Prophylaxis with Single-Dose Doxycycline for the Prevention of Lyme Disease after an Ixodes scapularis Tick Bite
Nadelman R, Nowakowski J, Fish D, Falco R, Freeman K, McKenna D, Welch P, Marcus R, Agüero-Rosenfeld M, Dennis D, Wormser G. Prophylaxis with Single-Dose Doxycycline for the Prevention of Lyme Disease after an Ixodes scapularis Tick Bite. New England Journal Of Medicine 2001, 345: 79-84. PMID: 11450675, DOI: 10.1056/nejm200107123450201.Peer-Reviewed Original ResearchConceptsDose of doxycyclineTick biteLyme diseaseErythema migransSingle-dose doxycyclinePlacebo-controlled trialFrequent adverse effectsMore frequent adverse effectsEfficacy of treatmentSerum antibody testsNymphal ticksAsymptomatic seroconversionPlacebo groupDoxycycline groupBlood culturesDegree of engorgementExtracutaneous signsI. scapularis ticksAntibody testAntimicrobial treatmentDiseaseAdverse effectsDoxycyclineBiteBorrelia burgdorferi