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Correspondence
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Volume 328:136-139 January 14, 1993 Number 2
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Prevention of Lyme Disease after Tick Bites

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To the Editor: The analysis of strategies to prevent Lyme disease by Magid et al. (Aug. 20 issue)1 does not factor in certain practical outcomes that motivate the many physicians who are reluctant to offer empirical treatment for tick bites. The decision model does not account for the potential of the Treat All strategy to increase the number of persons who suspect they have acquired chronic Lyme disease despite early treatment and in whom the condition cannot effectively be ruled out by serologic tests because early treatment can abort the antibody response to infection2.

In areas where Lyme disease . . . [Full Text of this Article]

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