IDSA Lyme Guidelines

We all have heard about that the Lyme Guidelines are flawed. Have you ever found out why though? Have you tried to explain it to someone in your family or a neighbor? Here are some articles that will help you to understand WHY they are flawed.

Unprecedented Antitrust Investigation into the Lyme Disease Treatment Guidelines Development Process

http://gonzagalawreview.org/2011/01/31/unprecedented-antitrust-investigation-into-the-lyme-disease-treatment-guidelines-development-process/

Attorney General’s Investigation Reveals Flawed Lyme Disease Guideline Process, IDSA Agrees To Reassess Guidelines, Install Independent Arbiter
http://www.ct.gov/ag/cwp/view.asp?a=2795&q=414284

The Witch hunt for Lyme Doctors
http://whatislyme.com/category/lyme-drs-investigations/

The Ties That Bind
http://archive.poughkeepsiejournal.com/Interactive/lyme_ties/

And here is a copy of the IDSA Guidelines that exist now.
http://cid.oxfordjournals.org/content/43/9/1089.full

Here are some statements pulled from the guidelines:

” Doxycycline (100 mg twice per day), amoxicillin (500 mg 3 times per day), or cefuroxime axetil (500 mg twice per day) for 14 days (range, 10–21 days for doxycycline and 14–21 days for amoxicillin or cefuroxime axetil) is recommended for the treatment of adult patients with early localized or early disseminated Lyme disease associated with erythema migrans.”

Lyme meningitis and other manifestations of early neurologic Lyme disease. The use of ceftriaxone (2 g once per day intravenously for 14 days; range, 10–28 days) in early Lyme disease is recommended for adult patients with acute neurologic disease manifested by meningitis or radiculopathy.”

Lyme carditis. Patients with atrioventricular heart block and/or myopericarditis associated with early Lyme disease may be treated with either oral or parenteral antibiotic therapy for 14 days (range, 14–21 days).”

“Late Lyme Disease- Lyme arthritis. Lyme arthritis can usually be treated successfully with antimicrobial agents administered orally. Doxycycline (100 mg twice per day) (B-I), amoxicillin (500 mg 3 times per day) (B-I), or cefuroxime axetil (500 mg twice per day) (B-III) for 28 days is recommended for adult patients without clinical evidence of neurologic disease.

and

For children, amoxicillin (50 mg/kg per day in 3 divided doses [maximum of 500 mg per dose]) (B-I), cefuroxime axetil (30 mg/kg per day in 2 divided doses [maximum of 500 mg per dose]) (B-III), or, if the patient is ⩾8 years of age, doxycycline (4 mg/kg per day in 2 divided doses [maximum of 100 mg per dose]) (B-I) is recommended.”

 

 





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