What can be done to prevent
Use a repellent with DEET -
DEET is the most effective way
to prevent tick bites. Avoid
products with greater than 30%
DEET and be sure to bathe your
child at the end of the day
if wearing DEET. If possible
dress your child in long pants
& long sleeve shirts. Tucking
long pants into socks can also
Check your child for ticks every
night, even if they have just
been playing outside in the
yard. Make sure to check under
the arms, in and around the
ears, inside the belly button,
back of knees, in and around
all head and body hair, between
the legs and around the waist.
TICKS QUICKLY AND CORRECTLY.
Remove attached tick using fine-tipped
tweezers as soon as you notice
tick. Using the tweezers grasp
the tick as close to the skin’s
surface as possible. Pull upward
with steady, even pressure.
A tiny black speck may be remaining
after tick is pulled off, this
is OK – leave it alone
and let the skin heal.
Fortunately, most children DO NOT
need blood work or antibiotics after
When do you need to call
BE ALERT FOR FEVER, RASH OR MALAISE.
Some people get a small bump or
redness at the site of a tick bite
that goes away in 1-2 days. This
is NOT a sign of Lyme disease. Symptoms
to monitor for include, fever, rash,
headache, fatigue, muscle or joint
aches & malaise. The skin rash
may resemble a “bulls eye”
around the tick bite or anywhere
else on body and is usually 1-2
weeks after the tick bite.
The diagnosis of Lyme disease &
other tick born illnesses are made
clinically and treated based on
symptoms & physical exam findings.
If the tick has been
attached for < 48 hours and not
engorged, the chances of having
Lyme disease are very unlikely.
Testing your child?
Lyme disease testing in the absence
of symptoms is NOT routinely done.
Like blood tests for many other
infectious diseases, the test for
Lyme disease measures antibodies
in response to infection. It can
take several weeks after the infection
for the body to produce sufficient
antibodies to be detected. Therefore,
during the first 4 weeks of infection,
blood tests are not accurate and