UK expands treatment guidelines

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Regular Member

Date Joined Jul 2015
Total Posts : 230
   Posted 4/12/2018 9:52 AM (GMT -6)   
They appear to have officially moved somewhere between the IDSA and ILADS recommendations.

Lyme disease: summary of NICE guidance
  • Lyme disease can occur anywhere in the UK
  • Erythema migrans is diagnostic of Lyme disease. Use a combination of clinical presentation and laboratory testing to guide diagnosis and treatment in people without erythema migrans
  • Serological testing is a two tier approach: a sensitive initial test is performed first (ELISA), followed by a more specific confirmatory test (immunoblot) in case of a positive or equivocal initial result
  • Symptoms of Lyme disease may take months or years to resolve even after treatment for several reasons, including alternative diagnoses, reinfection, treatment failure, immune reaction, and organ damage caused by Lyme disease
  • Consider a second course of antibiotics for people with ongoing symptoms as treatment may have failed

Post Edited (acarined) : 4/12/2018 8:55:57 AM (GMT-6)

Forum Moderator

Date Joined May 2014
Total Posts : 33893
   Posted 4/12/2018 11:46 AM (GMT -6)   
It's looking pretty good - except the ELISA being the gateway for the immunoblot.
If they could get rid of that would be such an improvement.

I like the EM being diagnostic for LD.
Moderator, Lyme Forum
Symp started April/2013; Buhner's Lyme May 15-July24/14; Igenex pos. July 3/14
Doxy: July 4-Aug.24/14;Zithro July26-Aug24/14; Amox + Proben. Aug. 29/14;
added biaxin Sept. 26/14
Disc. amox,added Ceftin Nov. 20th.;
Disc. biaxin added Buhner bart herbs Dec/14;Jan/15 pulsing Tinda (w/ Ceftin);
Abx/herb break Apr-July/15; July-mino; Aug. added Rif;
Nov./15 mino - to biaxi
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