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If tick suction does occur, an initial consultation can always be obtained by calling 03.

To remove the tick, you will most likely be sent to the regional SES or regional emergency room.

If you do not have the opportunity to seek help from a medical facility, then you will have to remove the tick yourself.

It is convenient to remove ticks with curved tweezers or a surgical clamp; in principle, any other tweezers will do. In this case, the tick must be grabbed as close to the proboscis as possible, then it is carefully pulled up and at the same time rotated around its axis in a convenient direction. Usually, after 1-3 turns, the entire tick is removed along with the proboscis. If you try to pull the tick out, there is a high probability of it breaking.

There are special devices for removing ticks.

These devices have an advantage over clamps or tweezers, since the body of the tick is not compressed, squeezing the contents of the tick into the wound is prevented, this reduces the risk of contracting tick-borne infections.

If you have neither tweezers nor special devices for removing ticks at hand, then the tick can be removed using a thread.

A strong thread is tied into a knot as close as possible to the tick's proboscis, and the tick is removed by pulling it up. Sudden movements are not allowed.

Removing a tick must be done with care, without squeezing its body, since this may squeeze the contents of the tick along with pathogens into the wound. It is important not to tear the tick when removing it - the remaining part in the skin can cause inflammation and suppuration. It is worth considering that when the head of the tick is torn off, the infection process can continue, since in salivary glands and ducts there is a significant concentration of tick-borne encephalitis virus.

If, when removing the tick, its head, which looks like a black dot, comes off, wipe the suction site with cotton wool or a bandage moistened with alcohol, and then remove the head with a sterile needle (previously calcined in a fire) in the same way as you remove an ordinary splinter.

There is no basis for some far-fetched advice that for better removal it is recommended to apply ointment bandages to the attached tick or use oil solutions. The oil can clog the tick's respiratory openings and the tick will die, remaining in the skin. After removing the tick, the skin at the site of its attachment is treated with tincture of iodine or alcohol. A bandage is usually not required.

What are the dangers of a tick bite?

Even if the tick bite was short-lived, the risk of contracting tick-borne infections cannot be ruled out.

The tick can be a source of quite large quantity diseases, therefore, after removing the tick, save it for testing for tick-borne infections (tick-borne encephalitis, tick-borne borreliosis, if there is a possibility for other infections), this can usually be done in an infectious diseases hospital; on our website for a number of cities there are addresses of laboratories.

The tick should be placed in a small glass bottle along with a piece of cotton wool lightly moistened with water. Be sure to close the bottle with a tight cap and store it in the refrigerator. For microscopic diagnosis, the tick must be delivered to the laboratory alive. Even individual tick fragments are suitable for PCR diagnostics. However, the latter method is not widespread even in large cities.

However, you need to understand that the presence of an infection in a tick does not mean that a person will get sick. Tick ​​analysis is needed for peace of mind in case of negative result and vigilance in case of positive.

The surest way to determine the presence of the disease is to take a blood test. There is no need to donate blood immediately after a tick bite - tests will not show anything. No earlier than 10 days later, you can test your blood for tick-borne encephalitis and borreliosis PCR method. Two weeks after a tick bite, test for antibodies (IgM) to the tick-borne encephalitis virus. For antibodies (IgM) to borrelia (tick-borne borreliosis) after three weeks.

Tick-borne encephalitis- the most dangerous of tick-borne infections (consequences can even lead to death). Emergency prevention of tick-borne encephalitis should be carried out as early as possible, preferably on the first day.

Emergency prevention of tick-borne encephalitis is carried out using antiviral drugs or immunoglobulin.

Antiviral drugs. In the Russian Federation this is Yodantipirin for adults and children over 14 years of age.

Immunoglobulin is advisable only during the first three days. Release has been discontinued in European countries. Disadvantages include high cost and frequent allergic reactions.

After two weeks, you can send a blood test for antibodies to the tick-borne encephalitis virus. If a person is vaccinated against the tick-borne encephalitis virus, no action needs to be taken.

Tick-borne borreliosis– is in second place in terms of danger and the most common disease transmitted by ticks in the Russian Federation. Emergency prevention of tick-borne borreliosis, as a rule, is not carried out if it is possible to donate blood for antibodies to tick-borne borreliosis (IgM). It is better to take the test 3 weeks after the tick bite. If the result is positive, you need to contact an infectious disease specialist.

Congo-Crimean hemorrhagic fever – in the Russian Federation, the disease occurs in the southern regions. For emergency prevention, you can use antiviral drugs (iodantipyrine, etc.).

Ticks are carriers of many diseases, including tick-borne encephalitis, tick-borne borreliosis (Lyme disease), rickettsiosis and other infections.

If you find an attached tick, remove it as soon as possible!

You cannot delay removal. The longer a tick drinks blood, the more infection it gets into the body.

Removing a tick

If you plan to submit a tick for analysis, it is advisable to remove the tick alive and intact; as a rule, only such ones are accepted. To avoid tearing the plier, do not pull it sharply.

It is convenient to remove ticks with tweezers. In this case, the tick should be grabbed as close to the proboscis as possible, then gently pulled up, while rotating around its axis in a convenient direction. Usually, after 1-3 turns, the entire tick is removed along with the proboscis.

If you don’t have tweezers or a special device at hand, you can simply wrap a piece of bandage, gauze or cotton wool around the tick and proceed as described above.

There is a method for removing ticks using thread. To do this, tie a strong thread into a knot as close as possible to the tick’s proboscis, then twist it in one direction (pulling it up a little) until the tick unscrews. This method is not always convenient, especially for self-removal and extraction of ticks from animals.

If a tick is stuck in a place that is inconvenient for removing it, and no one can help you, remove it as best you can, even if it breaks, it’s better than wasting long time in search of help.

If, when removing a tick, its head or part of it comes off, this is not a problem, but it is worth considering that tick particles remaining in the skin can cause inflammation or suppuration. Also, if the head is torn off, the infection process can continue.

The head remaining in the skin looks like a black dot. The area where the tick is attached is wiped with cotton wool soaked in alcohol, and then the parts of the tick remaining in the skin are removed with a sterile needle (for example, heated over a fire) in the same way as you remove an ordinary splinter.

