the recommendations of the HAS risk "to generate therapeutic wanderings"

The specialists still furious against the High Authority of Health (HAS). One month after the HAS recommendations on Lyme borreliosis and other tick-borne diseases, "all learned societies involved in the management of tick-borne diseases" issued a press release refusing to "endorse the recommendation of the good practice elaborated by the HAS"

"We reproach him chapter 4 concerning the SPTT (symptomatology / persistent syndrome (e) polymorphous after a possible bite of tick)", explains France Roblot , Vice President of the French-language Infectious Pathology Society (SPILF). "This is something that we do not know the definition and that may cause concern for many patients and therapeutic wanderings: patients who will have unclear symptoms will be diagnosed as stung by ticks; 'they have never seen it and we will miss the right diagnosis,' she worries.

Indeed, in Chapter 4, the HAS decided to recognize that people suffering from recurrent pain and fatigue are very ill but refuses to approve the existence of a chronic form of Lyme disease. . Instead, she created the terminology of SPTT to explain the "situation of patients who may have been exposed to ticks and who exhibit polymorphic, persistent and unexplained clinical signs that may be disabling."

"On has not managed to find a name that is consensual.All the tired people who come in consultation, we will tell them they have the SPTT? "asks France Roblot. "I do not know why there is such a controversy around this disease," she grieves, blaming "some doctors who speak a lot in the media saying that it must be treated for a very very long time, but we have never had evidence of such a benefit. "

"If Hundreds of Doctors Agree, It Is Uncertain Persist"

"The early manifestations of Lyme disease, cutaneous, joint and neurological and its late manifestations, are known and They are very well described by the HAS We know that there are people bitten by ticks who have an authentic Lyme disease and who still show signs (disorders of concentration, insomnia) after being treated with antibiotics If you are certain that someone is suffering from Lyme disease, that it presents acute manifestations, the durations recommended by the HAS are perfectly adapted.But for the patient who has just has been exposed to ticks and presents some manifestations not systematized, we will say: why not put on antibiotics? It happens and this is called a test treatment.In these cases, it must be that there is no reason to go beyond 28 days: it is important that these patients be informed, "she explains before deciding:" maybe longer treatments will be of interest. in the future, but it must first be demonstrated and decided by international bodies. "

This is why the SPILF and many other medical authorities have asked the HAS to delete chapter 4 In vain, the authorities remained deaf. Today, in this press release, published on July 19, "all the specialists have come together at the table, and we all agree that after a while we have to ask ourselves questions, if hundreds of doctors are OK, it is that a malaise persists ", calls France Roblot, proposing" to continue working with respect to this famous SPTT by relying on international recommendations, English and German, for example, which come from "We want there to be homogeneous care consistent throughout the territory that everyone has access to the same approach". And to conclude: "Our constant concern is to improve the management of patients and to take into consideration their symptoms.We are there to have an accompaniment adapted to their pathology, not to tell them stories". 19659002] As a reminder, Lyme borreliosis is an infectious vector disease transmitted by the bite of a tick – note that not all ticks carry the bacteria. The infection may appear in the month following the sting, first in the form of a red and round plate that extends in a circle from the stung area. The lesion of the skin can be accompanied by muscular and articular pains, or fever. Treated quickly, the disease can disappear in a few weeks or months. Otherwise, it can lead to neurological disorders and facial paralysis.