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» LymeNet Flash » Questions and Discussion » Medical Questions » Question...5 yr old bitten by tick

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Author Topic: Question...5 yr old bitten by tick
sapphire101
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I have a friend and her 5 yr old just got bitten. She weighs 60lb. What is the best way to treat? Is doxy the best way to go? Her dad is a pharmacist so no problem getting what she needs. Any help would be greatly appreciated. TIA
Posts: 495 | From KY USA | Registered: Dec 2004  |  IP: Logged | Report this post to a Moderator
surprise
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Cannot give Doxy to children under 8.

Typically Amoxicillin is given to young children as a start treatment for Lyme disease.

--------------------
Lyme positive PCR blood, and
positive Bartonella henselae Igenex, 2011.
low positive Fry biofilm test, 2012.
Update 7/16- After extensive treatments,
doing okay!

Posts: 2518 | From USA | Registered: Nov 2011  |  IP: Logged | Report this post to a Moderator
sapphire101
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Anyone know how much and for how long. This is as a just in case she did get lyme from tick bite.
Posts: 495 | From KY USA | Registered: Dec 2004  |  IP: Logged | Report this post to a Moderator
Marnie
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Children should use the following recommended dosages: azithromycin, 10 mg / kg daily (max. 500 mg / day); clarithromycin, 7.5 mg / kg twice daily (max. 500 mg per dose); and erythromycin, 12.5 mg / kg four times daily (max. 500 mg / dose).

http://www.aldf.com/raad.shtml

How many days?

Another says:

Children
(Age 8 or less)

Cefuroxime axetil, 125 mg orally twice daily

for 20 to 30 d

Erythromycin, 250 mg orally 3 times a day or 30 mg/kg/d in divided doses for

20 to 20 d

http://www.hopkinsarthritis.org/arthritis-info/lyme-disease/lyme-disease-treatment/

Yes, I see the 20 to 20 d....assuming 20 days treatment.

Cefuroxime axetil = Ceftin.

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steve1906
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Did you give your friend Dr. B's web-site -below- its always a good place to start?

http://www.lymenet.org/BurrGuide200810.pdf

Steve

--------------------
Everything I say is just my opinion!

Posts: 3529 | From Massachusetts Boston Area | Registered: Jul 2008  |  IP: Logged | Report this post to a Moderator
TF
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From page 19 of Burrascano Guidelines:

TICK BITES - Embedded Deer Tick With No Signs or Symptoms of Lyme (see appendix):

Decide to treat based on the type of tick, whether it came from an endemic area, how it was removed, and length of attachment (anecdotally, as little as four hours of attachment can transmit pathogens). The risk of transmission is greater if the tick is engorged, or of it was removed improperly allowing the tick's contents to spill into the bite wound.

High-risk bites are treated as follows (remember the possibility of co-infection!):

1) Adults: Oral therapy for 28 days.

2) Pregnancy: Amoxicillin 1000 mg q6h for 6 weeks. Test for Babesia, Bartonella and Ehrlichia.
Alternative: Cefuroxime axetil 1000 mg q12h for 6 weeks.

3) Young Children: Oral therapy for 28 days.

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hopingandpraying
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I would have your friend still get the child evaluated by a LLMD. Although not all ticks carry Lyme disease, if it were my child, I would not take a chance.

We've gone through (and are still going through!) a never-ending nightmare with our own son these past fourteen years and we didn't see a tick or know of any tick bite!! I hope and pray this dear little girl will be ok.

Sent you a PM with info for IN. I don't know of any in KY. Also have them contact the Support Groups.

When they call for an appointment, have them ask if they have any cancellations or a waiting list. Patients have been able to get in sooner by doing this.

Check the online state Lyme groups at:
http://health.groups.yahoo.com/group/kentuckylyme

Maybe they can help.

Some more resources (including Support Groups):
www.lyme-aware.org/kentucky.html
www.kentuckyindianalymesupport.org

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sapphire101
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Thanks for all your help. It was very much appreciated.
Posts: 495 | From KY USA | Registered: Dec 2004  |  IP: Logged | Report this post to a Moderator
WPinVA
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Don't the new ILADS guidelines cover this? Always nice to have an official source to refer someone to and now we have one!
Posts: 1737 | From Virginia | Registered: Aug 2011  |  IP: Logged | Report this post to a Moderator
   

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