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Correspondence
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Volume 339:1941-1943 December 24, 1998 Number 26
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Perinatal Transmission of Human Granulocytic Ehrlichiosis

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 by Horowitz, H. W.
To the Editor: In their article on perinatal transmission of the agent of human granulocytic ehrlichiosis, Horowitz et al. (Aug. 6 issue)1 state that "in the general (nonpregnant) population, prophylactic antibiotics should not be prescribed routinely after tick bites," citing as supportive evidence a meta-analysis of published studies of antibiotic prophylaxis against Lyme disease.2 The authors of the meta-analysis did not, however, conclude that antibiotic prophylaxis was unwarranted. They concluded that the sample size of the combined studies was too small and the infection rate too low to establish efficacy. The issue of antibiotic prophylaxis after tick bites has not . . . [Full Text of this Article]

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