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Hepatitis C Screening, Stanley Hunter Md
Hepatitis C Screening, Stanley Hunter Md
Family Medicine Scholarly Works
Clinical Question: Does screening baby boomers for Hepatitis C decrease mortality and/or save money?
Bottom Line Answer: Age-based screening for hepatitis C is cost effective ($4900 per QALY gained) for those born between 1945 and 1965.
Lyme Disease Prophylaxis: Idsa Guidelines, Kristine Cruz Md
Lyme Disease Prophylaxis: Idsa Guidelines, Kristine Cruz Md
Family Medicine Scholarly Works
Clinical Question: When should patients be given antibiotics for lyme prophylaxis after a tick bite?
Bottom Line Answer: To provide antibiotic prophylaxis for Lyme disease ALL of these criteria should be met:
- Tick identified as an adult or nymphal deer tick
- Attached for > or = 36 hours (by engorgement or time of exposure)
- Treatment started within 72 hours of tick removal
- Local rate of infection of ticks with B. Bourgdorferi >=20% (assumed in Vermont)
- Doxyclycline is not contraindicated