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如果被蜱虫叮咬了该怎么办?

What should one do in case of a tick bite?

作者信息

Aberer Elisabeth

出版信息

Curr Probl Dermatol. 2009;37:155-166. doi: 10.1159/000213073. Epub 2009 Apr 8.

Abstract

Ixodes ricinus is the commonest tick species in Europe, and transmits Lyme borreliosis, tick-borne encephalitis, ehrlichiosis, tularemia, rickettsiosis, and babesiosis. The risk of Borrelia burgdorferi infection increases with the time of tick engorgement, but not every infection necessarily causes erythema migrans or Lyme borreliosis. Therefore, the finding of B. burgdorferi DNA in a tick does not prove that the patient will subsequently develop Lyme borreliosis. Ticks should be removed as early as possible with fine tweezers, taking the tick's head with the forceps. Antibiotic prophylactic therapy after a tick bite is not generally recommended. Tick bites can potentially be prevented by covering the body as much as possible or by applying repellents to the body and permethrin to clothes. Tick bite areas should be inspected for 1 month. Lyme borreliosis should be suspected when an erythema at the tick bite site or a febrile illness develop.

摘要

蓖麻硬蜱是欧洲最常见的蜱虫种类,可传播莱姆病、蜱传脑炎、埃立克体病、兔热病、立克次体病和巴贝斯虫病。感染伯氏疏螺旋体的风险会随着蜱虫饱血时间的增加而上升,但并非每次感染都会引发游走性红斑或莱姆病。因此,在蜱虫体内发现伯氏疏螺旋体DNA并不能证明患者随后会患上莱姆病。应尽早用精细镊子将蜱虫移除,用镊子夹住蜱虫头部。一般不建议在蜱虫叮咬后进行抗生素预防性治疗。尽可能遮盖身体、在身体上涂抹驱虫剂并在衣物上喷洒氯菊酯,可预防蜱虫叮咬。蜱虫叮咬部位应检查1个月。当蜱虫叮咬部位出现红斑或出现发热疾病时,应怀疑患有莱姆病。

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