Posted on Jun 8, 2015 in Blog |

***In Virginia, up to 50% of ticks can carry Lyme disease or other infections. ADVICE ON TREATING TICK BITES (from Dr. Joseph Burrascano, the longest treating physician for Lyme in the U.S.): “…The physician cannot rely on a laboratory test or clinical finding at the time of the bite to definitely rule in or rule out Lyme Disease infection, so must use clinical judgment as to whether to use antibiotic prophylaxis. Testing the tick itself for the presence of the spirochete, even with PCR technology, is helpful but not 100% reliable. An established infection by B. burgdorferi can have serious, long-standing or permanent, and painful medical consequences, and be expensive to treat. Since the likelihood of harm arising from prophylactically applied anti-spirochetal antibiotics is low, and since treatment is inexpensive and painless, it follows that the risk benefit ratio favors tick bite prophylaxis.” TREATMENT CATEGORIES TICK BITES – Embedded Deer Tick With No Signs or Symptoms of Lyme. Decide to treat based on the type of tick, whether it came from an endemic area, how it was removed, and length of attachment (anecdotally, as little as four hours of attachment can transmit pathogens). The risk of transmission is greater if the tick is engorged, or of it was removed improperly allowing the tick’s contents to spill into the bite wound. High-risk bites are treated as follows (remember the possibility of co-infection!): 1) Adults: Oral therapy for 28 days. 2) Pregnancy: Amoxicillin 1000 mg q6h for 6 weeks. Test for Babesia, Bartonella and Ehrlichia. Alternative: Cefuroxime axetil 1000 mg q12h for 6 weeks. 3) Young Children: Oral therapy for 28 days. Reference: ADVANCED TOPICS IN LYME DISEASE DIAGNOSTIC HINTS AND TREATMENT GUIDELINES FOR LYME AND OTHER TICK BORNE ILLNESSES, Sixteenth Edition, Copyright October, 2008, JOSEPH J. BURRASCANO JR., M.D. http://www.ilads.org/lyme/treatment-guideline.php TO REMOVE ATTACHED TICKS: Use fine-tipped tweezers or shield your fingers with a tissue, paper towel, or rubber gloves, when removing the tick; otherwise infectious agents may enter through mucous membranes and breaks in the skin. DO NOT use petroleum jelly, a hot match, nail polish, or other products. Grasp the tick as close to the skin surface as possible...

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