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Aberer, E; Kahofer, P; Binder, B; Kinaciyan, T; Schauperl, H; Berghold, A.
Comparison of a two- or three-week regimen and a review of treatment of erythema migrans with phenoxymethylpenicillin.
DERMATOLOGY. 2006; 212(2): 160-167. Doi: 10.1159/000090657
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Leading authors Med Uni Graz
Aberer Elisabeth
Co-authors Med Uni Graz
Berghold Andrea
Binder Barbara
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Abstract:
BACKGROUND: A longer duration treatment is preferred in erythema migrans (EM) to prevent late complaints. OBJECTIVES: To determine whether 20 (20d-pt) or 14 days (14d-pt) of phenoxymethylpenicillin (PenV) have similar efficacy in treating EM and preventing further sequelae. PATIENTS AND METHODS: In a prospective double-centre study, 102 patients with EM were treated with PenV 1.5 million IU thrice daily for either 20 or 14 days and followed up for 12 months. RESULTS: The primary cure rate after treatment with PenV was 91.5% (79.6-97.6) for 20d-pt vs. 91.7% (77.5-98.2) for 14d-pt; p > 0.99). In 7 patients (4/20d-pt and 3/14d-pt), persistent or newly arising symptoms required retreatment. After 1 year, all patients were cured. The immune response showed no statistical difference between the treatment groups in the follow-up period. CONCLUSION: A 2-week treatment regimen of PenV seems to be as effective as a 3-week course with no statistical differences for clinical and serological findings after treatment.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Anti-Bacterial Agents - administration and dosage
Antibodies, Anti-Idiotypic - immunology
Double-Blind Method - immunology
Drug Administration Schedule - immunology
Enzyme-Linked Immunosorbent Assay - immunology
Erythema - drug therapy
Female - drug therapy
Follow-Up Studies - drug therapy
Humans - drug therapy
Immunoglobulin G - immunology
Immunoglobulin M - immunology
Male - immunology
Middle Aged - immunology
Penicillin V - administration and dosage
Prospective Studies - administration and dosage
Time Factors - administration and dosage
Treatment Outcome - administration and dosage

Find related publications in this database (Keywords)
erythema migrans
Lyme borreliosis
penicillin
Borrelia burgdorferi
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