Author/Editor		Maraspin, V; Strle, F
Title		How do I manage tick bites and lyme borreliosis in pregnant women?
Type		članek
Source		Curr Probl Dermatol
Vol. and No.		Letnik 37
Publication year		2009
Volume		str. 183-90
Language		eng
Abstract		In this report, we present basic data pertinent to the current understanding of borrelial infection in pregnancy, and propose a rationale for the management of Lyme borreliosis in pregnant women. We advocate early detection of attached ticks and their prompt removal. We do not recommend the use of prophylactic antibiotics in pregnant women but support the 'wait and watch' strategy, including early treatment with antibiotics if signs/symptoms of the disease arise. We encourage the approach that antibiotic treatment of pregnant patients is restricted to those having a reliable clinical diagnosis of Lyme borreliosis, and propose intravenous antibiotic treatment with penicillin, or preferably ceftriaxone 2 g daily for 14 days, not only for patients with early disseminated disease but also for those with solitary erythema migrans.
Descriptors		LYME DISEASE TICKS BITES AND STINGS ERYTHEMA CHRONICUM MIGRANS PREGNANCY COMPLICATIONS, INFECTIOUS PENICILLINS CEFTRIAXONE