Guidelines for treatment -- AAN

bifrost99 · � #1 � 05-29-2007, 06:23 AM

Quote:

American Academy of Neurology Issues Lyme Disease Guidelines

The American Academy of Neurology last week published new evidence-based guidelines on the treatment of nervous system Lyme disease and post-Lyme syndrome. The Infectious Diseases Society of America has endorsed these guidelines, which focus on different treatments for different types of neurologic symptoms. Key recommendations include:

-- Parenteral ceftriaxone, cefotaxime, or penicillin G are "probably safe and effective" options to treat meningitis or CSF pleocytosis.

-- In the absence of severe (brain or spinal cord) involvement, oral doxycycline is "probably safe and effective." When doxycycline is contraindicated, alternatives are amoxicillin and cefuroxime axetil, but data to support these treatments are lacking.

-- The highest level of evidence supports a recommendation against prolonged antibiotic courses for post-Lyme syndrome; symptomatic management is recommended instead.

-- Two weeks of antibiotic treatment are recommended to eradicate neuroborreliosis.

-- The data on the use of corticosteroids in patients with neuroborreliosis are limited and show no clear benefit or harm.

The guidelines also specify recommended doses of each antibiotic for adults and for children.

Link(s):
AAN guidelines published in Neurology (Free PDF)
https://tinyurl.com/yub38d

FWIW. I got this from the newsletter, Physician's First Watch.

Gerry

Roxie · � #2 � 10-04-2007, 09:53 AM

Here we go again. This is totally, completely B.S. Two weeks of drugs just makes the bugs mad. Their reproductive cycle is 28 days, for starters, and these bozos know it.

Advanced neuro-Lyme requires months and usually YEARS of duplicate and even triplicate antibiotics, one to kill spirochetes, and another to bust open the cystic forms, given intraveneously for the first few months at least.

These IDSA a**holes are all getting huge consulting fees from Insurance companies who do not want to pay for chronic Lyme therapy, since it is pallative and expensive. They know that appealing their decisions to deny treatment can be dragged out long enough to make the problem go away (see below). This crap is due to money talking, not medicine, and we patients are the sacrifical lambs.

Just one example: When the new IDSA guidelines came out, Blue Cross used it as an excuse to take a 6 yr. old girl off of her antibiotics. She had been making progress and was up and out of bed. Within 3 days of stopping her drugs, she was in a wheelchair, and a week and a half later, she was dead, just another name on the Lyme Memorial Wall.

Roxie

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