Lyme disease accounted for more than two-thirds (56 of 81, 69.1%) of all tick-borne disease referrals to a large, academic infectious diseases clinic in a low-incidence state. Deviations from diagnostic testing guidelines and errors in test interpretation were common (23 of 35, 65.7%), suggesting that frontline providers need additional clinical support.
Keywords: diagnostic testing; Lyme disease; referrals; tick-borne disease.
© The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America.