OBJECTIVE To investigate the association between prenatal exposure to per?uoralkyl substances (PFASs) and hospital admission due to infectious disease in children up to 5 years of age. METHODS In the Odense Child Cohort, serum concentrations of ?ve PFASs i.e. PFOS, PFOA, PFDA and PFNA were measured in 1699 pregnant women before gestational week 16 in the period 2010?2012. Data on hospital admissions of their children due to infectious disease were collected from the Regional Health Authorities from birth until 2015. Twins and children born preterm (<32 weeks) were excluded. Statistics: Diagnoses were grouped into three categories: upper respiratory tract infections, lower respiratory tract infections and other infections. Associations were investigated using logistic and negative binomial regression models adjusted for maternal educational level and parity. RESULTS A doubling in maternel serum concentration of PFOS and PFOA was CONCLUSION Prenatal exposure to PFOS and PFOA was associated with hospitalization due to infectious disease. A higher rate of hospitalization was seen for lower respiratory tract infections. DESCRIPTIVE STATISTICS Admission to hospital At least once: 561 (24.5 Respiratory tract infection: 56.5 of admissions 390 children had 1 admission 106 children had 2 admissions 65 children had 3 or more Maternal PFAS concentrations Median (p25-p75) PFOS: 7.51 (6.13-11.20) ng/mL PFOA: 1.68 (1.15-2.33) ng/mL 0.32 (0.21-0.42) ng/mL PFDA: 0.27 (0.21-0.35) ng/mL PFNA: 0.70 (0.50?0.91) ng/mL Measurable in 99% of samples .. Try?. 3-9 its}? in: