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Authors
Klempner, Mark S.Baker, Phillip J.
Shapiro, Eugene D.
Marques, Adriana
Dattwyler, Raymond J.
Halperin, John J.
Wormser, Gary P.
UMass Chan Affiliations
Department of MedicineDocument Type
Journal ArticlePublication Date
2013-08-01Keywords
Anti-Bacterial Agents*Borrelia burgdorferi
Chronic Disease
Clinical Trials as Topic
Humans
Lyme Disease
Treatment Outcome
Borrelia burgdorferi
Clinical trials
Lyme disease
Post-Lyme disease syndrome
Bacterial Infections and Mycoses
Chemical Actions and Uses
Health Services Administration
Pharmaceutical Preparations
Therapeutics
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Show full item recordAbstract
The authors of 4 National Institutes of Health-sponsored antibiotic treatment trials of patients with persistent unexplained symptoms despite previous antibiotic treatment of Lyme disease determined that retreatment provides little if any benefit and carries significant risk. Two groups recently provided an independent reassessment of these trials and concluded that prolonged courses of antibiotics are likely to be helpful. We have carefully considered the points raised by these groups, along with our own critical review of the treatment trials. On the basis of this analysis, the conclusion that there is a meaningful clinical benefit to be gained from retreatment of such patients with parenteral antibiotic therapy cannot be justified.Source
Am J Med. 2013 Aug;126(8):665-9. doi: 10.1016/j.amjmed.2013.02.014. Link to article on publisher's site
DOI
10.1016/j.amjmed.2013.02.014Permanent Link to this Item
http://hdl.handle.net/20.500.14038/30142PubMed ID
23764268Related Resources
ae974a485f413a2113503eed53cd6c53
10.1016/j.amjmed.2013.02.014
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