Re: Lyme disease: summary of NICE guidance

Re: Lyme disease: summary of NICE guidance

I have 25 years clinical experience of diagnosing and treating Lyme Disease in the Scottish Highlands. The NICE Lyme guidelines 2018 bring a welcome evidence based consensus to testing, treatment, clinical uncertainties and research priorities. However, their graphic and link to PHE documents on tick removal will perpetuate harm and cause public confusion. The NICE Lyme guidelines committee did not review the evidence base for tick removal methods. The world wide evidence base on tick removal methods is very weak, so any public education policy needs to declare that and offer first principles and clinical experience until we have the...

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