RT Book, Section
A1 Krass, Laurie
A1 Amin, Dhara Patel
A2 Reichman, Eric F.
SR Print(0)
ID 1159803156
T1 Tick Removal
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159803156
RD 2024/04/25
AB Ticks  are  blood-feeding  external  parasites  that  pose  a  significant  infectious  disease  risk  to  humans  and  animals  worldwide  (Figure  123-1).  They  have  been  implicated  as  vectors  in  the  transmission  of  more  than  200  pathogens  (e.g.,  babesiosis,  ehrlichiosis,  Lyme  disease,  Rocky  Mountain  spotted  fever,  tick-borne  relapsing  fever,  tick  paralysis,  and  tularemia).1-3  Disease  transmission  occurs  when  stomach  contents  and  saliva  from  the  tick  are  introduced  into  the  host  during  the  blood-feeding  process.  Transmission  of  infectious  agents  by  ticks  is  closely  related  to  the  duration  of  tick  attachment  and  blood-feeding.  Lyme  disease  is  the  most  common  tick-borne  illness  in  the  United  States.4  The  risk  of  contracting  it  increases  significantly  once  a  tick  has  remained  attached  for  more  than  24  to  36  hours.5,6  This  is  the  time  required  for  bacteria  to  migrate  from  the  midgut  of  a  tick  to  the  salivary  glands.5-7The  prevention  of  disease  transmission  relies  on  early  and  effective  removal  of  attached  ticks.8-11