ArticleBMC family practice2017
Practices of Lyme disease diagnosis and treatment by general practitioners in Quebec, 2008-2015.
Article in BMC family practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Inappropriate use of clinical practices in Canada: a systematic review.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Pooled it
- Clinical and economic outcomes evaluated in Lyme disease: a systematic review.Parasites & vectors · 2020Pooled it
- Clinical and epidemiological characteristics of tick bites in a Spanish tertiary hospital: a three-year retrospective study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026Article
- Surveillance forCanada communicable disease report = Releve des maladies transmissibles au Canada · 2026Article
- Resident primary care practitioners' awareness and handling of zoonotic diseases: an explorative online survey in the Hameln-Pyrmont district, Lower Saxony, Germany.BMC primary care · 2025Article
- Using pet insurance claims to predict occurrence of vector-borne and zoonotic disease in humans in the United States.Scientific reports · 2025Article
- Article
- Understanding the Perspectives, Experiences, Beliefs, and Knowledge of Health Care Practitioners on the Diagnosis and Treatment of Lyme Disease in Canada.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2025Article
- Impact of climate change on the tick-host-pathogen complex: distribution patterns, disease incidence, and host infestation.Revista brasileira de parasitologia veterinaria = Brazilian journal of veterinary parasitology : Orgao Oficial do Colegio Brasileiro de Parasitologia Veterinaria · 2025Review
- [Bilateral facial palsy: an atypical presentation of Lyme disease (a case report)].The Pan African medical journal · 2024Article
- Article
- Current and future burden from Lyme disease in Québec as a result of climate change.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2023Article
- Prevalence and factors associated with a prescription of a Lyme borreliosis serology for erythema migrans diagnosis in general practice: a study from the French sentinel network, 2009-2020.BMC primary care · 2023Article
- Surveillance forCanada communicable disease report = Releve des maladies transmissibles au Canada · 2023Article
- Modelling Spatiotemporal Patterns of Lyme Disease Emergence in Québec.International journal of environmental research and public health · 2021Article
- Experience and knowledge of Lyme disease: A scoping review of patient-provider communication.Ticks and tick-borne diseases · 2021Article
- More than ticking boxes: Training Lyme disease education ambassadors to meet outreach and surveillance challenges in Québec, Canada.PloS one · 2021Article
- Exposure to Tick-Borne Pathogens in Cats and Dogs Infested WithFrontiers in veterinary science · 2021Article
- Parenting When Children Have Lyme Disease: Fear, Frustration, Advocacy.Healthcare (Basel, Switzerland) · 2019Article
- What is the real number of Lyme disease cases in Canada?BMC public health · 2019Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLyme disease (LD), a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto (B. burgdorferi), is the most reported vector-borne disease in North America, and by 2020, 80% of the population in central and eastern Canada could live in LD risk areas. Among the key factors for minimising the impact of LD are the accurate diagnosis and appropriate management of patients bitten by ticks. In this study, the practices of Quebec general practitioners (GPs) on LD diagnosis and management of patients bitten by infected ticks are described.
methodsEight years (2008 to 2015) of retrospective demographic and clinical data on patients bitten by infected Ixodes scapularis (I. scapularis) ticks and on the management of suspected and confirmed LD cases by Quebec GPs were analysed.
resultsAmong 50 patients, all the antimicrobial treatments of LD clinical cases were appropriate according to current guidelines. However, more than half (62.8%) of erythema migrans (EM) were possibly misdiagnosed, 55.6%, (n = 27) of requested serologic tests were possibly unnecessary and the majority (96.5%, n = 57) of prophylactic antimicrobial treatments were not justified according to current guidelines.
conclusionsThese observations underline the importance for public health to enhance the knowledge of GPs where LD is emerging, to minimise the impact of the disease on patients and the financial burden on the health system.
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