Duke University School of Medicine, Durham, North Carolina, USA.
Pathway Neurology, Tampa, Florida.
Clin Infect Dis. 2021 Jan 23;72(1):1-8. doi: 10.1093/cid/ciab049.
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.
本循证临床实践指南旨在预防、诊断和治疗莱姆病,由美国传染病学会(IDSA)、美国神经病学学会(AAN)和美国风湿病学会(ACR)多学科专家组制定。本指南的范围包括莱姆病的预防,以及莱姆病表现为游走性红斑、伴有神经、心脏和风湿表现的莱姆病、欧亚大陆表现的莱姆病以及伴有其他蜱传病原体合并感染的莱姆病的诊断和治疗。本指南不包括巴贝斯虫病和蜱传立克次体感染的综合推荐,这些内容在单独的指南中发布。本指南的目标受众包括北美的初级保健医生和专门治疗这种疾病的专家,如传染病专家、急诊医生、内科医生、儿科医生、家庭医生、神经病学家、风湿病学家、心脏病学家和皮肤科医生。