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neuroborreliose (Lyme)

Advices

≥ 18 years
Priority Medication Remarks
Priority:
1st choice
Medication:

ceftriaxon iv 2000mg 1dd 14 days

Remarks:

SWAB remarks

Vroege neuroborreliose
Priority:
1st choice
Medication:

ceftriaxon iv 2000mg 1dd 30 days

Remarks:

SWAB remarks

Chronische neuroborreliose

Priority:
1st choice alternative
Medication:

doxycycline po 100mg 2dd 30 days

Remarks:

SWAB remarks

Chronische neuroborreliose, bij afwezigheid van pleiocytose 

Priority:
2nd choice
Medication:

benzylpenicilline iv 2million. IU 6dd 14 days

Remarks:

SWAB remarks

Vroege neuroborreliose, bij contraindicatie ceftriaxone
≥ 18 years

Indications: Betalactam allergie

Priority Medication Remarks
Medication:

doxycycline po 200mg 1dd 14 days

Remarks:

SWAB remarks

Vroege neuroborreliose

General comments

Behandel in individuele gevallen lyme-meningitis 28 dagen op basis van neurologische uitval en/of afwijkingen bij herhaald liquoronderzoek.

Behandeling lyme-geassocieerde facialisparese: zie CBO richtlijn Lyme

Sources

Antimicrobial resources

The following antimicrobial agents have been used in these recommendations:

External antimicrobial resources
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Metadata

Swab vid: G-7271.4
Updated: 08/20/2019 - 16:11
Status: Published