Evidence map›Paper›PMID 40246800›Full record

SynthesisInfection2025

Towards shortening the duration of antibiotic therapy for Lyme borreliosis: a systematic review and meta-analysis.

Alice Raffetin, Anna J Henningsson, Katharina Ornstein, Pauline Arias, Volker Fingerle, Solene Patrat-Delon, Daniel Bremell, Per Eric Lindgren, Tobias A Rupprecht, Benoît Jaulhac and 13 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Alice RaffetinDepartment of Infectious Diseases, Reference Center for Tick-Borne Diseases, Paris and Northern Region, General Hospital of Villeneuve-Saint-Georges, 40 Allée de La Source, 94190, Villeneuve-Saint-Georges, France. alice.raffetin@chiv.fr.
Anna J HenningssonDivision of Clinical Microbiology, Laboratory Medicine, National Reference Laboratory for Borreliosis, Region Jönköping County, Sweden.
Katharina OrnsteinYstad Hospital, Skåne University Healthcare, Region Skåne, Sweden.
Pauline AriasDepartment of Infectious Diseases, Reference Center for Tick-Borne Diseases, Paris and Northern Region, General Hospital of Villeneuve-Saint-Georges, 40 Allée de La Source, 94190, Villeneuve-Saint-Georges, France.
Volker FingerleNational Reference Center for Borrelia, Bavarian Health and Food Safety Authority, Oberschleissheim, Germany.
Solene Patrat-DelonDepartment of Infectious Diseases, Reference Center for Tick-Borne Diseases, Western Region, University Hospital of Rennes, Rennes, France.
Daniel BremellInstitute of Biomedicine, Department of Infectious Diseases, University of Gothenburg, Gothenburg, Sweden.
Per Eric LindgrenNational Reference Laboratory for Borreliosis, Division of Clinical Microbiology, Laboratory Medicine, Region Jönköping County, 581 85, Jönköping, Sweden.
Tobias A RupprechtNeurology-Graefelfing, Graefelfing, Germany.
Benoît JaulhacNational Reference Center for Borrelia, Institut de Bactériologie, Fédération de Médecine Translationnelle de Strasbourg, University of Strasbourg, ITI InnoVec, UR3073-PHAVI, Strasbourg, France.
Klaus-Peter HunfeldInstitute for Laboratory Medicine, Microbiology & Infection Control, Northwest Medical Centre, Academic Teaching Hospital, Medical Faculty, Goethe University, Frankfurt, Germany.
Céline CazorlaDepartment of Infectious Diseases, Reference Center for Tick-Borne Diseases, Center Region, University Hospital of Saint-Etienne, Saint-Priest-en-Jarez, France.
Mateusz MarkowiczInstitute for Medical Microbiology and Hygiene, Division Public Health, AGES - Austrian Agency for Health and Food Safety, Vienna, Austria.
Reto LienhardBorrelia Laboratory, National Reference Centre for Tick-Borne Disease, ADMed Microbiologie, La Chaux-de-Fonds, Switzerland.
Alje P van DamDepartment of Medical Microbiology & the Amsterdam Institute for Immunology & Infectious Diseases, Amsterdam UMC, Amsterdam, The Netherlands.
Elisabeth BauxDepartment of Infectious Diseases, Reference Center for Tick-Borne Diseases, Eastern Region, University Hospital of Nancy, Nancy, France.
Sally MavinScottish Lyme Disease and Tick-Borne Infections Reference Laboratory, Raigmore Hospital, Inverness, UK.
Joppe W HoviusDepartment of Infectious Diseases, Center for Experimental and Molecular Medicine & the Amsterdam Institute for Immunology & Infectious Diseases, Amsterdam UMC, Amsterdam, The Netherlands.
M E BaarsmaDepartment of Infectious Diseases, Center for Experimental and Molecular Medicine & the Amsterdam Institute for Immunology & Infectious Diseases, Amsterdam UMC, Amsterdam, The Netherlands.
Kristine Karlsrud BergDepartment of Microbiology, Sørlandet Hospital Trust, Kristiansand,, Norway.
Randi EikelandNorwegian National Advisory Unit of Tick-Borne Diseases, Sørlandet Hospital Trust and Faculty of Health and Sport Science, University of Agder, Agder, Norway.
Ram B DessauDepartment of Clinical Microbiology, Zealand University Hospital, Slagelse, Denmark.
ESGBOR the ESCMID study group for Tick-Borne Diseases

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSystematic review and meta-analysis on shortening antibiotic therapy for Lyme borreliosis (LB) patients.

methodsData sources: Medline, Google, and Google Scholar (queried from January 2022-February 2024), following the PRISMA method and the Cochrane Handbook. ELIGIBILITY CRITERIA: Randomized clinical trials, comparative studies; clear definitions of LB, duration of antibiotics and outcome; follow-up ≥ 6-12 months. Meta-analysis included studies that examined three outcomes: treatment failure; residual symptoms; adverse events.

interventionShort vs. extended antibiotic therapy for erythema migrans (≤ 10 days vs. > 10 days) and disseminated LB (≤ 21 days vs. > 21 days). Assessment of risk of bias. Independently, using the Cochrane Tools.

methodsof data synthesis. Estimation of treatment effects based on a fixed-effect model (Mantel-Haenszel or Peto method), with odds ratio (OR) and 95% confidence intervals (CI).

resultsThirty-eight full-text articles were examined (850 patients): 29 were included in the qualitative analysis; six in the meta-analysis. Heterogeneity was low (I

conclusionThis meta-analysis was underpowered to prove non-inferiority of shorter treatment, but suggests its safety for EM. Studies focusing on antibiotics duration, with sufficient sample sizes and clear outcomes, are warranted.

Indexed as

Anti-Bacterial AgentsLyme DiseaseDuration of TherapyHumansRandomized Controlled Trials as TopicTreatment OutcomeAnti-Bacterial AgentsLyme borreliosisMeta-analysisOutcomesSystematic reviewTreatment duration

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.