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Med Mal Infect ; 47(4): 261-265, 2017 Jun.
Article in English | MEDLINE | ID: mdl-28457701

ABSTRACT

INTRODUCTION: Tick bites, which may lead to Lyme disease, often prompt patients to consult their primary care physicians (PCPs). The aim of the present study was to assess how and how often PCPs in the Franche-Comté region of France manage tick bites. MATERIAL AND METHODS: Standardized questionnaires were sent to a random sample of 400 PCPs in the Franche-Comté region, requesting their voluntary and anonymous participation. The questionnaires collected socio-demographic details and practice-related information about tick-bite prophylaxis, Lyme serology, and tick-borne encephalitis vaccination. RESULTS: The crude response rate was 54.5% of the PCPs contacted. Tick-bite prophylaxis was prescribed as per current guidelines. However, Lyme serology seemed to be largely overprescribed for tick bites and in case of erythema migrans. A clear lack of knowledge about tick-borne encephalitis vaccination was also observed. DISCUSSION: PCPs provide the first line of care for patients presenting with tick bites. This study showed that although PCPs of the Franche-Comté region manage tick bites as per current guidelines, they need further training on Lyme serology limitations and availability of tick-borne encephalitis vaccination.


Subject(s)
Physicians, Primary Care , Practice Patterns, Physicians'/statistics & numerical data , Tick Bites/therapy , Tick-Borne Diseases/prevention & control , Adult , Amoxicillin/therapeutic use , Animals , Arachnid Vectors/microbiology , Arachnid Vectors/virology , Doxycycline/therapeutic use , Encephalitis Viruses, Tick-Borne/immunology , Encephalitis, Tick-Borne/epidemiology , Encephalitis, Tick-Borne/prevention & control , Encephalitis, Tick-Borne/transmission , Endemic Diseases , Female , France/epidemiology , Guideline Adherence/statistics & numerical data , Humans , Lyme Disease/diagnosis , Lyme Disease/epidemiology , Lyme Disease/prevention & control , Lyme Disease/transmission , Male , Middle Aged , Patient Education as Topic , Practice Guidelines as Topic , Primary Prevention/methods , Sampling Studies , Serologic Tests/statistics & numerical data , Surveys and Questionnaires , Tick Bites/microbiology , Tick Bites/virology , Tick-Borne Diseases/epidemiology , Tick-Borne Diseases/transmission , Viral Vaccines
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