Step by Step






Credit Hours: CME 0.75

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Review change in Epidemiology of Lyme Disease.
  • Review diagnosis and testing for Lyme Disease.
  • Review treatment changes in Lyme and Lyme Meningitis and Arthritis.

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.

Suggested Additional Reading:

  1. Nadelman RB, Nowakowski J, Fish D, et al. Prophylaxis with single-dose doxycycline for the prevention of Lyme disease after an Ixodes scapularis tick bite. N Engl J Med. 2001 Jul 12;345(2):79–84.
  2. Thompson A, Mannix R, Bachur R. Acute pediatric monoarticular arthritis; Distinguishing Lyme arthritis from other etiologies. Pediatrics. 2009;123:959–965.
  3. Tuerlinckx D, Bodart E, Garrino MG, de Bilderling G. Clinical data and cerebrospinal fluid findings in Lyme meningitis versus aseptic meningitis. Arch Dis Child. 2012 Mar;97(3):215-20. doi: 10.1136/archdischild-2011-300526.
  4. Feder H, Johnson B, O’Connell S, Shapiro E, Steere A, Wormser G et al. A Critical Appraisal of “Chronic Lyme Disease”. N Engl J Med 357;14. Oct 4 2007.
  5. Ljøstad U, Skogvoll E, Eikeland R, Midgard R, Skarpaas T, Berg A, Mygland A. Oral doxycycline versus intravenous ceftriaxone for European Lyme neuroborreliosis: a multicentre, non-inferiority, double-blind, randomised trial. Lancet Neurol. 2008 Aug;7(8):675.
  6. Santiago M C Lopez, Brian T Campfield, Andrew J Nowalk; Oral Management for Pediatric Lyme Meningitis, Journal of the Pediatric Infectious Diseases Society, , piy072,
  7. Taylor Eddens, Daniel J Kaplan, Alyce J M Anderson, Andrew J Nowalk, Brian T Campfield; Insights From the Geographic Spread of the Lyme Disease Epidemic, Clinical Infectious Diseases, ciy510,
  8. AAP Redbook, 31st edition. 2018-2021.

Andrew Nowalk, MD — Associate Professor, Children's Hospital of Pittsburgh of UPMC and University of Pittsburgh School of Medicine of Pediatrics,
No relationships with industry relevant to the content of this educational activity have been disclosed.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC) Paul C. Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

The University of Pittsburgh is an affirmative action, equal opportunity institution.