1998
DOI: 10.1017/s0950268898008929
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Transmission risk of Borrelia burgdorferi sensu lato from Ixodes ricinus ticks to humans in southwest Germany

Abstract: The risk of Borrelia burgdorferi infection and the value of antibiotic prophylaxis after tick bite are controversial. In this study, performed in two areas of southwestern Germany, ticks were collected from 730 patients and examined by the polymerase chain reaction (PCR) for B. burgdorferi. To assess whether transmission of B. burgdorferi occurred, the patients were clinically and serologically examined after tick removal and during follow-up examinations. Data from all tick bites gave a total transmission rat… Show more

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Cited by 62 publications
(28 citation statements)
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“…Results similar to those of the Romanian study were obtained from research conducted in 1998 in 2 regions in Germany, yielding an average percentage of infected ticks of 11.3% [42]. In turn, Italian research on ticks acquired between 1995 and 2011 from people who were bitten in 4 regions in Italy have shown a small percentage of infected ticks -0.3-0.5% [43]which cause effects in animals and humans, commonly referred to as to tick-borne diseases (TBDs).…”
Section: Discussionsupporting
confidence: 84%
“…Results similar to those of the Romanian study were obtained from research conducted in 1998 in 2 regions in Germany, yielding an average percentage of infected ticks of 11.3% [42]. In turn, Italian research on ticks acquired between 1995 and 2011 from people who were bitten in 4 regions in Italy have shown a small percentage of infected ticks -0.3-0.5% [43]which cause effects in animals and humans, commonly referred to as to tick-borne diseases (TBDs).…”
Section: Discussionsupporting
confidence: 84%
“…ricinus is the most widespread and abundant ixodid tick in western Europe and frequently bites humans (2). Most human tick bites are caused by nymphs, but larvae and adult females are also involved (10,11,16).…”
Section: Discussionmentioning
confidence: 99%
“…In southern Germany, 47 (17%) of 272 I. ricinus ticks removed from camp attendees were found to be infected with B. burgdorferi, but only 1 of the 47 persons (2.1%) developed symptomatic Lyme disease (Paul et al, 1987). In a larger, two-center prospective study in Germany, an unusually high incidence (16 (26.7%) of 62 persons with PCR-positive ticks) were assessed as having acquired B. burgdorferi sensu lato infection (Maiwald et al, 1998). Nine had clinical evidence of Lyme borreliosis, erythema migrans, lymphocytoma, or neuroborreliosis.…”
Section: Assessment Of the Risk Of Lyme Borreliosis From An Ixodes Timentioning
confidence: 99%