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» LymeNet Flash » Questions and Discussion » Medical Questions » Only 10 days Treatment for Lyme & Babesiosis

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Author Topic: Only 10 days Treatment for Lyme & Babesiosis
Tincup
Honored Contributor (10K+ posts)
Member # 5829

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Wormser is AGAIN recommending 10 days Doxy to treat Lyme, and 10 days treatment for Babesiosis. And the rotten Lyme tests too.

Is he a &^$#%&*(&%$ or what? They must be disabling and killing lots of people to come out with this GARBAGE again (keep saying it to prevent IDIOTS from being sued.)

JAMA. 2016 Apr 26;315(16):1767-77. doi: 10.1001/jama.2016.2884.

Diagnosis, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis: A Review.

Sanchez E1, Vannier E1, Wormser GP2, Hu LT3.

Author information

1Division of Geographic Medicine and Infectious Diseases, Tufts Medical Center, Boston, Massachusetts.

2Division of Infectious Diseases, New York Medical College, Valhalla, New York.

3Department of Molecular Biology and Microbiology, Tufts University School of Medicine, Boston, Massachusetts.

Abstract

IMPORTANCE:
Lyme disease, human granulocytic anaplasmosis (HGA), and babesiosis are emerging tick-borne infections.

OBJECTIVE:
To provide an update on diagnosis, treatment, and prevention of tick-borne infections.

EVIDENCE REVIEW:
Search of PubMed and Scopus for articles on diagnosis, treatment, and prevention of tick-borne infections published in English from January 2005 through December 2015.

FINDINGS:
The search yielded 3550 articles for diagnosis and treatment and 752 articles for prevention. Of these articles, 361 were reviewed in depth.

Evidence supports the use of US Food and Drug Administration-approved serologic tests, such as an enzyme immunoassay (EIA), followed by Western blot testing, to diagnose extracutaneous manifestations of Lyme disease.

Microscopy and polymerase chain reaction assay of blood specimens are used to diagnose active HGA and babesiosis. '

The efficacy of oral doxycycline, amoxicillin, and cefuroxime axetil for treating Lyme disease has been established in multiple trials.

Ceftriaxone is recommended when parenteral antibiotic therapy is recommended.

Multiple trials have shown efficacy for a 10-day course of oral doxycycline for treatment of erythema migrans and for a 14-day course for treatment of early neurologic Lyme disease in ambulatory patients.

Evidence indicates that a 10-day course of oral doxycycline is effective for HGA and that a 7- to 10-day course of azithromycin plus atovaquone is effective for mild babesiosis.

Based on multiple case reports, a 7- to 10-day course of clindamycin plus quinine is often used to treat severe babesiosis.

A recent study supports a minimum of 6 weeks of antibiotics for highly immunocompromised patients with babesiosis, with no parasites detected on blood smear for at least the final 2 weeks of treatment.

CONCLUSIONS AND RELEVANCE:
Evidence is evolving regarding the diagnosis, treatment, and prevention of Lyme disease, HGA, and babesiosis.

Recent evidence supports treating patients with erythema migrans for no longer than 10 days when doxycycline is used and prescription of a 14-day course of oral doxycycline for early neurologic Lyme disease in ambulatory patients.

The duration of antimicrobial therapy for babesiosis in severely immunocompromised patients should be extended to 6 weeks or longer.

PMID: 27115378 [PubMed - in process]

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Posts: 20332 | From The Moon | Registered: Jun 2004  |  IP: Logged | Report this post to a Moderator
packypacky
LymeNet Contributor
Member # 41758

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this guy should be put into jail and go to hell.
Posts: 101 | From nowhere | Registered: Aug 2013  |  IP: Logged | Report this post to a Moderator
duncan
LymeNet Contributor
Member # 46242

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He's recommending 10 days doxy for EM.

Who gives a crap about EM??

This is Science? Someone needs to clue him in that most bull's eye rashes resolve on their own...

Notice the qualifying that is going on: "early neurologic" and "mild babesiosis" and "often used to treat".

Icky.

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Nula
LymeNet Contributor
Member # 38409

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He should have his medical license revoked.

Alternatively, he may want to get bitten by tick, and test if his regimen works.

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I appreciate all your replies. If it takes me a while to respond, it is either because I'm too sick or because I am unable to log in. From European servers, Lymenet is very frequently inaccessible for days at a time ...

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dal123
LymeNet Contributor
Member # 6313

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Yup. Feed him lots of diseased ticks.
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paleogal
LymeNet Contributor
Member # 45991

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class action lawsuit?
Posts: 233 | From Southern Arizona | Registered: Jun 2015  |  IP: Logged | Report this post to a Moderator
   

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