NYMC Faculty Publications

Aggregation of Data from 4 Clinical Studies Demonstrating Efficacy of Single-Dose Doxycycline Postexposure for Prevention of the Spirochetal Infections: Lyme Disease, Syphilis, and Tick-Borne Relapsing Fever

Author Type(s)

Faculty

DOI

10.1016/j.diagmicrobio.2020.115293

Journal Title

Diagnostic Microbiology and Infectious Disease

First Page

115293

Last Page

115293

Document Type

Article

Publication Date

4-2021

Department

Medicine

Keywords

Anti-Bacterial Agents, Doxycycline, Humans, Lyme Disease, Post-Exposure Prophylaxis, Relapsing Fever, Syphilis

Disciplines

Medicine and Health Sciences

Abstract

Single-dose doxycycline, given within 72 hours of exposure, has been evaluated in 4 clinical studies for postexposure prophylaxis of 3 spirochetal infections: Lyme disease, syphilis, and tick-borne relapsing fever. In this study, data from the 4 studies were aggregated using a meta-analytic random-effects approach, with the DerSimonian-Laird method for variance estimation, analyzing a total of 2468 subjects. The findings of this analysis demonstrated an overall efficacy rate for prevention of the 3 spirochetal infections of 78% (95% confidence interval: 50%-91%).

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