Can J Infect Dis Med Microbiol. 2007 Mar;18(2):145-8. doi: 10.1155/2007/495108.
Lyme borreliosis is uncommonly seen in Canada. Most cases have occurred in close proximity to small geographical areas where infected ticks have become established. Although few cases are seen, thousands of patients are tested yearly. Unless patients are carefully selected and an appropriately sensitive and specific testing algorithm is applied, large numbers of patients without Lyme borreliosis will be incorrectly diagnosed. The Canadian Public Health Laboratory Network has developed the present guidelines to assist physicians in assessing patients for Lyme borreliosis, and to help guide the choice and interpretation of laboratory testing.
莱姆病在加拿大并不常见。大多数病例发生在受感染的蜱虫已经定居的小地理区域附近。尽管很少有病例,但每年都有数千名患者接受检测。除非患者经过精心选择,并应用适当敏感和特异的检测算法,否则大量没有莱姆病的患者将被误诊。加拿大公共卫生实验室网络制定了本指南,以帮助医生评估莱姆病患者,并帮助指导实验室检测的选择和解释。