Society guideline links: Tick-borne infections (including Lyme disease, ehrlichiosis, babesiosis, rickettsial infections, and others)

Introduction — 

This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Infectious encephalitis" and "Society guideline links: Myocarditis".)

Canada

●Public Health Agency of Canada (PHAC): Lyme disease – For health professionals

●Canadian Paediatric Society (CPS): Practice point on Lyme disease in Canada – Focus on children (2020)

●Society of Obstetricians and Gynaecologists of Canada (SOGC): Committee opinion for management of tick bites and Lyme disease during pregnancy (2020)

●Association of Medical Microbiology and Infectious Disease (AMMI) Canada: Position statement on the diagnosis and treatment of people with persistent symptoms that have been attributed to Lyme disease (2019)

United States

●Centers for Disease Control and Prevention (CDC): Ticks and tickborne disease

•Clinical care of anaplasmosis – For health care providers

•Clinical care of babesiosis – For health care providers

•Clinical care of ehrlichiosis – For health care providers

•Clinical care of Lyme disease – For health care providers

•Clinical care of other spotted fever rickettsioses – For health care providers

•Clinical care of Rocky Mountain spotted fever – For health care providers

●American Academy of Pediatrics (AAP): Red Book (2024)

•Babesiosis

•Borrelia infections other than Lyme disease (relapsing fever)

•Ehrlichia, Anaplasma, and related infections

•Louse-borne typhus (epidemic or sylvatic typhus)

•Lyme disease

•Murine typhus (endemic or flea-borne typhus)

•Prevention of mosquito-borne and tick-borne infections

•Rickettsial diseases

•Rocky Mountain spotted fever

●Infectious Diseases Society of America (IDSA): Clinical practice guidelines on diagnosis and management of babesiosis, 2020 (published 2021)

●IDSA, American Academy of Neurology (AAN), and American College of Rheumatology (ACR): Clinical practice guidelines for the prevention, diagnosis, and treatment of Lyme disease, 2020 (published 2021)

●Wilderness Medical Society (WMS): Clinical practice guidelines for the prevention and management of tick-borne illness in the United States (2021)

Europe

●European Federation of Neurological Societies (EFNS): Guidelines on the diagnosis and management of European Lyme neuroborreliosis (2010)

United Kingdom

●National Institute for Health and Care Excellence (NICE): Quality standard on Lyme disease (2019)

●NICE: Guideline on Lyme disease (2018)

●British Infection Association (BIA): A position statement on the epidemiology, prevention, investigation, and treatment of Lyme borreliosis in United Kingdom patients (2011)

India

●Indian Academy of Pediatrics (IAP): Guidelines on Rickettsial diseases in children (2017)

●Department of Health Research (DHR)-Indian Council of Medical Research (ICMR): Guidelines for diagnosis and management of Rickettsial diseases in India (2015)

Australia–New Zealand

●Australian Government Department of Health (DOH): Guidance note for medical practitioners and hospitals for prevention and management of tick bites in Australia (2023)

●Australian Government DOH: Guidance note for medical practitioners and hospitals on overseas-acquired tick-borne diseases – Lyme disease (2023)

Japan

●[In Japanese] Choosing Wisely Japan: Lyme disease testing – When and when not to do it (2016)