The tick does not need to be smeared with oil or anything else. Even if the tick comes out on its own, you will lose time, because physical removal it will go faster. In addition, such a tick may not be accepted for analysis.

After removing the tick, the skin at the site of its attachment is treated with tincture of iodine or alcohol; no bandage is required.

What are the dangers of a tick bite?

Even if the tick bite was short-lived, the risk of contracting tick-borne infections cannot be ruled out.

The tick should be placed in a small glass bottle along with a piece of cotton wool lightly moistened with water. Be sure to close the bottle with a tight cap and store it in the refrigerator. For microscopic diagnosis, the tick must be delivered to the laboratory alive. Even individual tick fragments are suitable for PCR diagnostics. However, the latter method is not widespread even in large cities.

You need to understand that the presence of an infection in a tick does not mean that a person will get sick. A tick analysis is needed for peace of mind in case of a negative result and vigilance in case of a positive result.

The surest way to determine the presence of the disease is to take a blood test. There is no need to donate blood immediately after a tick bite - tests will not show anything. No earlier than 10 days later, you can test your blood for tick-borne encephalitis and borreliosis using the PCR method. Two weeks after a tick bite, test for antibodies (IgM) to the tick-borne encephalitis virus. For antibodies (IgM) to borrelia (tick-borne borreliosis) - in a month.

Q: I took the tick off myself, it looks like it just started to attach itself, is there a risk of getting sick and with what?

A: The risk of getting tick-borne infections exists even with a short period of tick suction.

It is not possible to definitively answer the question of what you can become infected with, since ticks carry different infections in different regions.

The most dangerous disease transmitted by ticks is considered to be the most dangerous; Rospotrebnadzor publishes lists every year; unfortunately, such information is not published for other infections.

IN southern regions In Russia, the most dangerous tick-borne disease is.

There are other diseases, so if you feel worse, consult a doctor immediately.

Q: I was bitten by a tick, two weeks have passed since the bite, I felt fine, but today I have a fever, what should I do?

A: Poor health may not be associated with a tick bite, but tick-borne infections cannot be ruled out. Be sure to consult a doctor.

Redness of the tick bite site

V.: We removed the tick, the bite site turned red almost immediately. What does it mean?

A: Most likely it is allergic reaction for a bite, inspect the bite site daily if you notice an increase in the spot, pain in the bite site, or worsening general well-being, consult a doctor.

V.: The tick was removed, but after a few days the bite site became swollen and painful to touch.

A: You need to see a surgeon.

V.: We removed the tick, at first the bite site was a little red, then the redness went away, and today, two weeks after the bite, it turned red again.

A: You should see an infectious disease doctor. Often early stage Tick-borne borreliosis is accompanied by the appearance at the site of the bite.

Emergency prevention of tick-borne encephalitis

V.: I live in a region where tick-borne encephalitis is endemic. Yesterday I was bitten by a tick, noticed it in the evening, immediately removed it and took it to the laboratory for analysis. Today they called from the laboratory and said that a tick-borne encephalitis virus had been found in the tick and that I needed to take a course of iodantipyrine. What else can be done to prevent tick-borne encephalitis? Very worried.

A: There is no need to worry too much, since a bite from an infected tick does not mean that a person will get sick (even without prevention). Yodantipyrine is also approved for use for emergency prevention of tick-borne encephalitis. We can also recommend a balanced diet during the incubation period of TBE, try to avoid any stressful situations for the body (overheating, hypothermia, severe physical activity etc.).

V.: I was bitten by a tick, I threw it out, and now I’m worried that maybe the tick was encephalitic. When can I get my blood tested?

A: There is no point in donating blood immediately after a tick bite - tests will not show anything. No earlier than 10 days later, you can test your blood for tick-borne encephalitis using the PCR method. After two weeks, test for antibodies (IgM) to the tick-borne encephalitis virus.

Q: I'm pregnant (10 weeks). Bitten by a tick - what to do to prevent tick-borne encephalitis?

V.: I was bitten by a tick, I pulled it out. I’m very worried, but there’s no way to see a doctor (I’m far from civilization), and there’s no way to buy medicine. What should I do?

A: Most people who do not receive emergency prophylaxis when bitten by an infected tick tick-borne encephalitis don't get sick. Since you don't even know whether the tick was infected or not, there's no need to panic. Try to find an opportunity to consult a doctor if your health worsens.

276 comments

Q: I was bitten by a tick about 2 days ago, I went to the hospital, after the hospital there was a red spot left and not much swollen, sometimes it tingles, can this be dangerous?

A: Most likely this is an allergic reaction, but it is also possible, watch for redness, if it does not go away within a week, be sure to consult a doctor.

V.: I was 13 years old and was bitten by a tick, we went to the hospital and they removed it.. it didn’t stick much.. it was Saturday and all the SES were not working, the tick was burned.. the next day (today) in the morning I had a headache and a fever.. what should I do?

A: Most likely, feeling unwell is not related to a tick bite; consult a doctor.

Q: I am 30 weeks pregnant. Two weeks ago I was bitten by a tick. After two weeks, the bite site turned red and became 1 cm in diameter. There are no headaches, joint aches or other symptoms yet. I will take the tests after the May holidays. What a risk for the unborn child. At this stage of pregnancy, the child can already be born (premature). What is more dangerous for the child in case of infection of the mother - carrying him to term or inducing labor and treating the already born but premature?

A: Don’t panic, consult a doctor, if necessary, you will be prescribed treatment.

V.: My daughter, when she was 5 years old, had a tick on her head, she just wanted to bite her, she had a small bald spot. The daughter felt fine, did not take anything. At the age of 12 she fell ill with Multiple Sclerosis, now she is 21 years old, her condition is severe, secondary progressive, she does not walk, she has difficulty sitting in a stroller. Could this be due to a tick? Maybe it managed to trigger something in the head? No tests were done for tick-borne encephalitis.

A: Contact an infectious disease specialist; if necessary, tests will be prescribed and the doctor will answer your question.

