Scotland adopt their own Lyme Disease Testing and Diagnosis
By Administrator on 29/04/2009
Audit of the laboratory diagnosis of Lyme disease in Scotland.
Roger Evans, Sally Mavin and Darrel O Ho-Yen
Microbiology Department, NHS Highland, Raigmore Hospital, Inverness IV2 3UJ, UK
Received 31 December 2004
Accepted 22 August 2005
An audit was performed on the laboratory diagnosis of Lyme disease in Scotland. The problem of a significant number of patients with clinical symptoms of Lyme disease being reported as seronegative or equivocal by the confirmatory Western blot test was identified. Comparisons of current practice were made with American and European standards, and the Western blot scoring system revised. When applied retrospectively (April 2003 to March 2004), 39 (33 %) of 116 serum samples previously negative or equivocal became weak positive or stronger. Thirty-one (80 %) of these 39 samples were from patients with clinical details suggestive of early Lyme disease. The changes were implemented and assessed prospectively for 6 months. There was a significant increase in the proportion of equivocal results, with fewer negatives compared to the same time period 1 year previously. This audit has helped clinicians in the diagnosis of Lyme disease and the management of these patients in Scotland.
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