POD- Lyme Disease Prophylaxis

LYME DISEASE: When to give prophylaxis for a tick bite? Patient must meet ALL of the following criteria:

  1. I. scapularis tick

  2. Tick attached >36 hours

  3. Prophylaxis begins within 72 hours of tick removal

  4. Bite occurred in area with high rate of infection

  5. Doxycycline not contraindicated

    1. Patient > 8 years of age

    2. Not pregnant or lactating

Prophylaxis=Doxycycline 4mg/kg max 200mg one-time dose

*** If patient does not meet the criteria for antibiotic prophylaxis recommendation is that they be observed and only treated if signs of symptoms of Lyme Disease develop