Spectrum: Local Antimicrobial Stewardship, for CHEO-OCTC

Isolated Facial Palsy

If other neurological symptoms present, consider LP

Corticosteroids are not recommended

Infection Prevention and Control

Routine Practices

Most Likely Organism

Borellia burgdorferi

Suggested Regimen

Doxycycline 4.4 mg/kg/24h PO divided q12h
Maximum: 200mg /24h

Amoxicillin for treatment of facial palsy due to Lyme disease has not been studied

Duration of Therapy

14-21 days