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Individuals with ongoing symptoms that have been attributed to Lyme disease based on alternative serologic criteria or clinical criteria alone experience very real and sometimes debilitating symptoms. They often feel abandoned when physicians cannot provide them with the diagnosis or management plan. However, the cause of these symptoms is often not clear. Symptoms such as body pain, fatigue and difficulty concentrating are not specific for any one cause. AMMI Canada supports evidence guided care for people with persistent symptoms attributed to Lyme disease in a compassionate and comprehensive manner. However, AMMI Canada cannot support recommendations for prescribing prolonged courses of antibiotics for this situation. The data show that prolonged antibiotic therapy does not alter patient outcomes, but can lead to potentially severe adverse reactions, as well as the development of, and infection with, antibiotic-resistant organisms (Klempner et al., 2013; Marzec et al., 2017). AMMI Canada is dedicated to an evidence-based approach to treating people with all types of infections and to assisting their physicians through enhancing education and research.

AMMI Canada position statement on the diagnosis and treatment of people with persistent symptoms that have been attributed to Lyme disease