V.: In May 2010 I was bitten by a tick. I didn't notice him right away. After 3 days I saw a red spot on my leg and removed the tick. The stain has taken on a more natural color, but is still noticeable. I feel good and there are no complaints about my health, but is there still a risk of contracting borreliosis? I did not submit the tick for analysis.

A: It’s better to see a doctor.

V.: Two weeks ago, a child was pulled out with a tick on his leg. Today I discovered redness and a small pimple somewhere at the extraction site (I’m not exactly sure). Could this be a manifestation of a bite? What consequences. Should I contact the Varch?

In addition to tick-borne encephalitis, ticks transmit a number of diseases. Monitor your child’s well-being; after 3 weeks you can take a blood test for antibodies to tick-borne borreliosis.

To prevent tick-borne encephalitis, it is better to take iodantipyrine.

Doxycycline is an antibiotic (it is better not to take it unless necessary), it is used for the prevention and treatment of tick-borne borreliosis - after 3 weeks you can have your blood tested.

Hello. Thank you for such an informative site.
On August 3, I was at a dacha on the outskirts of Nizhny Novgorod. Returning from there a couple of hours later, I discovered that a tick was crawling along my arm. I crushed it, and there was blood inside. Please advise what to do. Is it worth doing immunoglobulin? Isn’t it dangerous that I received an emergency rabies vaccination this year (I was bitten in the spring). And in general, as I understand it, it is not very effective. Should I take doxycycline? I haven’t found Yodantipyrine yet, so I started taking Anaferon. But I'll definitely look for it. Thank you in advance.

Hello! On July 27, I walked with my child in the forest in Korolev (Moscow region), and in the evening I found a tick on the child’s stomach. I removed it easily, the head came out, but, alas, I did not save the tick. The child is very allergic, so I’m afraid to vaccinate unless absolutely necessary. Do you think there is cause for concern and what measures need to be taken?

Good afternoon
Please tell me, yesterday I was roller skating, just above the boot on my foot I saw some dark crumb stuck and brushed it off, I decided that it was a piece of new asphalt that had fallen from under the wheels and stuck.. but it turned out that it was not so. The view is as follows - a red dot around a pink spot, there was no itching as such. Today there seems to be a small swelling, the spot doesn’t itch, but it’s hot; when you run your hand over your leg, you can feel the difference in temperature between this spot and the whole body.. And when I touch it with the other leg, on the contrary, this place feels cold.... It bakes a little...
Please tell me what to do....

Take iodantipyrine to prevent tick-borne encephalitis.

3 weeks after a tick bite, donate blood for antibodies to tick-borne borreliosis.

Hello!!! After a tick bite, I had an increase in the titer of Lg G specific antibodies, and the absence of any manifestations of the disease. The doctor considered treating Lyme with Ceftriaxone intramuscularly 2 times a day, 1 g... I am worried that everywhere in the treatment of Lyme Ceftriaxone is administered intravenously, 2 grams, 1 time per day...What do you say??? I am currently being treated for an allergy (urticaria) that came out during treatment.

The daily dose is the same, there are different drug regimens, the treatment is correct.

Contact your doctor; after treatment, medical supervision is required for 1-2 years.

Today at the dacha I was bitten by a tick. (Moscow region, Ryazan region, for example, Voskresensky district). That same evening I just noticed him and pulled him out. The tick was very small in size, literally 1mm by 1mm. He pulled it out, anointed the area with iodine (pulled it out completely), and put it in a jar.
Tell me, is there a reason to get him tested and worry about something?

Judging by the size, this is a larva.

We live in the Leningrad region, 2 years ago a child was bitten by a tick, we pulled it out ourselves, we didn’t take the tick for analysis, at the clinic on the 2nd day they gave us the required dose of immunoglobulin for a fee! Yesterday my sister was also bitten by a tick. I read the information on your website and I am interested in the following question:
-If a child has been sick with tick-borne borreliosis all this time (we didn’t take blood tests, the doctor didn’t say anything), then what symptoms should he show and quite a lot of time has passed, should I worry about it now?

If the tick is not infected (the tick can be tested), then it’s normal. In your area, the risk of contracting tick-borne encephalitis tends to zero - you can use iodantipyrine for prevention. There is a greater chance of contracting borreliosis - 3 weeks after a tick bite, take a blood test for antibodies to tick-borne borreliosis.

good day, I’m 30 years old. Yesterday I went into the forest in the Moscow region of the Orekhovo-Zuevsky district and picked up a tick, I saw it the next morning on July 6 (2008), out of fear we pulled it out ourselves, and then we went to the hospital in the city, they looked there and They said that everything was fine, they confiscated everything, but the problem needs to be addressed to an infectious disease specialist, but there is no one in the city at all! Then some doctor came up and said that apply iodine and that will all be over, (1st city hospital) IS THIS NORMAL?

Hello!
I was in Karelia near Petrozavodsk on a fishing trip. On the evening of June 22, I was bitten by a tick. I removed it myself. On the trail. day I went to the local emergency room. The doctor prescribed either anaferon or yodantipyrin. The latter was not in the pharmacy. I started taking anaferon. Your website recommends yodantipyrin. Does it make sense to switch to yodantipyrine now? andWhat are the prognosis for taking Anaferon (not for children)
On June 25 in the evening I found another one under the shoulder blade (I was on the body for about a day). At self-removal it burst. The remaining part was removed in the ambulance. Our infectious disease specialist is on vacation until mid-July. Actually questions:
1) Should I change my Anaferon dosage regimen in connection with the second bite?
2) How can I correctly explain (I want to contact INvitro) what analysis I want to do to determine encephalitis and Lyme? (here someone wrote that the registry there doesn’t understand it that way)

If the tick is not crushed, there is no need to worry.

The following situation occurred: A tick attached itself to me. I tried to remove it with a hand brush. I didn’t wash the brush after that. After 14 days, the child rubbed his nails with this brush. The tick turned out to be encephalitic. Question: Could the child become infected with any of the diseases? Should my child be given immunoglabulin or take other medications?

I live in Moscow.










Don’t worry, take your vitamins, and 3 weeks after the tick bite, take blood tests for antibodies to tick-borne borreliosis.

