Abstract
Lyme disease (LD), a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto (B. burgdorferi), is the most reported vector-borne disease in North America, and by 2020, 80% of the population in central and eastern Canada could live in LD risk areas. Among the key factors for minimising the impact of LD are the accurate diagnosis and appropriate management of patients bitten by ticks. In this study, the practices of Quebec general practitioners (GPs) on LD diagnosis and management of patients bitten by infected ticks are described. Eight years (2008 to 2015) of retrospective demographic and clinical data on patients bitten by infected Ixodes scapularis (I. scapularis) ticks and on the management of suspected and confirmed LD cases by Quebec GPs were analysed. Among 50 patients, all the antimicrobial treatments of LD clinical cases were appropriate according to current guidelines. However, more than half (62.8%) of erythema migrans (EM) were possibly misdiagnosed, 55.6%, (n = 27) of requested serologic tests were possibly unnecessary and the majority (96.5%, n = 57) of prophylactic antimicrobial treatments were not justified according to current guidelines. These observations underline the importance for ...Continue Reading
References
Aug 20, 1992·The New England Journal of Medicine·D MagidJ S Schwartz
May 1, 1996·The American Journal of Medicine·R B NadelmanG P Wormser
Apr 1, 1997·The Journal of Infectious Diseases·S K SoodJ Piesman
Jan 23, 1998·JAMA : the Journal of the American Medical Association·A D FixJ Grant
Mar 7, 1998·Annals of Internal Medicine·M C ReidR I Horwitz
Mar 3, 1997·Journal of Public Health Management and Practice : JPHMP·J I MeekM L Cartter
Aug 21, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·R A KalishA C Steere
May 2, 2002·The Medical Clinics of North America·Jonas Bunikis, Alan G Barbour
Sep 1, 2004·Annals of Family Medicine·Alan H RamseyJeffrey P Davis
Oct 10, 2006·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Gary P WormserRobert B Nadelman
Dec 13, 2006·Wiener klinische Wochenschrift·Gary P Wormser
Oct 17, 2008·The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale·UNKNOWN Canadian Public Health Laboratory Network
Jun 3, 2009·BMC Infectious Diseases·John AucottSheila K West
Sep 6, 2011·Ticks and Tick-borne Diseases·Delphine HuegliLise Gern
Jan 19, 2012·PloS One·Monica E EmbersMario T Philipp
Apr 16, 2014·Parasites & Vectors·Antonia DibernardoL Robbin Lindsay
Sep 23, 2014·Zoonoses and Public Health·A E PereaP S Mead
Aug 4, 2015·The Canadian Journal of Infectious Diseases & Medical Microbiology = Journal Canadien Des Maladies Infectieuses Et De La Microbiologie Médicale·Cécile FerrouilletAndré Ravel
May 29, 2014·Canada Communicable Disease Report = Relevé Des Maladies Transmissibles Au Canada·T F HatchetteB L Johnston
May 29, 2014·Canada Communicable Disease Report = Relevé Des Maladies Transmissibles Au Canada·L R LindsayA Dibernardo
Mar 6, 2014·Canada Communicable Disease Report = Relevé Des Maladies Transmissibles Au Canada·N H OgdenL R Lindsay
Citations
Mar 10, 2018·Journal of Medical Entomology·Marion RipochePatrick A Leighton
Sep 17, 2018·The Journal of Antimicrobial Chemotherapy·Allison M Dering-Anderson, Alex J Adams
Jul 11, 2020·Parasites & Vectors·T Joseph Mattingly, Kalpana Shere-Wolfe
Mar 29, 2018·CMAJ Open·Audrey CharbonneauAlexandra de Pokomandy
Jun 30, 2019·BMC Public Health·N H OgdenD Webster
Oct 18, 2018·Healthcare·Vett K Lloyd, Ralph G Hawkins
Aug 11, 2019·Healthcare·Emilie M GaudetVett Lloyd
Mar 30, 2021·Ticks and Tick-borne Diseases·Anna T NesgosEmily M Mader
Aug 3, 2021·Frontiers in Veterinary Science·Lauriane DuplaixJulie Arsenault