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The new draft of the Infectious Disease Society of America (IDSA) guidelines open for public comment for 45 days.

The IDSA has presented their draft guidelines which with a brief scan appear not much different then their old controversial poorly evidenced guidelines.  Much of the same old players and 3 token patients. Typical unequal representation.

Public comments close August 10th.

Take your time, make notes before you enter their controlled comment format process as you have to submit all your comments in one sitting.  Here are their instructions…


In this form, you are given 20 opportunities to enter your comments on the guideline. Please note that you will need to complete your review in one sitting as your work in progress cannot be saved. Once you hit the “Save and Next” button at the end, your responses will be recorded and saved. If at the end you have additional comments, please click “Enter Additional Comments” and complete the survey again.

For each comment, you must select which section of the guideline your comment relates to:

  • General comments on entire draft
  • Introduction & methods
  • Tick bites prevention and prophylaxis of Lyme disease
  • Early localized Lyme disease (erythema migrans)
  • Neurologic Lyme disease
  • Lyme carditis
  • Lyme arthritis
  • Prolonged symptoms following treatment of Lyme disease
  • Cutaneous manifestations of Eurasian Lyme disease
  • Lyme disease coinfections
  • Supplement Materials
For each comment, you must be specific (section, page number, line and/or table number, comment).
Any questions marked with an asterisk (*) require an answer in order to progress through the comment form.
You must click “Save and Next” at the bottom of each page or your responses will not be saved.
If you have any questions about the comment form, please contact IDSA at PracticeGuidelines@idsociety.org.”


Here are the guidelines https://view.protectedpdf.com/ad6GFZ 

Their website to submit comments https://www.idsociety.org/lymepubliccomments

Their disclaimer indicates just how legally comfortable they are with their guidelines, ” Page 1 –  Neither IDSA, AAN, ACR nor their officers, directors, members, employees……will be liable for any loss, damage, or claim with respect to any liability, including direct, special, indirect etc etc etc damages, incurred in connection with these guidelines or reliance on the information presented.”

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