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Lyme Disease Prophylaxis: IDSA guidelines

Cruz, Kristine
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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
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5/11/2012
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