Serological testing for Lyme Borreliosis in general practice: A qualitative study among Dutch general practitioners.

The European Journal of General Practice
Tjitske M VreugdenhilHenk C P M Van Weert

Abstract

Background: Concerns are raised about missed, delayed and inappropriate diagnosis of Lyme Borreliosis. Quantitative descriptive studies have demonstrated non-adherence to the guidelines for testing for Lyme Borreliosis.Objectives: To gain insight into the diagnostic practices that general practitioners apply for Lyme Borreliosis, their motives for ordering tests and how they act upon test results.Methods: A qualitative study among 16 general practitioners using semi-structured interviews and thematic content analysis.Results: Five themes were distinguished: (1) recognising localised Lyme Borreliosis and symptoms of disseminated disease, (2) use of the guideline, (3) serological testing in patients with clinically suspect Lyme Borreliosis, (4) serological testing without clinical suspicion of Lyme Borreliosis, and (5) dealing with the limited accuracy of the serological tests. Whereas the national guideline recommends using serological tests for diagnosing, general practitioners also use them for ruling out disseminated Lyme Borreliosis. Reasons for non-adherence to the guideline for testing were to reassure patients with non-specific symptoms or without symptoms who feared to have Lyme disease, confirmation of localised Lyme Bo...Continue Reading

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Citations

Jun 4, 2021·ClinicoEconomics and Outcomes Research : CEOR·Lorenzo PradelliMaurizio Ruscio

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