Division of Emergency Medicine, Boston Children's Hospital, Boston, MA, United States.
Division of Emergency Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA, United States.
Ticks Tick Borne Dis. 2019 Apr;10(3):694-696. doi: 10.1016/j.ttbdis.2019.02.015. Epub 2019 Feb 26.
Of 1770 children undergoing emergency department evaluation for Lyme disease, 362 (20.5%) children had Lyme disease. Of those with an available tick bite history, only a minority of those with Lyme disease had a recognized tick bite (60/325; 18.5%, 95% confidence interval 14.6-23.0%). Lack of a tick bite history does not reliably exclude Lyme disease.
在 1770 名因莱姆病接受急诊科评估的儿童中,362 名(20.5%)儿童患有莱姆病。在那些有可用蜱虫叮咬史的儿童中,只有少数患有莱姆病的儿童有被确认为蜱虫叮咬(60/325;18.5%,95%置信区间 14.6-23.0%)。没有蜱虫叮咬史并不能可靠地排除莱姆病。