The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America.
Evidence-based guidelines for the management of patients with Lyme disease, human granulocytic anaplasmosis (formerly known as human granulocytic ehrlichiosis), and babesiosis were prepared by an expert panel of the Infectious Diseases Society of America. These updated guidelines replace the previous treatment guidelines published in 2000 (Clin Infect Dis 2000; 31[Suppl 1]:1-14). The guidelines are intended for use by health care providers who care for patients who either have these infections or may be at risk for them. For each of these Ixodes tickborne infections, information is provided about prevention, epidemiology, clinical manifestations, diagnosis, and treatment. Tables list the doses and durations of antimicrobial therapy recommended for treatment and prevention of Lyme disease and provide a partial list of therapies to be avoided. A definition of post-Lyme disease syndrome is proposed.
Wormser
Gary P
GP
Division of Infectious Diseases, Department of Medicine, New York Medical College, Valhalla, NY 10595, USA. Gary_Wormser@nymc.edu
Dattwyler
Raymond J
RJ
Shapiro
Eugene D
ED
Halperin
John J
JJ
Steere
Allen C
AC
Klempner
Mark S
MS
Krause
Peter J
PJ
Bakken
Johan S
JS
Strle
Franc
F
Stanek
Gerold
G
Bockenstedt
Linda
L
Fish
Durland
D
Dumler
J Stephen
JS
Nadelman
Robert B
RB
D000712:Anaplasmosis / Q000188:drug therapy / Q000503:physiopathology / Q000517:prevention & control*; D000818:Animals; D001404:Babesiosis / Q000188:drug therapy / Q000503:physiopathology / Q000517:prevention & control*; D016873:Ehrlichiosis / Q000517:prevention & control; D006282:Health Personnel; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000517:prevention & control*; D013577:Syndrome; D017282:Tick-Borne Diseases / Q000188:drug therapy / Q000503:physiopathology / Q000517:prevention & control*