Italy
Guidelines Proposed for Children
Curr Infect Dis Rep. 2017 Jul 5. doi: 10.1007/s11908-017-0582-9. [Epub ahead of print]
Management of Lyme Disease in European Children: a Review for Practical Purpose.
D'Alessandro M1, Loy A1, Castagnola E2.
Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genoa, Italy.
Istituto Giannina Gaslini - Ospedale Pediatrico IRCCS, Largo G. Gaslini 5, 16147, Genoa, Italy. eliocastagnola@gaslini.org.
NOTES
The authors refer to chronic Lyme disease as chronic Lyme disease, not PTLS.
The authors state- "At present, no laboratory diagnostic tool available can neither establish nor exclude the diagnosis of Lyme disease."
They also state- "The management of Lyme disease should comprise a prophylactic administration of antibiotic in selected population (patients exposed to a tick bite in endemic regions) in which the typical signs of Lyme disease are not yet appeared; conversely, patients with current signs of Lyme disease should undergo a standard therapeutic course."
So far, that is encouraging.