Guidelines for Diagnosis and Treatment German Borreliosis So

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panda
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by panda » Wed 12 Sep 2012 19:41

German: http://www.borreliose-gesellschaft.de/T ... linien.pdf

English: http://www.borreliose-gesellschaft.de/T ... elines.pdf

Czech: http://www.borreliose-gesellschaft.de/T ... 011_CZ.pdf

Polish: http://www.borreliose-gesellschaft.de/T ... tyczne.pdf

European Lyme-borreliosis is not a different disease, but it could be caused by some more Bb strains than in the US.

Best,
Panda


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Spanky
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by Spanky » Wed 12 Sep 2012 23:33

From the Guidelines of the German Borreliosis Society:
The time differentiation between the early and late stages is arbitrary.
http://www.borreliose-gesellschaft.de/T ... elines.pdf

X-member
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by X-member » Wed 12 Sep 2012 23:40

From the same guidelines (as Spanky post a quote from):
The time differentiation between the early and late stages is arbitrary. Disease manifestations of Lyme borreliosis which occur more than 6 months after the start of infection are designated in this Guideline as late manifestations or as chronic.
Edit to add:

If you, Spanky want a discussion about the medical term chronic, there are already a topic for this. Started by Martian.

http://www.lymeneteurope.org/forum/view ... f=7&t=3535
Last edited by X-member on Wed 12 Sep 2012 23:48, edited 1 time in total.

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Spanky
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by Spanky » Wed 12 Sep 2012 23:48

"Carina":
The time differentiation between the early and late stages is arbitrary. Disease manifestations of Lyme borreliosis which occur more than 6 months after the start of infection are designated in this Guideline as late manifestations or as chronic.

Yes, we understand that "some people" in Europe use the word "chronic" differently than the way ILADS and the IDSA use it. Understood that the first few hundred times that has been said, here.

I hope that "some people" also understand, though, that what the German Borreliosis Society says as to the early/late stage differentiation is the same as the passage from the IDSA Guidelines that I have been showing to "some people":
The panel has differentiated between early and late neurologic Lyme disease in these guidelines, as is customary. There is little evidence to support a pathophysiological basis for this distinction, however, and differences may be related more to the degree of involvement [208, 217, 219].
I am hoping that "some people" get it, now...
If you, Spanky want a discussion about the medical term chronic, there are already a topic for this. Started by Martian.
Thanks, but I am trying to discuss and comment on a passage from the Treatment Guidelines of the German Borreliosis Society...that is the topic of this thread, I believe.

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inmacdonald
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by inmacdonald » Thu 13 Sep 2012 1:02

Continuing Education Testing : Comprehension of the Guidelines of the
German Borreliosis Society:
http://www.borreliose-gesellschaft.de

1. Is the German Society for Borreliosis aligned with the IDSA?
2, Does the German Society for Borreliosis embrace the Criteria of the Centers for
Disease Control and Prevention?
3. Is the document on the German Society for Borreliosis concerning Diagnosis and Treatment
an accurate and scientific summary?

Lorima
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by Lorima » Thu 13 Sep 2012 3:13

Thanks, Alan, for posting this! These are nice fresh guidelines.

"The guidelines were published in January 2012 after a complete revision and extension of a first edition published in 2008."

While I was looking...

Here's the program for their last annual meeting:

http://www.borreliose-gesellschaft.de/e ... rt/Program

And here's their submission to the IDSA guidelines hearing panel:
http://lymedisease.org/wp-content/uploa ... 774413.pdf
"I have to understand the world, you see."
Richard Feynman

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Spanky
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by Spanky » Thu 13 Sep 2012 4:15

"Lorima":
And here's their submission to the IDSA guidelines hearing panel:

http://lymedisease.org/wp-content/uploa ... 774413.pdf
From the above:
The Deutsche Borreliose-Gesellschaft (German Society of Lyme-Borreliosis) raises objections to the IDSA Lyme Guidelines published in 2006. The fundamental basis for our objections is that the implementation of the IDSA guidelines extends beyond the United States and into Europe.

Contrast that, however, with what the IDSA Guidelines actually say:
The objectives of these practice guidelines are to provide clinicians and other health care practitioners with recommendations for treatment of patients in the United States with suspected or established Lyme disease, HGA (formerly known as human granulocytic ehrlichiosis), or babesiosis.
http://cid.oxfordjournals.org/content/43/9/1089.full

The Deutsche Borreliose-Gesellschaft doesn't really explain how the IDSA Guidelines windup being used or referred to in Europe...

Could it be, perhaps, that scientists and practitioners in Europe agree?

Find the evidence persuasive?

duncan
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Re: Guidelines for Diagnosis and Treatment German Borreliosi

Post by duncan » Thu 13 Sep 2012 12:50

"Persuasive" can be such a loaded term when used in a geopolitical construct.

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