They appear to have officially moved somewhere between the IDSA and ILADS recommendations.
Lyme disease: summary of NICE guidance- Lyme disease can occur anywhere in the UK
- Erythema migrans is diagnostic of Lyme disease. Use a combination of clinical presentation and laboratory testing to guide diagnosis and treatment in people without erythema migrans
- Serological testing is a two tier approach: a sensitive initial test is performed first (ELISA), followed by a more specific confirmatory test (immunoblot) in case of a positive or equivocal initial result
- Symptoms of Lyme disease may take months or years to resolve even after treatment for several reasons, including alternative diagnoses, reinfection, treatment failure, immune reaction, and organ damage caused by Lyme disease
- Consider a second course of antibiotics for people with ongoing symptoms as treatment may have failed
Post Edited (acarined) : 4/12/2018 8:55:57 AM (GMT-6)