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The Health Council of the Netherlands’ advice on Lyme disease.

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There are many misconceptions about
Lyme disease. At the initiative of the Dutch Association for
Lyme Patients, the Lower House of the Dutch Parliament requested a report on
Lyme disease. The Health Council of the Netherlands advised standardization of
Lyme serology in all Dutch laboratories as soon as possible. Standardization of diagnostic serological tests was strongly recommended. Studies into new tests which discriminate between active
disease and past infection were recommended. Patients with
Lyme disease were divided in those with
Lyme specific and non-specific symptoms and duration of symptoms. Treatment advice was given for each of these 6 patient categories with a prominent role for the decision of the attending physician. Additionally it was advised to set up specialized treatment centers with a multidisciplinary approach. The report clearly shows the problems in care for
Lyme patients from the perspective of both patients and physicians, but is cautious in the solutions offered.

Ned Tijdschr Geneeskd. 2013;157(29):A6626. English Abstract

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