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Index of Subjects
Index of Subjects --Apple-Mail-0679446C-FFDD-4702-A9B4-B4F69C191C70 Content-Transfer-Encoding: quoted-printable Content-Type: text/plain; charset=utf-8 Here is the summary of the current recommendations for the prevention of Lym= e Disease in a person who has been bitten by a Black-legged tick - from Upto= Date - the online and constantly updated medical textbook that nearly all ph= ysicians who want to stay current, use ---------- B. burgdorferi is not usually transmitted within the first 48 to 72 hours of= tick attachment. The likelihood of transmission is increased if the tick is= engorged and/or has been attached for at least 72 hours. (See 'Tick attachm= ent' above.) Ticks are best removed with tweezers or protected fingers, pulling straight u= p with even pressure. (See 'Tick removal' above.) We suggest that patients who meet all criteria for antibiotic prophylaxis be= treated (Grade 2B). The criteria for prophylaxis include: Attached tick identified as an adult or nymphal Ixodes scapularis tick (deer= tick) Tick is estimated to have been attached for =E2=89=A536 hours (by degree of e= ngorgement or time of exposure) Prophylaxis is begun within 72 hours of tick removal Local rate of infection of ticks with B. burgdorferi is =E2=89=A520 percent (= these rates of infection have been shown to occur in parts of New England, p= arts of the mid-Atlantic States, parts of Minnesota and Wisconsin) Doxycycline is not contraindicated (ie, the patient is not <8 years of age, p= regnant, or lactating) (see 'Approach to prophylaxis' above) If the patient meets all of the above criteria, the recommended dose of doxy= cycline is 200 mg for adults and 4 mg/kg up to a maximum dose of 200 mg in c= hildren =E2=89=A58 years, given as a single dose. If the patient cannot take= doxycycline, we do not recommend prophylaxis with an alternate antibiotic. A= reasonable alternative for patients who meet criteria for prophylaxis but w= ho prefer not to take antimicrobial prophylaxis is to observe the tick bite s= ite and treat for Lyme disease if an erythema migrans (EM) rash develops. (S= ee 'Approach to prophylaxis' above.) We recommend that patients who do not meet the criteria for antibiotic proph= ylaxis be observed and treated only if signs or symptoms of Lyme disease (eg= , EM) develop (Grade 1A). (See'Approach to prophylaxis' above and "Treatment= of Lyme disease".) We recommend not performing serologic testing for Lyme disease in patients w= ho report a tick bite. (See 'Serologic testing' above.) Richard Stern Sent from my iPad On 2012-05-14, at 4:07 PM, Nancy Roberts <nancy.roberts@ns.sympatico.ca> wro= te: > This is not local but is a good story. >=20 > Visiting my mother in Delaware, I strolled the grounds where she lives wit= h my binoculars. >=20 > That night, top-notch steak dinner and Philadelphia Symphony Orchestra con= cert with even-more-top-notch Sir Simon Rattle conducting. >=20 > As the Brahms symphony began, I felt a tickle on my face, put my hand up, a= nd it came down with a wood tick on it! I showed my companion and flung it t= o the floor. We lost a few more bars of Brahms stomping him. >=20 > It is probably the only tick ever to enter Kimmel Hall. Let his fate serve= as a lesson. >=20 > Cheers, >=20 > Nancy >=20 > Nancy Roberts Design > Celebrating 19 years of making you look GOOD >=20 > Dartmouth, NS B2Y 2X6 > 902 461-9488 >=20 >=20 >=20 > On 14-May-12, at 1:44 PM, Larry at Bogan.ca wrote: >=20 >> More on Ticks: >> Here in Cambridge Station, we walk our field for exercise. Last week, on o= ne outing, Alison and I both found seven dog ticks on each of us after 1/2 h= our walk. >> On Saturday, while doing the NS Migration Bird Count I walked some woods i= n the afternoon, then when driving home a Black-legged Tick walked out on my= hand. This is the first I have seen in our area. I thoroughly examined my c= loses at home and found no other ticks. >>=20 >> Larry >> =3D=3D=3D=3D=3D=3D=3D=3D >> On Mon, 14 May 2012 11:21:07 -0300 >> Dusan Soudek <soudekd@ns.sympatico.ca> wrote: >>=20 >>> To all, >>> on May 6 a friend and I found a total of three ticks on our clothes aft= er a canoe trip down St. Andrews River near Stewiacke. A canoe trip! We'd sp= ent only a minimum of time on dry land. >>> 2012 could be the Year of the Tick, possibly due to the unusually warm w= inter. Ayone spending time in wooded or grassy habitat should make an effort= to de-tick oneself daily. It's easy after a daytrip, not so on a multiday t= rip.. >>> Dusan Soudek >>>=20 >>> ---- desolatechair@gmail.com wrote: >>>> On the weekend we picked at least a dozen Dog Ticks off my Golden Retri= ever >>>> after a walk on the Avonport dyke. >>>>=20 >>>> I have never seen close to the amount of ticks in the eastern Valley ar= ea >>>> as I am seeing this year. >>>=20 >>=20 >=20 --Apple-Mail-0679446C-FFDD-4702-A9B4-B4F69C191C70 Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset=utf-8 <html><head></head><body bgcolor=3D"#FFFFFF"><div><div id=3D"topicText" styl= e=3D"-webkit-touch-callout: none; "><div>Here is the summary of the current r= ecommendations for the prevention of Lyme Disease in a person who has been b= itten by a Black-legged tick - from UptoDate - the online and constantly upd= ated medical textbook that nearly all physicians who want to stay current, u= se ----------</div><ul class=3D"bullet-block" style=3D"-webkit-touch-callout= : none; margin-top: 0px; margin-bottom: 5px; padding-top: 0px; padding-botto= m: 0px; padding-right: 10px; padding-left: 10px; "><li id=3D"rotation_marker= _id" style=3D"-webkit-touch-callout: none; margin-bottom: 5px; list-style-ty= pe: disc; padding-top: 6px; padding-right: 0px; padding-bottom: 6px; padding= -left: 0px; margin-left: 20px; "><br></li><li id=3D"rotation_marker_id" styl= e=3D"-webkit-touch-callout: none; margin-bottom: 5px; list-style-type: disc;= padding-top: 6px; padding-right: 0px; padding-bottom: 6px; padding-left: 0p= x; margin-left: 20px; ">B. burgdorferi is not usually transmitted within the= first 48 to 72 hours of tick attachment. The likelihood of transmission is i= ncreased if the tick is engorged and/or has been attached for at least 72 ho= urs. (See <a href=3D"about://UpToDate" cla