Controversies related to diagnosis and treatment of Lyme borreliosis worldwide
Journal Title: Medycyna Ogólna i Nauki o Zdrowiu - Year 2015, Vol 21, Issue 4
Abstract
[b]Introduction. [/b]Lyme disease is the most frequent ticks-borne disease worldwide, and one of the most controversial diseases in the history of medicine. It is caused by spirochaete Borrelia burgdorferi, a multi-organ and chronic disease with a multiphase course. [b]Objective.[/b] The aim of the study is presentation of opposite views of two American scientific societies, IDSA (Infectious Diseases Society of America) and ILADS (International Lyme And Associated Diseases Society), regarding the criteria of diagnosing and methods of treating Lyme borreliosis, and attracting attention to the legal problems of one of these societies. [b]State of knowledge.[/b] The IDSA has a significant impact on the healthcare available for people suffering from Lyme borreliosis, both in the United States and in Europe. This medical society is very influential and its guidelines constitute a basis for similar recommendations concerning diagnosis and treatment of borreliosis in Europe, including Poland. Another group of physicians, the ILADS, has an opposite view. This article shows the debate between these two groups. According to Stricker RB, Lautin A and Burrascano JJ, one of the most important factors leading to the treatment-related controversy is the lack of reliable tests that could be used in monitoring the treatment and determining the moment of recovery or presence of co-infection which could complicate the course of the disease. It should be noted that the domination of the IDSA views and their significant effect on healthcare lead to the situation in which the IDSA guidelines concerning the diagnosis and treatment of Lyme borreliosis can hinder the possibilities of treating patients. [b]Summary.[/b] Medical societies are under obligation to confirm justified controversies in the treatment methods, especially if the debate concerns the lack of sufficient evidence. This means that different points of view should be represented in guidelines-creating panels, and that justified controversies should be acknowledged and included in the text of those guidelines.Key words: Lyme disease, ILADS, IDSA
Authors and Affiliations
Bożena Muraczyńska, Edyta Gałęziowska
Keywords
Related Articles
- EP ID EP79490
- DOI 10.5604/20834543.1186908
- Views 212
- Downloads 0
Analysis of selected variables determining the occurrence of postpartum depression
[b]objective[/b]. Evaluation of the intensity of mood disorders a week after childbirth, and determination of the effect of obstetric-gynaecological factors determining the occurrence of postpartum depression. [b]materia...
Late adulthood – a period of loss or a time for new challenges?
Objectives: In Western societies there dominates a negative image of old age. However, modern researchers suggest that old age does not have to be just a period of losses. Old age can be positive, even in the face of chr...
Depression – a ‘giant’ of geriatrics in the practice of primary health care physician
The ‘giants’ of geriatrics are commonly occurring, multiple-cause, and difficult to cure states, which contribute to the gradual loss of independence by the elderly. The ‘giant’ geriatric problems are as follows: falls...
Diagnostics and treatment of a paqtient with chronic diarhhea in the practice of a family physician
Chronic diarrhea is defined as loose stools that last for at least four weeks. A wide range of conditions can cause chronic diarrhea; some of the most common causes include irritable bowel syndrome, inflammatory bowel d...
Aktywność fizyczna a styl życia kobiet w wieku produkcyjnym
[b]Wstęp. [/b]Aktywność fizyczną definiuje się jako spontaniczną aktywność ruchową realizowaną w czasie wolnym od pracy, w dowolnie wybranej przez ćwiczącego formie i z dowolną wielkością obciążeń. Jest ona niezbędna nie...