I live in Moscow.
I was bitten by a tick, most likely yesterday, because... he didn't pout at all. Bitten at a friends dacha outside Segriev Posad.
I’m not very worried about illnesses, but I’ll still get tested. I'm more afraid to go to bed now, because... I can pick off a tick from the inside of my shin.
I discovered it when I went to wash myself. Tumal, maybe some kind of mazolin covered it and the blood dried up, but when it rubbed, it turned out to be a tick.
I tried it like when I was a child, my parents took them out, filled them with oil, but I couldn’t get them out (I’m afraid, because I’ve never done this before). I tried boric alcohol. The tick moved its legs, but nothing outward. As described here, throw a noose, but it’s impossible to tighten it properly close to his head.
Now the tick does not react to anything at all. Either he suffocated or died from an alcohol overdose.
I just came back from this dacha today, where I was bitten, and I’m very tired. I haven’t slept for a very long time and I’m practically falling off my feet. I'll go to the emergency room to remove the nits.
I can’t do it myself: “(I’m afraid to rip his head off... And it’s a bit painful to twist it. Although I probably already rubbed my skin there with tweezers...
Maybe it can be squeezed out like a drop of blood? Otherwise, the terrible lack of sleep is killing me... Maybe there are some other ways?

By the way, what if a person is bitten by a tick, and the person accidentally tears it off with his clothes and does not know about the bite? After all, everyone can get sick from some kind of crap from ticks :(

Sleep won - I pulled out this creature.
I didn't think they were so tight. Almost the same as straightening your hair and legs. Pull out the tick carefully, that is, grab it right next to the skin, shaking it, pulling, pulling, pulling. His disgusting sucking mustache appeared, like 3 of them \|/ He let go, grabbed it closer to the skin and pulled it out in 3 stages. His horns are not left in his leg, but you can see the hole in his leg. I generously smeared the bite area with boric alcohol. Nothing blackish is visible in the wound. Now I’m going to sleep, and when I wake up I’ll go to the therapist and find out what’s wrong and how. Maybe for the sake of prevention he will prescribe something to drink, and on the 10th day you can donate blood.
By the way, it was quite painful to clearly unscrew the tick. It only turned out half a turn.
Eh, it’s a pity for the clearing of hair around the tick for the failed loop :-D

Don't worry about the head. If in your region there is a risk of contracting tick-borne infections, then it is better to play it safe - get the tick tested or take a blood test 3 weeks after the bite (some tick-borne infections occur hidden - for example, tick-borne borreliosis)

I was bitten by a tick, removed it... the head remained, I removed it with a styrene needle (but I’m not sure that I completely removed it), I treated the wound with iodine, I’m afraid that maybe I didn’t remove it completely (the head is very small) and because of the iodine, the wound is hard to see right now. It was at the dacha, there ticks bit my father 5 times, he did tests. His bites were not contagious. Should I do a test and is it dangerous if part of the head could remain?



If everything is fine regarding tick-borne encephalitis in your area, perhaps you should not give your child medications... Antiviral drugs similar in action to anaferon for children, iodantipirin, cycloferon - it is better to ask at the pharmacy.

Dear Admin!

There are no official documents (I would be grateful for official documents - [email protected])...Only Internet...

Do you think that not a single case of tick-borne encephalitis has been recorded in the Moscow region?

The site does not encourage you to run for immunoglobulin... The site does not pretend to be a doctor...

On all pages of the site there is a note:
Attention! The materials presented on this site are information general and cannot replace qualified consultation with a specialist doctor.

a 12-year-old child goes on a hike to Valdai from June 28 to July 10. He is not vaccinated. What to do? Does it make sense to get an immunoglobulin injection?

Use repellents; for emergency prevention of tick-borne encephalitis, take anaferon for children in your first aid kit.

Dear Admin!
I agree with you regarding your attitude towards immunoglobulin, but nevertheless I repeat my question. Where did you get the information about infected ticks in the Moscow and Kaluga regions? People who come to NIISP to get help after tick bites refer specifically to “encephalitis.ru.” And they are very offended (or, more simply put, they become hysterical) when they are denied an injection on the basis of the above-mentioned order.
Once again I ask you to answer my question.

Hello,
we live in Northern Germany (Bremen). Today our little son (1 year 11 months) was bitten by a tick - under the chin. When we arrived at the clinic to remove it, about half an hour passed from the moment I noticed the embedded tick. Perhaps I didn’t notice the tick right away; most likely it attacked my son 2 hours earlier, when we were walking in the park.
At the clinic the tick was removed, but they didn’t take it for analysis! They also did not give an injection of gammaglobulin. They said that everything was fine with regard to encephalitis, and little time had passed since the moment of the bite (the tick was small and had not sucked), so we had nothing to worry about.
Today I will go to the pharmacy, but I don’t know if Anaferon for children is sold in Germany. Can you recommend anything else as a preventive measure?

Hello.
We are going to travel with a group of children to the Kostroma region from June 29 to July 11. What is the situation with ticks there now? What preparatory measures do you recommend taking (all children are not vaccinated).

There are ticks, the proportion of those infected with tick-borne encephalitis is approximately 2-3%. You can also become infected with tick-borne borreliosis.

Use repellents; for children under 14 years of age, for emergency prevention of tick-borne encephalitis, anaferon for children; for adults, iodantipirin.

I was bitten by a tick in the Tver region, I live in St. Petersburg. 10 days have passed since the bite, the tick did not survive. The temperature suddenly rose, pain in the neck, headaches, diarrhea, severe chills. I heard a lot about the Botkin hospital, but I have this question Is it possible to do a test for immunoglabulin M and a test for antibodies to tick-borne borreliosis? If so, how much does it cost?
thank you in advance

St. Petersburg, Bakunina Ave., 1 (tel. 274-28-84) - all days (including weekends and holidays) from 9:00 - 17:00

You can also submit ticks for analysis (4 pathogens at a time) to the address: St. Petersburg, Sampsonievsky Prospekt, 8, Helix laboratory, tel. 541-80-67.

The analysis is not expensive.

