Barsić B
Klinika za infektivne bolesti Dr. Fran Mihaljević, Zagreb.
Lijec Vjesn. 1999 Apr-May;121(4-5):148-53.
The article reviews existing clinical trials of the treatment of erythema migrans, localized early manifestation of Lyme disease. Although the treatment of this phase of Lyme disease is the best studied of all clinical manifestations, some questions remained to be answered. Author critically reviews definitions of the treatment success. Methodological diversities of the trials are emphasized. Often, treatment recommendations are not supported by existing clinical trials. Unnecessary use of antibiotics in the treatment and prophylaxis of erythema migrans is emphasized, too.
本文回顾了针对游走性红斑(莱姆病的局限性早期表现)治疗的现有临床试验。尽管莱姆病这一阶段的治疗是所有临床表现中研究最为充分的,但仍有一些问题有待解答。作者批判性地审视了治疗成功的定义。强调了试验的方法多样性。通常,现有临床试验并不支持治疗建议。还强调了在游走性红斑治疗和预防中不必要地使用抗生素的情况。