The treatment of Lyme disease has evolved amid disagreements and debates between medical societies, and those physicians who are in research or academia, and those who are treating thousands of patients in the clinical setting. Antibiotics are the staple of Lyme disease treatment, but the length of treatment is at issue. There are a few research studies that have looked at various short term treatment methods, none of which proved successful for the eradication of symptoms for those with late disseminated or chronic Lyme symptoms. There is much research evidence that supports the longer use of antibiotics, but there is no known “cure” for persistent symptoms of Lyme disease. One would want a physician who treats the patient based on clinical presentation and response to treatments.The IDSA, Infectious Disease Society of America, has developed the most often recommended guidelines for the treatment of Lyme disease, but many patients have found the limited recommendations were not successful in eradicating the symptoms of Lyme. Thus, ILADS, the International Lyme and Associated Diseases Society, developed a broader set of guidelines that recommends treating the patient based on clinical presentation.As a patient, you should make yourself fully aware of the treating options and choose the one which you and your physician find most successful in returning you to a state of wellness.The following articles should be helpful in learning about the various approaches.
       The  National Guideline Clearing House, a department of the U.S. Health
        and Human Services, lists all approved and up to date guidelines as denoted by
        the Agency for Research Healthcare and Quality. Currently, only one guideline is
        listed for Lyme disease; those of the International Lyme and Associated Diseases
International Lyme and Associated Diseases Society (ILADS)
        Dr. Burrascano’s Guidelines