Prácticas de prescripción de profilaxis postexposición en un área endémica de la enfermedad de Lyme

Área de la Ciencia:

• Infectious Diseases; Public Health; Clinical Practice Guidelines

Sus antecedentes:

• The Infectious Diseases Society of America (IDSA) guidelines suggest doxycycline for Lyme disease prophylaxis after tick bites.; Data on current prescribing practices for Lyme disease prevention in high-risk areas are limited.

Objetivo del estudio:

• To evaluate doxycycline prescribing practices for Lyme disease prophylaxis in a rural Wisconsin health system.; To assess adherence to IDSA guidelines and identify documentation issues.

Principales métodos:

• Retrospective chart review of adult patients receiving doxycycline for Lyme disease prevention (2022-2024).; Analysis of patient and provider characteristics.; Manual data abstraction of 155 prescriptions to assess guideline concordance.

Principales resultados:

• 2404 prescriptions were analyzed; most were for older adults and males in rural areas, peaking in warmer months.; Prescribing occurred across provider types, predominantly in outpatient/urgent care.; Only 12% of prescriptions had clear indications; others had suboptimal documentation or nonadherence.

Conclusiones:

• Significant rates of incomplete documentation and uncertainty in guideline adherence were found.; Opportunities exist to enhance evidence-based prescribing and improve documentation for Lyme disease prophylaxis.