/C2779083892","wikidata":"https://www.wikidata.org/wiki/Q6692979","display_name":"Low birth weight","level":3,"score":0.30730000138282776},{"id":"https://openalex.org/C77350462","wikidata":"https://www.wikidata.org/wiki/Q1125472","display_name":"Confounding","level":2,"score":0.274399995803833},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.2669000029563904},{"id":"https://openalex.org/C2777151079","wikidata":"https://www.wikidata.org/wiki/Q141160","display_name":"Parity (physics)","level":2,"score":0.2508000135421753}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/eurpub/ckag169.955","doi":"https://doi.org/10.1093/eurpub/ckag169.955","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.955","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.955/72465866/ckag169.955.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13699334","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699334/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13699334/pdf/ckag169.955.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Eur J Public Health","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/eurpub/ckag169.955","doi":"https://doi.org/10.1093/eurpub/ckag169.955","is_oa":true,"landing_page_url":"https://doi.org/10.1093/eurpub/ckag169.955","pdf_url":"https://academic.oup.com/eurpub/article-pdf/36/Supplement_5/ckag169.955/72465866/ckag169.955.pdf","source":{"id":"https://openalex.org/S4210220588","display_name":"European Journal of Public Health","issn_l":"1101-1262","issn":["1101-1262","1464-360X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["abdc-b","anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","fnege-4","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"European Journal of Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223674716.pdf","grobid_xml":"https://content.openalex.org/works/W7223674716.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4413775353","https://openalex.org/W4200270758","https://openalex.org/W3202600665","https://openalex.org/W4283699363","https://openalex.org/W4410791117","https://openalex.org/W2915106510","https://openalex.org/W4404845263","https://openalex.org/W7117298073","https://openalex.org/W2943213739","https://openalex.org/W4294243414"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"This":[2],"study":[3,32],"assessed":[4],"whether":[5],"birthweight":[6,212,273],"mediates":[7],"the":[8,66,81,103,157,162,174,204,230,266],"association":[9],"between":[10],"prenatal":[11,150,226,297],"PM2.5":[12,47,97,128,151,206,227,263,280],"exposure":[13,48,129,160,228,264],"and":[14,43,54,86,90,126,254],"respiratory":[15,234,270],"infections":[16],"in":[17,37,173],"infancy,":[18],"using":[19],"community\u2011dispensed":[20],"amoxicillin":[21,63,171],"as":[22],"a":[23,29,71,146,189,240,289],"proxy":[24],"outcome.":[25],"Methods":[26],"We":[27,69],"used":[28],"population\u2011based":[30],"cohort":[31,109],"of":[33,74,149,167,177,232,268],"all":[34,139],"singleton":[35],"births":[36,112,140],"Scotland":[38],"(2009\u20132018),":[39],"linking":[40],"administrative":[41],"health":[42],"demographic":[44],"registries.":[45],"Annual":[46],"was":[49,61,120,130,213],"assigned":[50],"to":[51,79,153,215,283],"maternal":[52,118],"postcode":[53],"weighted":[55],"by":[56],"pregnancy":[57],"months.":[58],"The":[59,107,208],"outcome":[60],"\u22651":[62],"prescription":[64,172],"during":[65],"first":[67,175],"year.":[68],"conducted":[70],"preliminary":[72],"analysis":[73],"causal":[75],"mediation":[76],"via":[77],"g\u2011computation":[78],"obtain":[80],"controlled":[82],"direct":[83,88],"effect":[84,191,252],"(CDE)":[85],"interventional":[87,209],"(DE)":[89],"indirect":[91],"(IE)":[92],"effects.":[93],"Counterfactual":[94],"contrasts":[95],"compared":[96],"fixed":[98],"at":[99,168,203,295],"5":[100,143,154],"\u00b5g/m\u00b3":[101,132,155],"with":[102,137,156,192],"observed":[104,158,205],"distribution.":[105],"Results":[106],"final":[108],"included":[110],"498,123":[111],"(72%":[113],"term;":[114],"49%":[115],"female).":[116],"Mean":[117,125],"age":[119],"29":[121],"years":[122],"(SD":[123,133],"6).":[124],"median":[127],"7":[131],"1;":[134],"IQR":[135],"6\u20138),":[136],"nearly":[138],"exposed":[141],"above":[142],"\u00b5g/m\u00b3.":[144],"Comparing":[145],"counterfactual":[147,249],"scenario":[148],"set":[152],"(higher)":[159],"distribution,":[161],"CDE":[163],"showed":[164,188],"higher":[165],"odds":[166,202],"least":[169],"one":[170],"year":[176],"life":[178],"(OR":[179,217],"=":[180,195],"1.12;":[181],"95%":[182,219],"CI":[183,198,220],"1.10\u20131.14).":[184],"Interventional":[185],"DE":[186],"estimate":[187],"comparable":[190],"an":[193],"OR":[194],"1.12":[196],"(95%":[197],"1.11\u20131.14),":[199],"indicating":[200,288],"increased":[201],"levels.":[207],"IE":[210],"through":[211],"close":[214],"null":[216],"0.99;":[218],"0.99\u20131.01).":[221],"Conclusions":[222],"Preliminary":[223],"findings":[224],"suggest":[225],"increases":[229,265],"risk":[231,267],"early-life":[233],"infections,":[235,271],"while":[236,272],"birth":[237],"weight":[238],"plays":[239],"limited":[241],"mediating":[242,276],"role.":[243],"Further":[244],"analyses":[245],"will":[246,255],"explore":[247],"additional":[248],"scenarios,":[250],"alternative":[251],"measures":[253],"consider":[256],"sensitivity":[257],"analyses.":[258],"Key":[259],"messages":[260],"\u2022":[261,278],"Prenatal":[262],"early\u2011life":[269],"shows":[274],"limitated":[275],"influence.":[277],"Direct":[279],"effects":[281],"appear":[282],"drive":[284],"infant":[285],"antibiotic":[286],"use,":[287],"potential":[290],"role":[291],"for":[292],"policies":[293],"aimed":[294],"reducing":[296],"exposure.":[298]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-27T00:00:00"}