Prevention, Diagnosis and Treatment of Lyme Disease
Publication Date: December 31, 2020
Last Updated: March 16, 2022
Management
I. Prevention
(A) Personal Protective Measures
Individuals at risk of exposure should implement personal protective measures to reduce the risk of tick exposure and infection with tick-borne pathogens. (G, )
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(B) Repellents to Prevent Tick Bites
For the prevention of tick bites, we recommend N, N-Diethylmeta-toluamide (DEET), picaridin, ethyl-3-(N-n-butyl-Nacetyl) aminopropionate (IR3535), oil of lemon eucalyptus (OLE), p-methane-3,8-diol (PMD), 2-undecanone, or permethrin. ( S , M)
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(C) Removal of Attached Ticks
We recommend promptly removing attached ticks by mechanical means using a clean fine-tipped tweezer (or a comparable device) inserted between the tick body and the skin (See Figure 5). (G, )
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We recommend against burning an attached tick (with a match or other heat device) or applying noxious chemicals or petroleum products to coax its detachment. (G, )
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Title
Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease
Authoring Organizations
American Academy of Neurology
American College of Rheumatology
Infectious Diseases Society of America