Hello.
I was bitten by a tick in the Tver region, I live in St. Petersburg. 10 days have passed since the bite, the tick did not survive. The temperature suddenly rose, pain in the neck, headaches, diarrhea, severe chills. I heard a lot about the Botkin hospital, but I have this question Is it possible to do a test for immunoglabulin M and a test for antibodies to tick-borne borreliosis? If so, how much does it cost?
thank you in advance

1. Yodantipyrin - contains human blood serum?
In early childhood, I was discovered to be intolerant to vaccines based on human serum.
2. Is Yodantipyrine safe for me?

1) No.
2) Consult your doctor.



At correct use effective. cm. .

Should I take any medications before a blood test after 10 days if there are no symptoms? (4th day after the bite)?

For the prevention of tick-borne encephalitis for adults - iodantipirin, for children - anaferon for children. Vitamins.

This should not be done! A person providing assistance in this way runs the risk of becoming infected.

Good night.


1) Yes, + vitamins.
2) You need to wait 2-3 weeks from the moment of the bite for analysis.



1) No.
2) Don’t take immunoglobulin, take cycloferon instead.

Is it effective and safe for a cleanser to clean tick secretions, likely containing the encephalitis virus, from the wound (bite site) with the mouth, often spitting and rinsing the mouth with water? Just as it is recommended to do this when bitten by snakes and other poisonous creatures?

Good time.
In early childhood, I was discovered to be intolerant to vaccines based on human serum. As my mother told me (she is a doctor, now retired and lives on the mainland), I almost died after getting a tetanus shot.
1. Yodantipyrine, a drug based on human blood serum? Is it safe for me?
2. Currently there is no Yodantipirin in our region. Can I give immunoglobulin injections if necessary?
Thank you.

Good night.
I want to know what to do in this situation: there is a suspicion of a tick bite (06/14/2008). I didn’t find the tick itself, but my soul is restless.
1) Does it make sense to take Yodantipyrine now?
2) Does it make sense to do tests now (in the next day) and will the analysis give accurate results or wait a week.

No symptoms other than fatigue have been observed so far.

Is it effective and safe for a cleanser to clean tick secretions, likely containing the encephalitis virus, from the wound (bite site) with the mouth, often spitting and rinsing the mouth with water? Just as it is recommended to do this when bitten by snakes and other poisonous creatures?

Gardex ® extreme SUPER aerosol repellent for application to skin and clothing provides ultra-long-lasting protection against bites from mosquitoes, midges, midges, midges, horseflies, fleas and ticks.
Questions:
1. Are ixodid ticks the ticks that carry tick-borne inciphalitis or are they some other ticks?
2. If so, how effective is gardex ® extreme SUPER aerosol repellent for application to skin and clothing and does it provide ultra-long (7-8 hours, as the manufacturer declares) protection against bites of mosquitoes, midges, mosquitoes, midges, horseflies, fleas and ixodid ticks?

Where do you get data on cases of tick-borne encephalitis in the Moscow and Kaluga regions? Can you refer to ANY official document that confirms your words?
I’ll explain my interest right away. In the “List of areas endemic for tick-borne viral encephalitis in 2007” issued by the Moscow Department of Health dated February 27, 2008 / 1520-8-32. neither one nor the other area is marked/
And this document is the only indication for administering immunoglobulin at emergency prevention points.

Hello. I was bitten by a tick and pulled it out, but a day later in the morning the lymph nodes became inflamed and my throat hurt (it’s all gone now). Could this be due to a bite? I am interested in what is the probability of getting encephalitis and borreliosis in Tuapse Krasnodar region. A dog and a cat carry ticks on themselves after every walk. Thank you.

You won’t get encephalitis, borreliosis is possible, but the probability is also small)

I brought a tick from the Volga (Tver region), I don’t know how long it sat, because I didn’t pay attention. I found it by accident and pulled it out entirely. tell me, are there any near Tver infectious diseases which ticks carry? is this possible? iodine preparation buy at the pharmacy?

tick-borne encephalitis, tick-borne borreliosis.

Yesterday, the 13th (it’s also Friday) where at 19-20 o’clock, I was bitten by a tick. ( Ulyanovsk region on the opposite side of the Volga River from Ufa).
The bite time was a minute, since in this place half an hour before the bite the tick was already removed from clothing and burned. After that, they became very vigilant, and reacted immediately to every rustle in the body.
That’s why I’m sure that the tick had just started to attach itself, because a couple of minutes before I visually inspected the area and there was nothing there. And a couple of minutes later, through my jeans (on the calf of my right leg), passing my hand, I discovered an unfamiliar tubercle, lifted it and saw that it seemed to have already sat down. Instantly oil (be sure to take sunflower oil when fishing), completely it (the tick) under it (oil), They saw movement, grabbed it with tweezers and pulled it slightly, it seemed to come off calmly, but it pulled the skin just a little, as if with its paws. It was in an isolated bag; there was no blood at the site where the skin was pulled, but still they quickly treated the area with alcohol. There is no redness or itching in this place; to be honest, I can’t find this place where I tried or still stuck. No dots, not even mosquito bites, nothing at all. Since the external alcoholization took place, the internal alcoholization also took place immediately. The condition is normal, today on the 14th at lunchtime, immediately upon arrival at the tram station, the tick was taken into a jar for analysis (although it was not signed in any way) and they said that if there is positive result, then they will find me by phone (some kind of insanity, but oh well). They wrote out a referral to an infectious disease specialist. To my persuasion that I should drink from the drugs or maybe I should give some injections, the answer was short, on Monday to the infectious disease specialist, he will tell everything. But there is a lot of time until Monday, I can lose precious time to prevent the disease. Yodantipirin, I didn’t find it in the city at all, no one knows this feeling in Ulyanovsk (strange). Also, upon arrival, I still took a couple of Olethrin tablets, that’s all the antibiotics I have at home. Now I don’t know what to do until Monday. And so the question is: What is the likelihood of infection in such a short bite or bite. Because I saw how they pulled out a friend’s tick using ordinary pliers and pulled it out with the meat. You could say mine just got caught on the skin by accident. I don’t feel tired or other symptoms, well, in fact, only 1 day has passed. But I still want to protect myself as much as possible, if I don’t find iodatipirin, can oletethrin help at least somehow or can it only make things worse?

