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Lyme disease: Knowledge and practices of family practitioners in southern Quebec

[CanLyme note: 

We invite your review of the below article (free PDF of study can be accessed in the link below). Comments on study design, methodology, the questionnaire, data sourcing, and conclusions drawn, are invited.  Add your review in our comments section.  Also, how do you believe this information will be used by medical bureaucrats to direct the conversation?]

Canadian Journal of Infectious Diseases & Medical Microbiology

C Ferrouillet | F Milord | L Lambert | A Vibien | A Ravel                                       May/June 2015, Volume 26 Issue 3: 151-155

BACKGROUND: Public health authorities in Quebec have responded to the progressive emergence of Lyme disease (LD) with surveillance activities and education for family physicians (FPs) who are key actors in both vigilance and case management.OBJECTIVES: To describe FPs’ clinical experience with LD, their degree of knowledge, and their practices in two areas, one with known infected tick populations (Montérégie) and one without (regions nearby Montérégie).
METHODS: In the present descriptive cross-sectional study, FPs were recruited during educational sessions. They were asked to complete a questionnaire assessing their clinical experience with Lyme disease, their knowledge of signs and symptoms of LD, and their familiarity with accepted guidelines for diagnosing and treating LD in two clinical scenarios (tick bite and erythema migrans).
RESULTS: A total of 201 FPs participated, mostly from Montérégie (n=151). Overall, results revealed a moderate lack of knowledge and suboptimal practices rather than systematically insufficient knowledge or inadequate practices. A majority of participants agreed to more education on LD. As expected, FPs from Montérégie had a higher clinical experience with tick bites (57% versus 25%), better knowledge of LD endemic areas in Canada and erythema migrans characteristics, and better management of erythema migrans (72% versus 50%).
CONCLUSION: The present study documented the inappropriate intention to order serology tests for tick bites and the unjustified intention to use tick analysis for diagnostic purposes. Such practices should be discouraged because they are unnecessary and overuse collective laboratory and medical resources. In addition, public health authorities must pursue their education efforts regarding FPs to optimize case management.
Lyme disease | Health knowledge, attitudes, practice | Quebec

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  1. The same results would be found all across Canada as Lyme borreliosis is still not taught properly. A few physicians are being educated by their patients but they are handicapped by the IDSA guidelines. The provinces claim to be doing enough with the occasional webinar that claims part of the problem on the Lyme advocacy groups.

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