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ABSTRACT
Background
An increase in tick borne diseases in Australia has seen an interest in appropriate removal of ticks (order Ixodida) in order to prevent anaphylaxis, allergy and transmission of tick borne diseases.
Aims
A systematic review of peer-reviewed literature to determine what method of tick removal should be promoted in terms of preventing future health complications.
Methods
Thematic synthesis was used in two stages: - tick removal studies conducted on animals and humans were examined and the conclusions from all of these studies were compared, in order to ascertain the best tick removal method in relation to prevention of future medical problems (including tick bite allergy and transmission of infection).
Conclusion
This systematic review documents the best method of tick removal based on scientific and medical studies between 1985 and 2016. It concludes that the best method is to remove the tick as soon as possible after it is detected, using either fine-tipped tweezers or a reputable commercially produced tick removal tool to pull the tick away from the site of attachment. Some methods of removal, such as applying chemicals like petroleum jelly, alcohol, or nail polish to the tick, have been discredited. Other methods of removal, such as freezing, while promising, have not yet been scientifically validated.
Key Words
Tick removal, tick-borne, rickettsial infections
What this review adds:
1. What is known about this subject?
There has been an increase in anaphylaxis,1 mammalian meat allergy1 and transmission of known infectious diseases following tick bites in Australia2 leading to an increase in publicly available medical advice regarding tick removal methods, much of which is not based on scientific evidence as no recent studies have been released except those based on clinical observation, rather than clinical trials.
2. What new information is offered in this review?
This review examines the current scientific literature to determine the most effective tick removal methods to ensure positive health outcomes.
3. What are the implications for research, policy, or practice?
This study enables departments of health, employers and community groups to base their tick removal advice on up to date scientific knowledge.
Introduction
Ticks (order Ixodida) are small arachnids that can serve as a vector for the transmission of various infectious diseases. Tick-borne diseases have been identified...