Wormser Gary P, Dattwyler Raymond J, Shapiro Eugene D, Halperin John J, Steere Allen C, Klempner Mark S, Krause Peter J, Bakken Johan S, Strle Franc, Stanek Gerold, Bockenstedt Linda, Fish Durland, Dumler J Stephen, Nadelman Robert B
Division of Infectious Diseases, Department of Medicine, New York Medical College, Valhalla, NY 10595, USA.
Clin Infect Dis. 2006 Nov 1;43(9):1089-134. doi: 10.1086/508667. Epub 2006 Oct 2.
Evidence-based guidelines for the management of patients with Lyme disease, human granulocytic anaplasmosis (formerly known as human granulocytic ehrlichiosis), and babesiosis were prepared by an expert panel of the Infectious Diseases Society of America. These updated guidelines replace the previous treatment guidelines published in 2000 (Clin Infect Dis 2000; 31[Suppl 1]:1-14). The guidelines are intended for use by health care providers who care for patients who either have these infections or may be at risk for them. For each of these Ixodes tickborne infections, information is provided about prevention, epidemiology, clinical manifestations, diagnosis, and treatment. Tables list the doses and durations of antimicrobial therapy recommended for treatment and prevention of Lyme disease and provide a partial list of therapies to be avoided. A definition of post-Lyme disease syndrome is proposed.
美国传染病学会的一个专家小组制定了莱姆病、人粒细胞无形体病（原称人粒细胞埃立克体病）和巴贝斯虫病患者管理的循证指南。这些更新后的指南取代了2000年发布的先前治疗指南（《临床传染病》2000年；31[增刊1]：1 - 14）。这些指南供照顾患有这些感染或可能有感染风险患者的医疗服务提供者使用。对于这些由硬蜱传播的感染中的每一种，都提供了关于预防、流行病学、临床表现、诊断和治疗的信息。表格列出了推荐用于治疗和预防莱姆病的抗菌治疗剂量和疗程，并提供了一份应避免使用的部分治疗清单。提出了莱姆病后综合征的定义。
