In a message dated 7/12/2005 12:32:00 PM Pacific Standard Time, 
[log in to unmask] writes:
Can anyone help me locate the most recent references re this issue?  I've 
tried to navigate the CDC website but did not find anything re 
breastfeeding and Lyme.
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It is on the CDC site. Lyme Disease, nor the antibiotics used to treat it, 
are NOT contraindications to breastfeeding.  Remember: doxycycline can turn milk 
brown or black - still OK milk.

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4807a1.htm

 Routes of Transmission 
Humans acquire B. burgdorferi infection from infected ticks at the time the 
tick takes a blood meal (28); Lyme disease is not spread by person-to-person 
contact or by direct contact with infected animals. Transplacental transmission 
of B. burgdorferi has been reported (29,30), but the effects of such 
transmission on the fetus remain unclear. The results of two epidemiologic studies 
document that congenital Lyme disease must be rare, if it occurs at all (31,32). 
Transmission in breast milk has not been described. B. burgdorferi can be 
cultured from the blood in some patients with early acute infection, and it is able 
to survive for several weeks in stored blood. However, at least one study has 
found that the risk for transfusion-acquired infection is minimal (33).

Nancy
Nancy E. Wight MD, IBCLC, FABM, FAAP
Neonatologist, Sharp Mary Birch Hospital for Women and Children's Hospital
Medical Director, Sharp HealthCare Lactation Services
San Diego, CA
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