What are the recommendations for managing suspected tick-borne infections?

Wormser GP, et al.  The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis 2006 Nov 1;43(9):1089-134.
For suspected lyme disease, (see p.1090) single dose of doxycycline in the setting of all of these:
•         the attached tick can be reliably identified as an adult or nymphal I. scapularis tick that is estimated to have been attached for at least 36 h on the basis of the degree of engorgement of the tick with blood or of certainty about the time of exposure to the tick
•         prophylaxis can be started within 72 h of the time that the tick was removed
•         ecologic information indicates that the local rate of infection of these ticks with B. burgdorferi is_20%
•         doxycycline treatment is not contraindicated.

For suspected Ehrlichiosis, (see p. 1094) start treatment with doxycycline immediately with a suggestive clinical presentation while waiting for lab tests

For suspected tularemia, start antibiotic treatment immediately with a suggestive clinical presentation while waiting for lab tests
Tularemia.  Dynamed.  2009.  See Treatment section for summary of evidence on various regimens

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About Amy

Clinical Informationist at EUH Branch Library
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