Current guidelines for the management of Lyme borreliosis in European countries

Introduction and purpose: Lyme borreliosis, caused by Borrelia burgdorferi sensu lato complex, is the most common vector-borne disease in Europe. Transmitted by Ixodes ticks, its prevalence is increasing due to climate change, expanded tick habitats, and improved diagnostic awareness. Consequent...

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Main Authors: Zuzanna Wyleciał, Julia Ząber, Wiktoria Zamachowska
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-01-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/57133
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author Zuzanna Wyleciał
Julia Ząber
Wiktoria Zamachowska
author_facet Zuzanna Wyleciał
Julia Ząber
Wiktoria Zamachowska
author_sort Zuzanna Wyleciał
collection DOAJ
description Introduction and purpose: Lyme borreliosis, caused by Borrelia burgdorferi sensu lato complex, is the most common vector-borne disease in Europe. Transmitted by Ixodes ticks, its prevalence is increasing due to climate change, expanded tick habitats, and improved diagnostic awareness. Consequently, unified and evidence-based management guidelines are critical to ensure consistent diagnosis and treatment across European countries. This article provides an overview of current guidelines from 2023 for the management of Lyme borreliosis in Europe.   Materials and methods: A literature search was conducted by analysing scientific articles published in Google Scholar, PubMed, and UpToDate using keywords included: Lyme disease; guidelines; Borrelia burgdorferi; management. We also searched current guidelines of Polish Society of Epidemiology and Infectious Diseases and recommendations from other European countries. Description of the state of knowledge: There are 3 stages of Lyme disease: early localized, early disseminated and late. Clinical diagnosis is based on symptoms, history of tick exposure, and observation of erythema migrans. To confirm Lyme disease, laboratory tests must also be performed. Lyme borreliosis is typically treated with antibiotics depending on the character. Conclusion: European guidelines for Lyme borreliosis emphasize early diagnosis and appropriate antibiotic therapy based on disease stage. Preventive measures and public health initiatives are essential to reduce the disease burden. While current guidelines ensure effective management, continued harmonization and advancements in diagnostics, treatment, and vaccine development will further enhance Lyme borreliosis care across Europe. Keywords: Lyme disease; guidelines; Borrelia burgdorferi; management.
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issn 2391-8306
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spelling doaj-art-47cc1cd4967340068110b5d34248a4cd2025-01-08T08:16:38ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-01-017710.12775/JEHS.2025.77.57133Current guidelines for the management of Lyme borreliosis in European countriesZuzanna Wyleciał0https://orcid.org/0009-0001-2984-7091Julia Ząberhttps://orcid.org/0009-0005-2687-566XWiktoria Zamachowskahttps://orcid.org/0000-0002-5725-4429The University Hospital in Krakow Introduction and purpose: Lyme borreliosis, caused by Borrelia burgdorferi sensu lato complex, is the most common vector-borne disease in Europe. Transmitted by Ixodes ticks, its prevalence is increasing due to climate change, expanded tick habitats, and improved diagnostic awareness. Consequently, unified and evidence-based management guidelines are critical to ensure consistent diagnosis and treatment across European countries. This article provides an overview of current guidelines from 2023 for the management of Lyme borreliosis in Europe.   Materials and methods: A literature search was conducted by analysing scientific articles published in Google Scholar, PubMed, and UpToDate using keywords included: Lyme disease; guidelines; Borrelia burgdorferi; management. We also searched current guidelines of Polish Society of Epidemiology and Infectious Diseases and recommendations from other European countries. Description of the state of knowledge: There are 3 stages of Lyme disease: early localized, early disseminated and late. Clinical diagnosis is based on symptoms, history of tick exposure, and observation of erythema migrans. To confirm Lyme disease, laboratory tests must also be performed. Lyme borreliosis is typically treated with antibiotics depending on the character. Conclusion: European guidelines for Lyme borreliosis emphasize early diagnosis and appropriate antibiotic therapy based on disease stage. Preventive measures and public health initiatives are essential to reduce the disease burden. While current guidelines ensure effective management, continued harmonization and advancements in diagnostics, treatment, and vaccine development will further enhance Lyme borreliosis care across Europe. Keywords: Lyme disease; guidelines; Borrelia burgdorferi; management. https://apcz.umk.pl/JEHS/article/view/57133Lyme diseaseguidelinesBorrelia burgdorferimanagement
spellingShingle Zuzanna Wyleciał
Julia Ząber
Wiktoria Zamachowska
Current guidelines for the management of Lyme borreliosis in European countries
Journal of Education, Health and Sport
Lyme disease
guidelines
Borrelia burgdorferi
management
title Current guidelines for the management of Lyme borreliosis in European countries
title_full Current guidelines for the management of Lyme borreliosis in European countries
title_fullStr Current guidelines for the management of Lyme borreliosis in European countries
title_full_unstemmed Current guidelines for the management of Lyme borreliosis in European countries
title_short Current guidelines for the management of Lyme borreliosis in European countries
title_sort current guidelines for the management of lyme borreliosis in european countries
topic Lyme disease
guidelines
Borrelia burgdorferi
management
url https://apcz.umk.pl/JEHS/article/view/57133
work_keys_str_mv AT zuzannawyleciał currentguidelinesforthemanagementoflymeborreliosisineuropeancountries
AT juliazaber currentguidelinesforthemanagementoflymeborreliosisineuropeancountries
AT wiktoriazamachowska currentguidelinesforthemanagementoflymeborreliosisineuropeancountries