Abstract:
:Although residents of Lyme disease-endemic regions describe frequent exposure to ticks, Lyme disease develops in relatively few. To determine whether people who experience cutaneous hypersensitivity against tick bite have fewer episodes of Lyme disease than those who do not, we examined several factors that might restrict the incidence of Lyme disease among residents of Block Island, Rhode Island. Of 1,498 study participants, 27% (95% confidence interval [CI] 23%-31%) reported > or = 1 tick bites, and 17% (95% CI 13%-21%) reported itch associated with tick bite in the previous year. Borrelia burgdorferi infected 23% (95% CI 20%-26%) of 135 nymphal Ixodes scapularis (I. dammini) ticks. The likelihood of Lyme disease infection decreased with >3 reports of tick-associated itch (odds ratio 0.14, 95% CI 0.94-0.03, p = 0.01). Prior exposure to uninfected vector ticks protects residents of disease-endemic sites from Lyme disease.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Burke G,Wikel SK,Spielman A,Telford SR,McKay K,Krause PJ,Tick-borne Infection Study Group.doi
10.3201/eid1101.040303subject
Has Abstractpub_date
2005-01-01 00:00:00pages
36-41issue
1eissn
1080-6040issn
1080-6059journal_volume
11pub_type
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