Successful treatment of neuroborreliosis with ten day regimens

BACKGROUND.There have been few large reports of the treatment and outcome of neuroborreliosis in children. METHODS.All 203 children with symptoms, cerebrospinal fluid and serologic findings compatible with neuroborreliosis and treated at one of the four pediatric hospitals in Stockholm from 1994 thr...

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Veröffentlicht in:The Pediatric infectious disease journal 2002-12, Vol.21 (12), p.1142-1145
Hauptverfasser: THORSTRAND, CARITA, BELFRAGE, ERIK, BENNET, RUTGER, MALMBORG, PETTER, ERIKSSON, MARGARETA
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container_end_page 1145
container_issue 12
container_start_page 1142
container_title The Pediatric infectious disease journal
container_volume 21
creator THORSTRAND, CARITA
BELFRAGE, ERIK
BENNET, RUTGER
MALMBORG, PETTER
ERIKSSON, MARGARETA
description BACKGROUND.There have been few large reports of the treatment and outcome of neuroborreliosis in children. METHODS.All 203 children with symptoms, cerebrospinal fluid and serologic findings compatible with neuroborreliosis and treated at one of the four pediatric hospitals in Stockholm from 1994 through 1996 were included. Children were treated with intravenous beta-lactam antibiotics or oral doxycycline for 10 days and followed until the resolution of symptoms. RESULTS.At the end of treatment 58% and after 2 months 92% of the children had no symptoms. Cerebrospinal fluid findings had no statistically significant influence on the outcome. Facial paralysis persisted longer than other symptoms. CONCLUSIONS.The prognosis of neuroborreliosis in children 2 months after treatment seems to be excellent with 10-day treatment regimens.
doi_str_mv 10.1097/00006454-200212000-00011
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METHODS.All 203 children with symptoms, cerebrospinal fluid and serologic findings compatible with neuroborreliosis and treated at one of the four pediatric hospitals in Stockholm from 1994 through 1996 were included. Children were treated with intravenous beta-lactam antibiotics or oral doxycycline for 10 days and followed until the resolution of symptoms. RESULTS.At the end of treatment 58% and after 2 months 92% of the children had no symptoms. Cerebrospinal fluid findings had no statistically significant influence on the outcome. Facial paralysis persisted longer than other symptoms. 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METHODS.All 203 children with symptoms, cerebrospinal fluid and serologic findings compatible with neuroborreliosis and treated at one of the four pediatric hospitals in Stockholm from 1994 through 1996 were included. Children were treated with intravenous beta-lactam antibiotics or oral doxycycline for 10 days and followed until the resolution of symptoms. RESULTS.At the end of treatment 58% and after 2 months 92% of the children had no symptoms. Cerebrospinal fluid findings had no statistically significant influence on the outcome. Facial paralysis persisted longer than other symptoms. 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dosage</topic><topic>Drug Administration Schedule</topic><topic>Drug Therapy, Combination - administration &amp; dosage</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Infusions, Intravenous</topic><topic>Lactams - administration &amp; dosage</topic><topic>Lyme Neuroborreliosis - diagnosis</topic><topic>Lyme Neuroborreliosis - drug therapy</topic><topic>Lyme Neuroborreliosis - epidemiology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Probability</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Sweden - epidemiology</topic><topic>Treatment Outcome</topic><topic>Tropical bacterial diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>THORSTRAND, CARITA</creatorcontrib><creatorcontrib>BELFRAGE, ERIK</creatorcontrib><creatorcontrib>BENNET, RUTGER</creatorcontrib><creatorcontrib>MALMBORG, PETTER</creatorcontrib><creatorcontrib>ERIKSSON, MARGARETA</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>The Pediatric infectious disease journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>THORSTRAND, CARITA</au><au>BELFRAGE, ERIK</au><au>BENNET, RUTGER</au><au>MALMBORG, PETTER</au><au>ERIKSSON, MARGARETA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of neuroborreliosis with ten day regimens</atitle><jtitle>The Pediatric infectious disease journal</jtitle><addtitle>Pediatr Infect Dis J</addtitle><date>2002-12</date><risdate>2002</risdate><volume>21</volume><issue>12</issue><spage>1142</spage><epage>1145</epage><pages>1142-1145</pages><issn>0891-3668</issn><eissn>1532-0987</eissn><coden>PIDJEV</coden><abstract>BACKGROUND.There have been few large reports of the treatment and outcome of neuroborreliosis in children. 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source MEDLINE; Journals@Ovid Complete
subjects Administration, Oral
Analysis of Variance
Bacterial diseases
Biological and medical sciences
Borrelia infections
Chi-Square Distribution
Child
Child, Preschool
Dose-Response Relationship, Drug
Doxycycline - administration & dosage
Drug Administration Schedule
Drug Therapy, Combination - administration & dosage
Female
Follow-Up Studies
Human bacterial diseases
Humans
Infectious diseases
Infusions, Intravenous
Lactams - administration & dosage
Lyme Neuroborreliosis - diagnosis
Lyme Neuroborreliosis - drug therapy
Lyme Neuroborreliosis - epidemiology
Male
Medical sciences
Medicin och hälsovetenskap
Probability
Retrospective Studies
Severity of Illness Index
Sweden - epidemiology
Treatment Outcome
Tropical bacterial diseases
title Successful treatment of neuroborreliosis with ten day regimens
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