Vandererven C, Bellanger A-P, Faucher J-F, Marguet P
Emergency Department, Pontarlier Regional Hospital, 25300 Pontarlier, France.
Department of Parasitology-Mycology, Besançon University Hospital, 25030 Besançon, France; UMR 6249 Chrono-environnement, CNRS-University of Franche-Comté, 25030 Besançon, France.
Med Mal Infect. 2017 Jun;47(4):261-265. doi: 10.1016/j.medmal.2017.03.007. Epub 2017 Apr 28.
Tick bites, which may lead to Lyme disease, often prompt patients to consult their primary care physicians (PCPs). The aim of the present study was to assess how and how often PCPs in the Franche-Comté region of France manage tick bites.
Standardized questionnaires were sent to a random sample of 400 PCPs in the Franche-Comté region, requesting their voluntary and anonymous participation. The questionnaires collected socio-demographic details and practice-related information about tick-bite prophylaxis, Lyme serology, and tick-borne encephalitis vaccination.
The crude response rate was 54.5% of the PCPs contacted. Tick-bite prophylaxis was prescribed as per current guidelines. However, Lyme serology seemed to be largely overprescribed for tick bites and in case of erythema migrans. A clear lack of knowledge about tick-borne encephalitis vaccination was also observed.
PCPs provide the first line of care for patients presenting with tick bites. This study showed that although PCPs of the Franche-Comté region manage tick bites as per current guidelines, they need further training on Lyme serology limitations and availability of tick-borne encephalitis vaccination.
蜱虫叮咬可能导致莱姆病，这常常促使患者咨询其初级保健医生（PCP）。本研究的目的是评估法国弗朗什 - 孔泰地区的初级保健医生如何以及多久处理一次蜱虫叮咬。
向弗朗什 - 孔泰地区400名初级保健医生的随机样本发送标准化问卷，要求他们自愿且匿名参与。问卷收集了社会人口统计学细节以及与蜱虫叮咬预防、莱姆病血清学和蜱传脑炎疫苗接种相关的执业信息。
所联系的初级保健医生的原始回复率为54.5%。按照当前指南开具蜱虫叮咬预防处方。然而，对于蜱虫叮咬和出现游走性红斑的情况，莱姆病血清学检测似乎在很大程度上被过度开具。还观察到对蜱传脑炎疫苗接种明显缺乏了解。
初级保健医生为出现蜱虫叮咬的患者提供一线护理。本研究表明，尽管弗朗什 - 孔泰地区的初级保健医生按照当前指南处理蜱虫叮咬，但他们需要在莱姆病血清学检测的局限性和蜱传脑炎疫苗接种的可获得性方面接受进一步培训。
