Article: Short antibiotic course effective for Lyme disease.(POEMs: patient-oriented evidence that matters)

Clinical question is 10-day antibiotic therapy in early Lyme disease as effective as 20-day treatment?

Bottom line Doxycycline for 10 days is as effective as 20 days of therapy in patients with early Lyme disease. The addition of a single dose of ceftriaxone at the beginning of therapy does not add any benefit. (Level of evidence = 1c)

Wormser GP, Ramanathan R, Nowakowski J, at al. Duration of antibiotic therapy for early Lyme disease. A randomized, double-blind, placebo controlled trial, Ann Intern Med, 2003;138:697-704.

Study design Randomized controlled trial (double-blinded)

Setting Outpatient (specialty)

Synopsis Citing ...

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