What you need to know for tick season

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Protecting Yourself From Ticks

With the Spring-like weather, people and their pets are getting in touch with nature. And being outside means an increased exposure to ticks from April through September.

Ticks are parasites that stick their heads under your skin and drink the liquid that you have in between your skin cells. The live off of you until they are nourished enough to go off and mate to create more ticks.

Don’t panic, while the tick may carry a host of bacteria that can cause infection, the risk of getting these infections is remarkably low during the first 48 hours. In the first 48 hours, they are just sucking in your fluids and growing in size. After about 48 hours, the Tick hits maximum size and starts to push the fluids in their body back into your body and then suck fresh fluid to replace it. It is this regurgitation of fluids back into your body that introduces bacteria into your system. So the first thing to do is to remove the tick as soon as possible.

Some websites say to use petroleum jelly to coat the tick then pull it out, however, the Centers for Diseases Control recommends specifically against this approach. If you shut off their air supply, they will start regurgitating the fluids into your body as they die. You want to use tweezers and pinch the tick as close to the skin as you can. Don’t twist, don’t jerk, just keep giving it constant and increasing backward pressure until it pops off. Then kill it and put it in a bag with the date you removed it. This way if someone wants to test it later on, they can. Wash with soap and water, rubbing alcohol, or iodine solution.

Should you call your doctor or wait to see what happens? Either is acceptable. The CDC recommends waiting unless you develop a fever, rash, or aches in your muscles or joints over the next several weeks. In this area, Lyme disease is a big concern while in other parts of the country, it is Rocky Mountain Spotted Fever. For Lyme disease there is a rash with a red center, regular skin color, and then another red circle so it looks like a target. There are antibiotics that can help but it works better the sooner you get it.

Avoid ticks altogether by wearing long pants and log sleeve shirts, using bug repellent with 20% or more DEET or permethrin, stay on trails where possible, and check yourself and loved ones over for ticks when you come out of the woods.

The following recommendations are from the CDC:

UntitledTICKS: Ticks are small, especially before they stick their heads into your skin and are drinking your fluids. You need to check yourself carefully when you come in from outside in the woods or grassy areas.

REMOVING TICKS: Pull slowly using increasing direct pressure, don’t twist or jerk. Never coat the tick with oil or petroleum jelly and don’t try to burn the tick. This increased the risk of having the tick introduce bacteria into your body.tick

LYME DISEASE: Lyme disease is caused by Borrelia burgdorferi bacteria that is injected into you from a tick. Typical symptoms of Lyme disease include fever, headache, fatigue, and a characteristic skin rash (see below). If left untreated, infection can spread to joints, the heart, and the nervous system. Most cases of Lyme disease can be treated successfully with a few weeks of antibiotics and is most effective if therapy is started earlier in the course of therapy.

Target Rash: May mean that you have Lyme Disease. See your doctor right away to avoid more serious adverse events.target

Rocky Mountain Spotted Fever: Rocky Mountain spotted fever is caused by Rickettsia rickettsii bacteria that is injected into your skin from a tick. Typical symptoms include: fever, headache, abdominal pain, vomiting, and muscle pain. A rash may also develop, but is often absent in the first few days. Rocky Mountain spotted fever can be a severe or even fatal illness if not treated in the first few days of symptoms. Doxycycline is the first line treatment for adults and children of all ages, and is most effective if started before the fifth day of symptoms.spotted fever

Gritty Rash: This is the typical later stage rash. Earlier on, the rash is much lighter and feels bumpy to the touch around the area. Not everyone gets a rash.

For more info from the CDC on Ticks click here and For more on Lyme Disease from the CDC, go here

Michael White; Dept. Of Pharmacy Practice, UConn School Of Pharmacy