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Do recommend assessing and diagnosing Lyme disease during pregnancy in the same way as for people who are not pregnant. Treat Lyme disease in pregnant women using appropriate antibiotics for the ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Tell women with Lyme disease during pregnancy that they are unlikely to pass the infection to their baby and emphasise the importance of completing the full course of antibiotic treatment. Advise women who had Lyme disease during pregnancy to tell this to their healthcare professional if they have any concerns about their baby. In this situation, healthcare professionals should discuss the history with a paediatric infectious disease specialist and seek advice on what investigations to ...
ver más ... 2018Do recommend offering regular clinical review and reassessment to people with ongoing symptoms, including people who have no confirmed diagnosis.
NICE
National Institute for Health and Clinical Excellence (NICE)
Explore any ongoing symptoms with the person and offer additional treatment if needed following usual clinical practice. Be alert to the possibility of symptoms related to Lyme disease that may need assessment and management, including: - chronic pain - depression and anxiety (see NICE's guideline on common mental health problems) - fatigue - sleep disturbance. Support people who have ongoing symptoms after treatment for Lyme disease by: - encouraging and helping them to access additional ...
ver más ... 2018Do recommend reviewing the person's history and symptoms (if symptoms that may be related to Lyme disease persist, do not continue to improve or worsen after antibiotic treatment) to explore:
NICE
National Institute for Health and Clinical Excellence (NICE)
- possible alternative causes of the symptoms - if re‑infection may have occurred - if treatment may have failed - details of any previous treatment, including whether the course of antibiotics was completed without interruption - if symptoms may be related to organ damage caused by Lyme disease, for example, nerve palsy. If the person's history suggests re‑infection, offer antibiotic treatment for Lyme disease according to their symptoms (see tables 1 and 2). Consider a second course of ...
ver más ... 2018Do recommend offering antibiotic treatment according to their symptoms as described in table 1 for adults and young people (aged 12 and over) diagnosed with Lyme disease.
NICE
National Institute for Health and Clinical Excellence (NICE)
For children (under 12) diagnosed with Lyme disease, offer antibiotic treatment according to their symptoms as described in table 2. Ask women (including young women under 18) if they might be pregnant before offering antibiotic treatment for Lyme disease. If symptoms worsen during treatment for Lyme disease, assess for an allergic reaction to the antibiotic. Be aware that a Jarisch–Herxheimer reaction may cause an exacerbation of symptoms but does not usually warrant stopping ...
ver más ... 2018Do recommend discussing the diagnosis and management of Lyme disease in children and young people under 18 years with a specialist, unless they have a single erythema migrans lesion and no other ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Choose a specialist appropriate for the child or young person's symptoms dependent on availability, for example, a paediatrician, paediatric infectious disease specialist or a paediatric neurologist. If an adult with Lyme disease has focal symptoms, consider a discussion with or referral to a specialist, without delaying treatment. Choose a specialist appropriate for the person's symptoms, for example, an adult infection specialist, rheumatologist or neurologist.
ver más ... 2018