Prevention of Lyme Disease after Tick Bites

Robert Aronowitz; Kenneth B. Liegner; Mark B. Salzman; Lorry G. Rubin; Sunil K. Sood; Robert B. Nadelman; Steven Sivak; Gary P. Wormser; Sharon A. Nachman; Fergus E. McKiernan; John W. Melski; David J. Volkman; Alan T. Kaell; Edward M. Bosler; Jorge L. Benach; David Magid; Brian Schwartz; Joseph Craft; J. Sanford Schwartz

doi:10.1056/NEJM199301143280213

Prevention of Lyme Disease after Tick Bites

Robert Aronowitz
, Kenneth B. Liegner
, Mark B. Salzman
, Lorry G. Rubin
, Sunil K. Sood
, Robert B. Nadelman
, Steven Sivak
, Gary P. Wormser
, Sharon A. Nachman
, Fergus E. McKiernan
, John W. Melski
, David J. Volkman
, Alan T. Kaell
, Edward M. Bosler
, Jorge L. Benach
, David Magid
, Brian Schwartz
, Joseph Craft
, J. Sanford Schwartz

Rutgers - The State University of New Jersey, New Brunswick
Schneider Children's Hospital
New York Medical College
Marshfield Clinic
Stony Brook University
University of Colorado Anschutz Medical Campus
Johns Hopkins University
Yale University
University of Pennsylvania

Research output: Contribution to journal › Letter › peer-review

2 Scopus citations

Abstract

To the Editor: The analysis of strategies to prevent Lyme disease by Magid et al. (Aug. 20 issue)¹ does not factor in certain practical outcomes that motivate the many physicians who are reluctant to offer empirical treatment for tick bites. The decision model does not account for the potential of the Treat All strategy to increase the number of persons who suspect they have acquired chronic Lyme disease despite early treatment and in whom the condition cannot effectively be ruled out by serologic tests because early treatment can abort the antibody response to infection². In areas where Lyme disease…

Original language	English
Pages (from-to)	136-139
Number of pages	4
Journal	New England Journal of Medicine
Volume	328
Issue number	2
DOIs	https://doi.org/10.1056/NEJM199301143280213
State	Published - Jan 14 1993

Access to Document

10.1056/NEJM199301143280213

Cite this

Aronowitz, R., Liegner, K. B., Salzman, M. B., Rubin, L. G., Sood, S. K., Nadelman, R. B., Sivak, S., Wormser, G. P., Nachman, S. A., McKiernan, F. E., Melski, J. W., Volkman, D. J., Kaell, A. T., Bosler, E. M., Benach, J. L., Magid, D., Schwartz, B., Craft, J., & Schwartz, J. S. (1993). Prevention of Lyme Disease after Tick Bites. New England Journal of Medicine, 328(2), 136-139. https://doi.org/10.1056/NEJM199301143280213

@article{0d33b951b89f446a8eff3783b9812136,

title = "Prevention of Lyme Disease after Tick Bites",

abstract = "To the Editor: The analysis of strategies to prevent Lyme disease by Magid et al. (Aug. 20 issue)1 does not factor in certain practical outcomes that motivate the many physicians who are reluctant to offer empirical treatment for tick bites. The decision model does not account for the potential of the Treat All strategy to increase the number of persons who suspect they have acquired chronic Lyme disease despite early treatment and in whom the condition cannot effectively be ruled out by serologic tests because early treatment can abort the antibody response to infection2. In areas where Lyme disease…",

author = "Robert Aronowitz and Liegner, \{Kenneth B.\} and Salzman, \{Mark B.\} and Rubin, \{Lorry G.\} and Sood, \{Sunil K.\} and Nadelman, \{Robert B.\} and Steven Sivak and Wormser, \{Gary P.\} and Nachman, \{Sharon A.\} and McKiernan, \{Fergus E.\} and Melski, \{John W.\} and Volkman, \{David J.\} and Kaell, \{Alan T.\} and Bosler, \{Edward M.\} and Benach, \{Jorge L.\} and David Magid and Brian Schwartz and Joseph Craft and Schwartz, \{J. Sanford\}",

year = "1993",

month = jan,

day = "14",

doi = "10.1056/NEJM199301143280213",

language = "English",

volume = "328",

pages = "136--139",

journal = "New England Journal of Medicine",

issn = "0028-4793",

number = "2",

}

Aronowitz, R, Liegner, KB, Salzman, MB, Rubin, LG, Sood, SK, Nadelman, RB, Sivak, S, Wormser, GP, Nachman, SA, McKiernan, FE, Melski, JW, Volkman, DJ, Kaell, AT, Bosler, EM, Benach, JL, Magid, D, Schwartz, B, Craft, J & Schwartz, JS 1993, 'Prevention of Lyme Disease after Tick Bites', New England Journal of Medicine, vol. 328, no. 2, pp. 136-139. https://doi.org/10.1056/NEJM199301143280213

TY - JOUR

T1 - Prevention of Lyme Disease after Tick Bites

AU - Aronowitz, Robert

AU - Liegner, Kenneth B.

AU - Salzman, Mark B.

AU - Rubin, Lorry G.

AU - Sood, Sunil K.

AU - Nadelman, Robert B.

AU - Sivak, Steven

AU - Wormser, Gary P.

AU - Nachman, Sharon A.

AU - McKiernan, Fergus E.

AU - Melski, John W.

AU - Volkman, David J.

AU - Kaell, Alan T.

AU - Bosler, Edward M.

AU - Benach, Jorge L.

AU - Magid, David

AU - Schwartz, Brian

AU - Craft, Joseph

AU - Schwartz, J. Sanford

PY - 1993/1/14

Y1 - 1993/1/14

N2 - To the Editor: The analysis of strategies to prevent Lyme disease by Magid et al. (Aug. 20 issue)1 does not factor in certain practical outcomes that motivate the many physicians who are reluctant to offer empirical treatment for tick bites. The decision model does not account for the potential of the Treat All strategy to increase the number of persons who suspect they have acquired chronic Lyme disease despite early treatment and in whom the condition cannot effectively be ruled out by serologic tests because early treatment can abort the antibody response to infection2. In areas where Lyme disease…

AB - To the Editor: The analysis of strategies to prevent Lyme disease by Magid et al. (Aug. 20 issue)1 does not factor in certain practical outcomes that motivate the many physicians who are reluctant to offer empirical treatment for tick bites. The decision model does not account for the potential of the Treat All strategy to increase the number of persons who suspect they have acquired chronic Lyme disease despite early treatment and in whom the condition cannot effectively be ruled out by serologic tests because early treatment can abort the antibody response to infection2. In areas where Lyme disease…

UR - https://www.scopus.com/pages/publications/18744427876

U2 - 10.1056/NEJM199301143280213

DO - 10.1056/NEJM199301143280213

M3 - Letter

C2 - 8416425

AN - SCOPUS:18744427876

SN - 0028-4793

VL - 328

SP - 136

EP - 139

JO - New England Journal of Medicine

JF - New England Journal of Medicine

IS - 2

ER -

Prevention of Lyme Disease after Tick Bites

Abstract

Access to Document

Other files and links

Fingerprint

Cite this