Evaluation and Comparison of Tick Detachment Techniques and Technical Mistakes Made During Tick Removal

Şahin, Ahmet Rıza; Hakkoymaz, Hakan; Tasdogan, Ali Muhittin; Kıreçcı, Ekrem

doi:10.14744/tjtes.2020.59680

Cited by 5 publications

(4 citation statements)

References 15 publications

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“…Three RCTs [401][402][403] and 5 observational studies [404][405][406][407][408] were identified, 2 of which were not in the original (adoloped) SysRev. 404,407 For the critical outcome of tick (or tick part) removal and the important outcome of damaged or broken-off mouthparts, an overview of studies, certainty of evidence, and key outcomes are presented in Table 18.…”

Section: Consensus On Sciencementioning

confidence: 99%

2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Wyckoff¹,

Singletary²,

Soar³

et al. 2022

Circulation

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The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts. Topics covered by systematic reviews in this summary include resuscitation topics of video-based dispatch systems; head-up cardiopulmonary resuscitation; early coronary angiography after return of spontaneous circulation; cardiopulmonary resuscitation in the prone patient; cord management at birth for preterm and term infants; devices for administering positive-pressure ventilation at birth; family presence during neonatal resuscitation; self-directed, digitally based basic life support education and training in adults and children; coronavirus disease 2019 infection risk to rescuers from patients in cardiac arrest; and first aid topics, including cooling with water for thermal burns, oral rehydration for exertional dehydration, pediatric tourniquet use, and methods of tick removal. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the quality of the evidence, according to the Grading of Recommendations Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations or good practice statements. Insights into the deliberations of the task forces are provided in Justification and Evidence-to-Decision Framework Highlights sections. In addition, the task forces listed priority knowledge gaps for further research.

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Section: Consensus On Sciencementioning

confidence: 99%

2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group

Wyckoff¹,

Singletary²,

Soar³

et al. 2022

Circulation

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“…If one cannot remove the Ixodes by itself, a doctor should help with the procedure. The study of Şahin et al shows that about 77% of the bitten patients had their tick removed by healthcare workers [42]. In the current study, the respondents usually stated that the correct technique for tick-removal was to wring it off the skin clockwise.…”

Section: Discussionmentioning

confidence: 60%

Lyme borreliosis – state of the knowledge among medical students

Borowski¹,

Kupisz²,

Długosz³

et al. 2023

J Pre Clin Clin Res.

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Introduction and Objective. Lyme disease (LD) is becoming a serious problem worldwide. It is a bacterial infection caused by Gram-negative spirochaetes Borrelia burgdorferi sensu lato which are spread by tick bite, and are recognized as one of the most important tick-borne diseases. People spending time in the forests, meadows, and parks, or working in such environments are endangered to tick bites, which may cause the infection. Even though not each one of the parasites carries the disease, the illness itself is a serious condition and can simulate many other diseases, which is why it is often called 'the great imitator'. Therefore, it is very important to know the early symptoms of LD, as it can be cured effectively by antibiotics. The aim of this study was to determine whether young adults have sufficient knowledge regarding LD, how often tick bites occur within this population, and how many of them have been diagnosed with the illness in the past. Materials and method. Data was collected with the use of a survey completed by 201 first-year medical students. Results. The majority of the students had basic knowledge regarding the etiology, symptoms, and vectors of LD. There is a necessity to improve knowledge in the field of treatment, prophylaxis, and tick removal techniques. Half of the study participants had been bitten by a tick and some of them were diagnosed with LD. Conclusions. Most of the participants reported a tick bite in the past, and/or confirmed an infection. The awareness level regarding the sickness needs to be improved in some aspects, with the use of social campaigns or advertisements. This would help with better recognition of the disease in the future.

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“…A group of Turkish researchers noted that the majority of ticks attached to the patients admitted to the investigated emergency department were removed by healthcare professionals (77.4%), while 22.6% of patients removed them themselves by hands [24]. Ticks crushed and broken off due to the technical mistakes during removal were more commonly seen in patients attempting self-removal without professional help [23].…”

Section: оригінальні дослідження загальна хірургіяmentioning

confidence: 99%

“…Generally speaking, ticks must be removed as early as it is safely possible, once they are discovered [21,22]. Meth- [6,8,23], which can be implemented either by patients themselves or by medical professionals (general surgeons) or healthcare practitioners at the local trauma centers [18,21].…”

Section: Introductionmentioning

confidence: 99%

Surgical or professional removal of ixodes ticks: evaluation of need and perception of necessity by Ukrainian population

Shkilna,

Andreychyn,

Zaporozhan

et al. 2023

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Tick bites are becoming a significant problem in Ukraine among adults and children, which can get tick-borne diseases through visits to the woody areas. Different tick removal techniques are well known, but professional removal is preferred to avoid further complications. Purpose - to analyze questionnaire performed among forestry workers of seven regions of Ukraine on correlation of professional tick removal with further medical complications and other factors, such as sex, number of bites, repellent use, skin self-inspection, awareness and age, and to review general recommendations and methods of tick removal, including professional / surgical ones. Materials and methods. Answers of 670 persons (611 males and 59 females), who were bitten by ticks, were analyzed. All respondents were tested for Lyme borreliosis by the enzyme-linked immunosorbent assay specific IgM and IgG antibodies against B. burgdorferi method. Two by two contingency tables were built to analyze factors that may lead to the seeking of professional tick removal and to analyze consequences of self-removal. Pearson chi-squared tests at p<0.05 and odds ratios with the confidence intervals (α=95%) were calculated to test for association and its strength. Spearman correlation value (p<0.05) between age and seeking of professional tick removal was calculated. Results. Only 7.3% of forestry workers (7.0% males and 10.2% females) visited medical establishments to professionally remove attached ticks. Forestry workers with high awareness were more likely to seek professional help for tick removal (p<0.05). Almost half (44.6%) of the forestry workers claimed to remove ticks with bare fingers, with 7.9% - by scratching away and 22.4% - by twisting out; 23.7% of all forestry workers used oil to suffocate ticks, all of which is not recommended. Only 32.2% of forestry workers used disinfectants after tick removal. The odds of LB positive results among foresters who sought professional tick removal was 0.47 times of the odds among foresters, which did not seek. Conclusions. To summarize, forestry workers and other sensitive population should be better educated regarding benefits of seeking professional tick removal. Moreover, seeking immediate professional medical help may also improve treatment of further medical complications in case of borrelia infection, as the doctor at the trauma center may explain symptoms of Lyme borreliosis and further sequence of actions for the patient. The surgical procedure for tick removal is described in literature, may decrease chances of tick-borne diseases spread, and should be considered for further implementation at Ukrainian medical establishments. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

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Evaluation and Comparison of Tick Detachment Techniques and Technical Mistakes Made During Tick Removal

Cited by 5 publications

References 15 publications

Lyme borreliosis – state of the knowledge among medical students

Surgical or professional removal of ixodes ticks: evaluation of need and perception of necessity by Ukrainian population

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