Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease

Author:

Lantos Paul M1,Rumbaugh Jeffrey2,Bockenstedt Linda K3,Falck-Ytter Yngve T4,Aguero-Rosenfeld Maria E5,Auwaerter Paul G6,Baldwin Kelly7,Bannuru Raveendhara R8,Belani Kiran K9,Bowie William R10,Branda John A11,Clifford David B12,DiMario Francis J13,Halperin John J14,Krause Peter J15,Lavergne Valery16,Liang Matthew H17,Meissner H Cody8,Nigrovic Lise E18,Nocton James (Jay) J19,Osani Mikala C8,Pruitt Amy A20,Rips Jane21,Rosenfeld Lynda E3,Savoy Margot L22,Sood Sunil K23,Steere Allen C11,Strle Franc24,Sundel Robert18,Tsao Jean25,Vaysbrot Elizaveta E8,Wormser Gary P26,Zemel Lawrence S13

Affiliation:

1. Duke University School of Medicine, Durham, North Carolina, USA

2. Pathway Neurology, Tampa, Florida

3. Yale University, New Haven, Connecticut, USA

4. Case Western Reserve University, VA Northeast Ohio Healthcare System, Cleveland, Ohio, USA

5. New York University School of Medicine, New York, New York, USA

6. Johns Hopkins University School of Medicine, Baltimore, Maryland, USA

7. Geisinger Medical Center, Danville, Pennsylvania, USA

8. Tufts Medical Center, Boston, Massachusetts, USA

9. Childrens Hospital and Clinical of Minnesota, Minneapolis, Minnesota, USA

10. University of British Columbia, Vancouver, British Columbia, Canada

11. Massachusetts General Hospital, Boston, Massachusetts, USA

12. Washington University School of Medicine, St. Louis, Missouri, USA

13. Connecticut Children’s Medical Center, Hartford, Connecticut, USA

14. Atlantic Health System, Summit, New Jersey, USA

15. Yale School of Public Health, New Haven, Connecticut, USA

16. University of Montreal, Montreal, Quebec, Canada

17. Brigham and Women’s Hospital, Boston, Massachusetts, USA

18. Boston Children’s Hospital Boston, Massachusetts, USA

19. Medical College of Wisconsin, Waowatosa, Wisconsin, USA

20. University of Pennsylvania, Philadelphia, Pennsylvania, USA

21. Consumer Representative, Omaha, Nebraska, USA

22. Temple University, Philadelphia, Pennsylvania, USA

23. Northwell Health, Manhattan, New York, USA

24. University Medical Centre Ljubljana, Ljubljana, Slovenia

25. Michigan State University, East Lansing, Michigan, USA

26. New York Medical College, Valhalla, New York, USA

Abstract

Abstract This evidence-based clinical practice guideline for the prevention, diagnosis, and treatment of Lyme disease was developed by a multidisciplinary panel representing the Infectious Diseases Society of America (IDSA), the American Academy of Neurology (AAN), and the American College of Rheumatology (ACR). The scope of this guideline includes prevention of Lyme disease, and the diagnosis and treatment of Lyme disease presenting as erythema migrans, Lyme disease complicated by neurologic, cardiac, and rheumatologic manifestations, Eurasian manifestations of Lyme disease, and Lyme disease complicated by coinfection with other tick-borne pathogens. This guideline does not include comprehensive recommendations for babesiosis and tick-borne rickettsial infections, which are published in separate guidelines. The target audience for this guideline includes primary care physicians and specialists caring for this condition such as infectious diseases specialists, emergency physicians, internists, pediatricians, family physicians, neurologists, rheumatologists, cardiologists and dermatologists in North America.

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

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