BQ Journal Vol 43 - Q2 2021 - 19

Guidance for Clinicians
Recommendations for Patients after a Tick Bite
When a patient seeks care after a tick bite, topics to discuss should include:
Tick removal
Lyme disease prophylaxis
How to Remove a Tick
Use fine-tipped tweezers to
grasp the tick as close to the
skin's surface as possible.
Pull upward with steady, even
pressure. Don't twist or jerk
the tick.
After removing the tick,
thoroughly clean the bite area
and your hands with rubbing
alcohol or soap and water.
Kill a live tick by putting it in
rubbing alcohol or placing
it in a sealed bag/container.
Save the tick for species
identification and degree of tick
engorgement (important when
determining eligibility for Lyme
disease prophylaxis).
Symptom watch
Table 1. Recommended Lyme disease* post-exposure prophylaxis.
Age Category
Drug
Adults
Children
weighing less
than 45 kg
Doxycycline
Doxycycline 200 mg orally N/A
4.4 mg/kg
orally
Once
200 mg Once
* Antibiotic treatment following a tick bite is not recommended as a means to
prevent tickborne diseases other than Lyme disease (such as anaplasmosis,
babesiosis, ehrlichiosis, Rocky Mountain spotted fever). There is no evidence this
practice is effective, and it may simply delay onset of disease.
Dosage Maximum Duration
Post-exposure prophylaxis for
Lyme disease
Antimicrobial prophylaxis for the prevention of
Lyme disease (Table 1) following tick bite may be
beneficial in certain circumstances. A single dose of
doxycycline can lower the risk of Lyme disease when:
* The tick bite occurred in a state where Lyme
disease incidence is high (Figure 1) or in an area
where >20% of ticks are infected with Borrelia
burgdorferi. Contact your local health department
for information about tick infection rates in
your area.
* The attached tick can be identified as an adult or
nymphal blacklegged tick (Figure 2).
* The estimated time of attachment is ≥36 hours
based on the degree of tick engorgement with
blood or likely time of exposure to the tick
(Figure 3).
* Prophylaxis can be started within 72 hours of
tick removal.
* The patient has no contraindication to doxycycline.
C304282-A September 29, 2019
Diagnostics I Pharmaceuticals I DxRx Solutions I Continuing Education I News
19
A Henry Schein Publication

BQ Journal Vol 43 - Q2 2021

Table of Contents for the Digital Edition of BQ Journal Vol 43 - Q2 2021

Table of Contents
BQ Journal Vol 43 - Q2 2021 - Cover1
BQ Journal Vol 43 - Q2 2021 - 2
BQ Journal Vol 43 - Q2 2021 - Table of Contents
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BQ Journal Vol 43 - Q2 2021 - Cover4
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