If you cannot find iodantipyrine, you can take cycloferon. There is a risk of getting sick, but it is very small.

Tick-borne encephalitis (spring-summer type encephalitis, taiga encephalitis) - viral infection, affecting the central and peripheral nervous system. Severe complications acute infection may result in paralysis and death.

The main reservoir of the tick-borne encephalitis virus in nature is its main carriers, ixodid ticks, whose habitat is located throughout the forest and forest-steppe temperate climatic zone of the Eurasian continent.

About ticks

Taiga and European forest tick- giants compared to their “peaceful” brothers, his body is covered with a powerful shell and equipped with four pairs of legs. In females, the coverings of the back part are capable of greatly stretching, which allows them to absorb large amounts of blood, hundreds of times more than the weight of a hungry tick.

In the surrounding world, ticks navigate mainly through touch and smell; ticks do not have eyes. But ticks’ sense of smell is very acute: studies have shown that ticks are able to smell an animal or person at a distance of about 10 meters.

Tick ​​habitats. Ticks that transmit encephalitis are distributed throughout almost the entire territory of the southern part of the forest zone of Eurasia. What places are at greatest risk of encountering ticks?

Ticks are moisture-loving, and therefore their numbers are greatest in well-moistened places. Ticks prefer moderately shaded and moist deciduous and mixed forests with dense grass and undergrowth. There are many ticks along the bottom of ravines and forest ravines, as well as along forest edges, in thickets of willow trees along the banks of forest streams. In addition, they are abundant along forest edges and along forest paths overgrown with grass.

It is very important to know that ticks concentrate on forest paths and paths covered with grass along the side of the road. There are many times more of them here than in the surrounding forest. Studies have shown that ticks are attracted to the smell of animals and people who constantly use these paths when moving through the forest.

Some features of the placement and behavior of ticks have led to the widespread misconception in Siberia that ticks “jump” on people from birch trees. Indeed, in birch forests there are usually a lot of ticks. And a tick clinging to clothing crawls upward, and is often found on the head and shoulders. This gives the false impression that the ticks fell from above.

You should remember the characteristic landscapes where in late April - early July the number of ticks is highest, and where the risk of infection with tick-borne encephalitis is high during this period: deciduous forests, forest areas littered with windfalls, ravines, river valleys, meadows.

Ticks lie in wait for their prey, sitting on the ends of blades of grass, blades of grass, sticks and twigs sticking up.

When a potential victim approaches, ticks assume a posture of active anticipation: they extend their front legs and move them from side to side. On the front legs there are organs that perceive odors (Haller's organ). Thus, the tick determines the direction towards the source of the smell and prepares to attack the host.

Ticks are not particularly mobile: in their lifetime they can travel no more than ten meters on their own. A tick lying in wait for its prey climbs a blade of grass or a bush to a height of no more than half a meter and patiently waits for someone to pass by. If an animal or person moves in close proximity to a tick, its reaction will be immediate. With his front legs spread out, he frantically tries to grab his future owner. The legs are equipped with claws and suction cups, which allow the tick to grip securely. It’s not for nothing that there is a saying: “He’s hooked like a tick.”

With the help of hooks that are located at the very end of the front legs, the tick clings to everything that touches it. Ixodid ticks (European forest tick and taiga tick) never pounce and never fall (do not plan) on the victim from above from trees or tall bushes: ticks simply cling to their victim, who passes by and touches the blade of grass (stick) on which it sits mite.


Is it possible to prevent tick bites?

Before going out into nature, wear light-colored clothing (it makes ticks easier to see), with long sleeves and a hood, and tuck your pants into your socks. If there is no hood, wear a hat.

Use repellent.

Every 15 minutes, inspect your clothing, periodically conduct a thorough check, paying Special attention on the neck, armpits, groin area, ears— in these places the skin is especially delicate and thin and the tick most often attaches itself there.

If you find a tick, you should not crush it, as through micro cracks in your hands you can become infected with encephalitis.

Tick ​​protection

All products sold are divided into 3 groups depending on the active substance.

Repellent - repels ticks.

Acaricidal - kills ticks.

Insecticidal-repellent - preparations of combined action, that is, they kill and repel ticks.

The first group includes products containing diethyltoluamide: “Biban” (Slovenia), “DEFI-Taiga” (Russia), “Off! Extreme" (Italy), "Gall-RET" (Russia), "Gal-RET-kl" (Russia), "Deta-VOKKO" (Russia), "Reftamid maximum" (Russia). They are applied to clothing and open areas body in the form of circular stripes around the knees, ankles and chest. The tick avoids contact with the repellent and begins to crawl into the opposite side. The protective properties of clothing last up to five days. Rain, wind, heat and sweat will shorten the duration protective agent. Don't forget to reapply the product. The advantage of repellents is that they are also used to protect against midges, applied not only to clothing, but also to the skin. Preparations that are more dangerous for ticks should not be applied to the skin.

To protect children, preparations with a reduced content of repellent have been developed - these are Fthalar and Efkalat creams, Pikhtal and Evital colognes, and Kamarant. For children from 3 years of age, the use of Off-Children's cream and Biban-gel is recommended.

The “killer” group included: “Pretix”, “Reftamid taiga”, “Picnic-Antiklesh”, “Gardex aerosol extreme” (Italy), “Tornado-Antiklesh”, “Fumitox-antiklesh”, “Gardex-antiklesh”, “ Permanon" (permethrin 0.55%). All drugs with the exception of Pretix are aerosols. They are used only for processing clothing. Things need to be removed so that the product does not accidentally come into contact with the skin. Then, after drying it a little, you can put it back on.

"Pretix" is a pencil produced in Novosibirsk. They draw several encircling stripes on their clothes before going into the forest. You just need to ensure their safety, as the strips fall off quite quickly.

Acaricidal preparations with the toxic substance alphamethrin have a nerve-paralytic effect on ticks. This manifests itself after 5 minutes - the insects become paralyzed in their limbs, and they fall off their clothes.

