Tick - Lyme Disease

Duration

14-21 Days

First Line

Important: Therapy

Amoxicillin PO dosed as per BNF for Children

Children with Penicillin Allergy

Important: Therapy

Clarithromycin PO dosed as per BNF for Children

Notes:

Clarithromycin should not be prescribed concurrently with ciclosporin, sirolimus and tacrolimus.

Important: Notes

Lyme disease is unlikely if a tick has been attached for less than 24hrs. Erythema migrans (EM) develops within six weeks of a tick bite.

Investigation and treatment of late manifestations of Lyme disease, such as Lyme arthritis, Lyme carditis or neuroborelliosis should be discussed with an infection specialist.

Any patient with EM following significant exposure or known tick bites should be treated for Lyme disease without confirmatory testing. In the absence of documented tick bites and/or clinical features of Lyme disease, neither treatment nor serological testing are indicated.