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美国莱姆病流行州提供非传统莱姆病疗法诊所的特征。

Characteristics of Clinics Offering Nontraditional Lyme Disease Therapies in Lyme Endemic States of the United States.

作者信息

Sakizadeh Jason R, Rothenberger Meghan K, Alpern Jonathan D

机构信息

Infectious Diseases Division, University of Kansas, Kansas City, Kansas, USA.

Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA.

出版信息

Open Forum Infect Dis. 2025 Jan 15;12(3):ofaf017. doi: 10.1093/ofid/ofaf017. eCollection 2025 Mar.

DOI:10.1093/ofid/ofaf017
PMID:40103734
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11913606/
Abstract

In this cross-sectional analysis, we analyzed 117 US clinics in Lyme endemic states that provide nontraditional care for Lyme disease. We found that unproven therapies are routinely offered, and some therapies raise safety concerns. The cost of care can be high, which may lead to significant out-of-pocket expenditures for patients.

摘要

在这项横断面分析中，我们分析了美国莱姆病流行州的117家诊所，这些诊所为莱姆病提供非传统治疗。我们发现，未经证实的疗法经常被采用，一些疗法还存在安全隐患。治疗费用可能很高，这可能导致患者自掏腰包支付巨额费用。

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本文引用的文献

1
Causes of Death during the Intravenous Infusion of Dimethylsulphoxide and Hydrogen Peroxide in the Course of Alternative Medicine Therapy.替代医学疗法过程中静脉输注二甲基亚砜和过氧化氢期间的死亡原因
Toxics. 2023 Jul 28;11(8):652. doi: 10.3390/toxics11080652.
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Clinical Practice Guidelines by the Infectious Diseases Society of America, American Academy of Neurology, and American College of Rheumatology: 2020 Guidelines for the Prevention, Diagnosis, and Treatment of Lyme Disease.美国传染病学会、美国神经病学学会和美国风湿病学会临床实践指南：2020 年莱姆病预防、诊断和治疗指南。
Neurology. 2021 Feb 9;96(6):262-273. doi: 10.1212/WNL.0000000000011151. Epub 2020 Nov 30.
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Surveillance for Lyme Disease - United States, 2008-2015.2008 - 2015年美国莱姆病监测
MMWR Surveill Summ. 2017 Nov 10;66(22):1-12. doi: 10.15585/mmwr.ss6622a1.
4
Serious Bacterial Infections Acquired During Treatment of Patients Given a Diagnosis of Chronic Lyme Disease - United States.美国慢性莱姆病患者治疗期间获得的严重细菌感染
MMWR Morb Mortal Wkly Rep. 2017 Jun 16;66(23):607-609. doi: 10.15585/mmwr.mm6623a3.
5
Unorthodox alternative therapies marketed to treat Lyme disease.推销用于治疗莱姆病的非正统替代疗法。
Clin Infect Dis. 2015 Jun 15;60(12):1776-82. doi: 10.1093/cid/civ186. Epub 2015 Apr 6.
6
Editorial commentary: what constitutes appropriate treatment of post-Lyme disease symptoms and other pain and fatigue syndromes?编辑评论：什么构成对莱姆病后症状以及其他疼痛和疲劳综合征的恰当治疗？
Clin Infect Dis. 2015 Jun 15;60(12):1783-5. doi: 10.1093/cid/civ187. Epub 2015 Apr 6.
7
Borrelia burgdorferi (Lyme disease).伯氏疏螺旋体（莱姆病）。
Pediatr Rev. 2014 Dec;35(12):500-9. doi: 10.1542/pir.35-12-500.
8
Antiscience and ethical concerns associated with advocacy of Lyme disease.抗科学和与莱姆病宣传相关的伦理问题。
Lancet Infect Dis. 2011 Sep;11(9):713-9. doi: 10.1016/S1473-3099(11)70034-2.
9
Death due to community-associated Clostridium difficile in a woman receiving prolonged antibiotic therapy for suspected lyme disease.一名因疑似莱姆病接受长期抗生素治疗的女性死于社区获得性艰难梭菌感染。
Clin Infect Dis. 2010 Aug 1;51(3):369-70. doi: 10.1086/654808.
10
A critical appraisal of "chronic Lyme disease".对“慢性莱姆病”的批判性评估。
N Engl J Med. 2007 Oct 4;357(14):1422-30. doi: 10.1056/NEJMra072023.