Skip to Main content Skip to Navigation
Master Thesis

Prophylaxie de la maladie de Lyme suite à une piqûre de tique : revue de la littérature et exploration des pratiques professionnelles des médecins généralistes et urgentistes

Abstract : Lyme Borreliosis is caused by spirochetes from the Borrelia burgdorferi sensu lato group, which are transmitted to humans by infected deer ticks. Information found by the patients concerning this disease can lead to overestimate the risk of its transmission and consequences, thus leading to a pressure on primary healthcare providers for the prescription of an antibiotic prophylaxis. We went through the Evidence Based Medicine data concerning this practice and searched for Europe and American scientific societies’ recommendations. We furthermore surveyed primary healthcare providers about their practice. We found five prospective and comparative studies concerning post-exposure prophylaxis. Two of them concluded to the efficacy of such a practice. There were no studies concerning pregnant women treatment but there is no evidence of congenital Lyme Borreliosis. The scientific societies do not recommend systematic antibiotic prophylaxis after a deer tick bite. Recommendations discuss its prescription in cases of a long attached tick, multiple bites or a bite occurring in a highly infested region. We had 317 general practitioners and emergency physicians answering our survey, 59,9% of them declared being used to prescribe prophylaxis, this choice was associated with the use of prescription assisting tools and the desire to reassure the patient. The use of antibiotic prophylaxis after a deer tick bite is widely spread but the proof of it being better than a clinical surveillance for erythema migrans is lacking. A new consensus conference encouraging clinical surveillance is necessary.
Document type :
Master Thesis
Complete list of metadatas

Cited literature [66 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-01511798
Contributor : Jean-Hugues Morneau <>
Submitted on : Friday, April 21, 2017 - 4:00:20 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Saturday, July 22, 2017 - 1:54:07 PM

Identifiers

  • HAL Id : dumas-01511798, version 1

Citation

David Jospin, Thibault Saniez. Prophylaxie de la maladie de Lyme suite à une piqûre de tique : revue de la littérature et exploration des pratiques professionnelles des médecins généralistes et urgentistes. Médecine humaine et pathologie. 2017. ⟨dumas-01511798⟩

Share

Metrics

Record views

937

Files downloads

5598