Step I DOC pediatric Lyme ?

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Doxycycline
  • excellent treatment option
  • advantage: also prevents or treats coexisting human granulocytic anaplasmosis
  • CI in young children, CI in pregnant, CI in lactating movement (→ discoloration of teeth, ******ation of skeletal development in exposed children and fetuses)
Amoxicillin
  • DOC in pregnant, lactating women, in children < 8yo
Azithromycin
  • less effective; Use in patient with amox/dox allergies
 
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