It was noticed that before having a detrimental effect on ticks, preparations with the poisonous substance alphamethrin increase the activity of ticks, and although this period is short, the risk of a bite increases at this time; preparations with the active substance permethrin kill ticks faster.

Drugs of the third group combine the properties of the two above mentioned - they contain 2 active ingredients diethyltoluamide and alphamethrin, due to this their effectiveness when used correctly is close to 100 percent. These are “Kra-rep” aerosols (alphacypermethrin 0.18%, diethyltoluamide 15%) (Kazan) and “Mosquitol-anti-mite” (Alfametrin 0.2%, diethyltoluamide 7%). (France).

Tsifoks is used to treat the area against ticks.

Laboratory tests have proven that with the correct use of repellent preparations, up to 95 percent of attached ticks are repelled. Since most ticks attach to trousers, they need to be treated more carefully. Particular care should be taken to treat clothing around the ankles, knees, hips, waist, as well as sleeve cuffs and collars. The method of use and consumption rates of all drugs must be indicated on the label.

IN Lately cases of counterfeiting have become more frequent chemicals protection, so try to buy them from reputable retail outlets. When purchasing, ask to see a hygiene certificate. Imported drugs must be accompanied by a label in Russian.

Vaccination against tick-borne encephalitis

Clinically eligible for vaccination healthy people after examination by a therapist. Your doctor will also inform you about where to get vaccinated.

Vaccination can only be done in institutions licensed for this type of activity. Administering a vaccine that has been stored incorrectly (without maintaining the cold chain) is useless and sometimes dangerous.

The following vaccines are used to prevent tick-borne encephalitis:

  • Tick-borne encephalitis vaccine culture purified concentrated inactivated dry
  • EnceVir
  • FSME-Immun Inject
  • Encepur Adult and Encepur Children

What is the difference between the vaccines?

Western European strains of the tick-borne encephalitis virus, from which imported vaccines are prepared, and Eastern European strains used in domestic production, are similar in antigenic structure. The similarity in the structure of key antigens is 85%. In this regard, immunization with a vaccine prepared from one viral strain creates lasting immunity against infection by any tick-borne encephalitis virus. The effectiveness of foreign vaccines in Russia has been confirmed, including by studies using Russian diagnostic test systems.

Vaccination can actually protect about 95% of vaccinated people. However, it should be remembered that vaccination against tick-borne encephalitis does not exclude all other measures to prevent tick bites (repellents, proper equipment), since they carry not only tick-borne encephalitis, but also other infections (Lyme disease, Crimean-Congo hemorrhagic fever, tularemia, ehrlichiosis, babesiosis, rickettsioses, from which vaccination cannot be protected).

What to do if a tick bite does occur?

An initial consultation can always be obtained by calling 03.

To remove the tick, you will most likely be sent to the regional SES or regional emergency room.

If you do not have the opportunity to seek help from a medical specialist. institution, you will have to remove the tick yourself.

When removing a tick yourself, a strong thread is tied into a knot as close as possible to the tick's proboscis, and the tick is removed by pulling it up. Sudden movements are not allowed. If, when removing the tick, its head, which looks like a black dot, comes off, the suction site is wiped with cotton wool or a bandage moistened with alcohol, and then the head is removed with a sterile needle (previously calcined in a fire). Just like removing an ordinary splinter. Removing a tick must be done with caution, without squeezing its body with your hands, since this may squeeze the contents of the tick along with pathogens into the wound. It is important not to tear the tick when removing it - the remaining part in the skin can cause inflammation and suppuration. It is worth considering that when the head of the tick is torn off, the infection process can continue, since a significant concentration of TBE virus is present in the salivary glands and ducts.

There is no basis for some far-fetched recommendations that for better removal it is recommended to apply ointment bandages to the attached tick or use oil solutions. After removing the tick, the skin at the site of its attachment is treated with tincture of iodine or alcohol. A bandage is usually not required.

After removing the tick, save it for testing for infection; this can usually be done in an infectious diseases hospital or a special laboratory. After removing the tick, place it in a small glass bottle with a tight lid and place a cotton swab lightly moistened with water. Cap the bottle and store it in the refrigerator. For microscopic diagnosis, the tick must be delivered to the laboratory alive. Even individual tick fragments are suitable for PCR diagnostics. However, the latter method is not widespread even in large cities.

If your area is unfavorable for tick-borne encephalitis, without waiting for the results of the tick test, contact the tick-borne encephalitis seroprophylaxis point. Emergency prophylaxis is carried out in the first 3 days (preferably on day 1) with immunoglobulin or iodantipyrine. To prevent tick-borne encephalitis in children under 14 years of age, immunoglobulin and Anaferon for children are used. In the southern regions of the Russian Federation, ticks can infect Congo-Crimean hemorrhagic fever. 09/10/2012 09:50:49, Elena841

04/15/2012 09:07:45, vichik

My son went on a hike with his class during May, so the class teacher told us to give the children a pack of children's anaferon. Just in case - if a tick gets attached. The Ministry of Health published a recommendation, it turns out, on emergency prevention tick-borne encephalitis, immediately after the bite the child should take anaferon 3 times a day, and so on for 21 days, until KE incubation period. I even saw the official article on the medical portal http://medportal.ru/mednovosti/corp/2-010/04/20/omsk/ I don’t know about anyone, but at our school the director is an energetic lady, she immediately conveyed everything and told everyone , all the classes who were going on hikes, everyone went anatheronized) They also gave a lecture on how to properly remove a tick, with tweezers, a thread... It seems that encephalitis is not endemic in our country, but who knows... They should have poisoned them, or something you won't get into nature anytime soon =/

05/27/2010 15:02:24, I.Voloshina

Thank you, very informative..!

Thank you for the timely and competent information

The article is good. After reading such information, I called at 03 to find out what to do with a tick brought in transit from a dacha, they sent me to Rospotrebnadzor, in Moscow, on Grafsky Lane, ticks are examined for encephalitis and Lyme disease for a fee - 650 rubles.

Very competent and useful article. I just want to add why it is unacceptable to remove a tick using oil. The fact is that if this tick is a carrier of Lyme disease, then infection occurs when the contents of the tick’s intestines enter the bloodstream (this is where borreliosis lives). The oil makes the tick suffocate and may simply vomit.

