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提高接触后预防莱姆病的合适多西环素的可及性:社区药房的作用。

Improving access to appropriate post-exposure doxycycline for Lyme disease prophylaxis: role for community pharmacies.

机构信息

University of Nebraska Medical Center, College of Pharmacy, 42nd and Emile, Omaha, NE, USA.

Idaho State Board of Pharmacy, 1199 Shoreline Lane, Boise, ID, USA.

出版信息

J Antimicrob Chemother. 2018 Dec 1;73(12):3219-3220. doi: 10.1093/jac/dky361.

DOI:10.1093/jac/dky361
PMID:30219916
Abstract

The transmission of Borrelia burgdorferi to humans through tick bites results in Lyme disease. Appropriate therapy for Lyme disease is antibacterial drugs, most often doxycycline. Patients often approach community pharmacists for self-care assistance with the symptoms of Lyme disease: fever, headache, fatigue and skin rash. Pharmacists with the patient history are trained and capable of appropriately dispensing doxycycline to treat these patients and prevent the spread of infection to the joints, nerves or heart. We challenge restrictions to the appropriate and timely provision of therapy for Lyme disease and encourage the use of community pharmacists in managing these patients.

摘要

蜱虫叮咬将伯氏疏螺旋体传播给人类,导致莱姆病。莱姆病的适当治疗方法是使用抗菌药物,最常用的是多西环素。患者通常会向社区药剂师寻求自我护理援助,以缓解莱姆病的症状:发热、头痛、疲劳和皮疹。有患者病史的药剂师经过培训,能够适当配发多西环素来治疗这些患者,并防止感染扩散到关节、神经或心脏。我们对莱姆病治疗的适当和及时提供提出质疑,并鼓励使用社区药剂师来管理这些患者。

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1
Improving access to appropriate post-exposure doxycycline for Lyme disease prophylaxis: role for community pharmacies.提高接触后预防莱姆病的合适多西环素的可及性:社区药房的作用。
J Antimicrob Chemother. 2018 Dec 1;73(12):3219-3220. doi: 10.1093/jac/dky361.
2
Pharmacist initiation of postexposure doxycycline for Lyme disease prophylaxis.药师启动多西环素用于莱姆病预防。
J Am Pharm Assoc (2003). 2014 Jan-Feb;54(1):69-73. doi: 10.1331/JAPhA.2014.13106.
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A doxycycline hyclate rodent bait formulation for prophylaxis and treatment of tick-transmitted Borrelia burgdorferi.一种用于预防和治疗蜱传播的伯氏疏螺旋体的盐酸多西环素啮齿动物诱饵制剂。
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[Is it useful in case of a tick bite to give one oral dose of 200mg doxycycline to prevent Borrelia burgdorferi infection?].[蜱虫叮咬后口服一剂200毫克强力霉素以预防伯氏疏螺旋体感染是否有用?]
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Doxycycline for tick bites--not for everyone.强力霉素用于蜱虫叮咬——并非适用于所有人。
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Prophylaxis with single-dose doxycycline for the prevention of Lyme disease after an Ixodes scapularis tick bite.用单剂量强力霉素预防肩突硬蜱叮咬后莱姆病。
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Single-dose doxycycline for the prevention of Lyme disease.单剂量强力霉素预防莱姆病
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A sustained-release formulation of doxycycline hyclate (Atridox) prevents simultaneous infection of Anaplasma phagocytophilum and Borrelia burgdorferi transmitted by tick bite.盐酸多西环素缓释制剂(Atridox)可预防蜱叮咬传播的嗜吞噬细胞无形体和伯氏疏螺旋体的同时感染。
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Current and future treatment of Lyme disease.莱姆病的当前及未来治疗方法。
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