Title

Lyme Disease Prophylaxis: IDSA guidelines

Authors

Kristine Cruz MD, Fletcher Allen Health Care and the University of Vermont

Document Type

Evidence Review

Subject

Hematologic/Immune, Prevention, Population-based Care

Publication Date

5-11-2012

Abstract

Clinical Question: When should patients be given antibiotics for lyme prophylaxis after a tick bite?

Bottom Line Answer: To provide antibiotic prophylaxis for Lyme disease ALL of these criteria should be met:

• Tick identified as an adult or nymphal deer tick
• Attached for > or = 36 hours (by engorgement or time of exposure)
• Treatment started within 72 hours of tick removal
• Local rate of infection of ticks with B. Bourgdorferi >=20% (assumed in Vermont)
• Doxyclycline is not contraindicated

Recommended Citation

Cruz, Kristine MD, "Lyme Disease Prophylaxis: IDSA guidelines" (2012). Family Medicine Scholarly Works. 4.
https://scholarworks.uvm.edu/fammed/4

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