When pulling a tick by the thread, you need to move the threads apart in the plane of the tick (to the sides where the legs are) and gently rock it from side to side, pulling outward very slightly. After a minute or two, the tick will come off. With this method of removal, infection with borreliosis will not occur. Of course, this method does not work against CE...

With coming spring warmth and with the camping and barbecue holiday of people, small inhabitants of forests, parks and meadows - ixodid ticks - woke up and lead an active life.

According to scientists, the likelihood of contracting tick-borne encephalitis and borreliosis (Lyme disease) will increase sharply this year. Because this year marks the peak of biological activity of most of the population of ixodid ticks (Ixodidae), which cause these diseases.

In the summer of 2009 there will be more mature ticks. But in next year there will be more larvae, which means less danger to people.

How to protect yourself from ticks?
1. First of all, it must be said that there are vaccines against tick-borne encephalitis. Vaccination is carried out in clinics starting from November-December. The vaccine against borreliosis has not yet undergone complete clinical trials, so it is not yet in use.

2. Ticks love moist, shady places with thick grass or bushy greenery. Ticks are guided by the smell of humans and animals, which is why they like to settle along paths and paths. Accordingly, you need to be especially vigilant in such places.

3. When a tick attacks a person, it crawls along clothing up to open areas of the skin and burrows, most often into the neck, head or armpit. Therefore, when planning to relax in nature, it is necessary to protect your skin as much as possible with clothing (long sleeves, tight cuffs, trousers tucked into socks, a hood or other headgear). And treat the clothes themselves (5 minutes before dressing) with one of the preparations: Permanon, Reftamid taiga, Tornado-Antiklesch, Piknik-Antiklesch, Gardex aerosol extreme, Gardex-anti-mite, Fumitox-anti-mite.

4.On the skin you can use: Reftamide maximum, Off! Extreme, Biban, Gall-RET, Gal-RET-cl, DEFI-Taiga, Deta-WOKKO. According to the instructions, it is recommended to draw a closed circle around the chest, ankles and wrists.

5.For children: Fthalar, Efkalat, Kamarant, Pikhtal, Evital, Off-children, Biban-gel.

If tick suction does occur:
An initial consultation can always be obtained by calling 03. To remove a tick, you will most likely be sent to the district SES or the district emergency room.

When removing a tick yourself, follow these recommendations:
A strong thread is tied into a knot as close to the tick’s proboscis as possible, and the tick is removed by pulling it up. Sudden movements are not allowed.

If, when removing the tick, its head, which looks like a black dot, comes off, the suction site is wiped with cotton wool or a bandage moistened with alcohol, and then the head is removed with a sterile needle (previously calcined in a fire). Just like you remove an ordinary splinter.

Removing a tick must be done with caution, without squeezing its body with your hands, since this may squeeze the contents of the tick along with pathogens into the wound. It is important not to tear the tick when removing it - the remaining part in the skin can cause inflammation and suppuration.

It is worth considering that when the head of the tick is torn off, the infection process can continue, since a significant concentration of the virus is present in the salivary glands and ducts.

If it is determined that you have been bitten by an encephalitis tick, then you should be given immunoglobulin within 72 hours. The most important thing is not to be late.

Therefore, when planning an outdoor recreation or a trip to the country, find out the address of the sanitary and epidemiological point where they can provide assistance to you. If there is a forest nearby, the danger is real and great. And it is better to take care of your health and the health of your loved ones in advance.

Protection for three years
You can protect yourself from tick-borne encephalitis. There is a vaccine for dangerous disease. Unfortunately, immunization against it is not included in the National Vaccination Calendar. You can only take care of yourself. The domestic vaccine costs 150 rubles. In order to develop immunity against tick-borne encephalitis, you must complete a full course of three vaccinations. After the first vaccination, only 60-70% of cases achieve results. Therefore, a second vaccination is needed, and then a third.

These are second generation vaccines, they are harmless and non-allergenic. Although children may develop a fever during the first 24 hours after receiving the domestic vaccine. This is a normal reaction. The only contraindication is an allergy to chicken protein. In any case, consultation with a doctor is required.

Vaccinated people produce antibodies only against tick-borne encephalitis. No vaccine protects against Lyme borreliosis and other tick-borne infections. There is no vaccine against Lyme borreliosis and therefore the number of people affected is five times higher than for tick-borne encephalitis. But this disease is not dangerous, it does not cause deaths, it can be treated with antibiotics and does not lead to disability. A person develops a slight fever, but that’s usually where it ends.

Whether to be vaccinated or not is up to each person, but vaccinated people do not get sick after a tick bite. In the worst case, a slight fever may occur. And after a few days all symptoms disappear. If the sick person is not tested at this time, the person will not even realize that he has had tick-borne encephalitis.

Symptoms of tick-borne encephalitis:

After a tick bite, there may be no symptoms for 7 to 30 days, or there may be passing weakness in the muscles of the arms, legs, and neck.

After 7-30 days, the temperature rises to 38-40°C, which lasts, depending on the severity of the disease, for 2-14 days.

Or it can be two-wave, with a break for normal temperature.

Strong headache, dizziness, nausea, vomiting, photophobia, less often hallucinations, confusion, stupor (stunned consciousness).

Muscle pain, numbness of the arms, legs, face, significant muscle weakness, convulsions, movement disorders, epileptic seizures, paralysis.

Symptoms of tick-borne borreliosis:

After a tick bite, there may be no symptoms for 2 to 30 days.

After 2–30 days, a round or oval spot of bright red color, sometimes somewhat bluish, appears at the site of the bite. It begins to grow, expand and can reach very large sizes. At this time, the central part becomes paler and the spot appears ring-shaped. After 15-20 days, the peripheral part turns pale and the spot disappears. Along with the spot, there may be fever, headache, nausea, and joint pain.

2-3 months after the tick bite may appear and disappear on the skin in different places red spots or nodules. Constant pain in the joints, pain, interruptions in the heart, muscle weakness, cramps and paresis appear.

A year after the bite - chronic lesions nervous system, heart, joints, skin.