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Enfermedad de Lyme crónica y persistente - Prevention

Nombres alternativos

Enfermedad de Lyme terciaria; Enfermedad de Lyme en etapa 3; Enfermedad de Lyme persistente y tardía; Artritis de Lyme

Prevención:

El diagnóstico oportuno y el tratamiento antibiótico apropiado para la enfermedad de Lyme primaria es la forma más efectiva de prevenir la enfermedad de Lyme terciaria.

Los siguientes son algunos consejos para prevenir la enfermedad de Lyme.

Al caminar o pasear en áreas boscosas o de pastizales:

  • Asperje toda la piel expuesta y las ropas con repelente de insectos (asperjar las áreas exteriores únicamente, no lo use sobre la cara, utilice sólo lo suficiente para cubrir todo el resto de piel expuesta, no rocíe bajo las ropas, ni aplique sobre heridas o piel irritada, lave la piel al ingresar a espacios interiores)
  • Use prendas de vestir de colores claros para ver fácilmente las garrapatas
  • Use camisas de manga larga y pantalones largos con el doblez metido dentro de los zapatos o los calcetines
  • Use botas altas, preferiblemente de caucho

Revísese y revise a sus mascotas con frecuencia durante y después de un paseo o caminata.

Las garrapatas que transmiten la enfermedad de Lyme son tan pequeñas que son muy difíciles de ver. Después de regresar a casa, quítese las ropas e inspeccione completamente todas las áreas de la piel, incluyendo el cuero cabelludo.

De ser posible, solicítele a alguien que le ayude a examinar su cuerpo para ver si hay garrapatas. Los adultos deben revisar cuidadosamente a los niños.

  • Reviewed last on: 3/17/2009
  • Jatin M. Vyas, PhD, MD, Instructor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Bratton RL, Whiteside JW, Hoyan MJ, Engle RL, Edwards FD. Diagnosis and treatment of Lyme disease. Mayo Clin Proc. 2008;83:566-571.

Feder HM Jr, Johnson BJ, O'Connell S, Shapiro ED, Steere AC, Wormser GP. Ad Hoc International Lyme Disease Group. A critical appraisal of "chronic Lyme disease." N Engl J Med. 2007;357:1422-1430.

Halperin JJ, Shapiro ED, Logigian E, Belman AL, Dotevall L, Wormser GP, et al. Practice parameter: treatment of nervous system Lyme disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology. 2007;69:91-102.

Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43:1089-1134.

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