We describe here treatment approaches and treatment-related complications in 138 hospitalized children with disseminated Lyme disease. The patients who received parenteral antibiotics had a higher rate of complications than those who received oral therapy (15.4 vs 4.2 per 1000 days of therapy, respectively; P < .05). Oral therapy should be used preferentially if either route is supported by current guidelines.

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**Comment**

It’s no shocker that the children receiving IV antibiotics had more complications than those who used orals; however, IV antibiotics have saved many patients and should not be disregarded as too dangerous.  As gramma used to say, “Don’t throw the baby out with the bathwater.”

More on IV antibiotics: https://madisonarealymesupportgroup.com/2017/07/09/idsa-founder-used-potent-iv-antibiotics-for-chronic-lyme/