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Prevention
By Mayo Clinic staffYou can decrease your risk of getting Lyme disease with some simple precautions:
- Wear long pants and sleeves. When walking in wooded or grassy areas, wear shoes, long pants tucked into your socks, a long-sleeved shirt, a hat and gloves. Try to stick to trails and avoid walking through low bushes and long grass. Keep your dog on a leash.
- Use insect repellents. Apply an insect repellent with a 10 to 30 percent concentration of DEET to your skin and clothing. Choose the concentration based on the hours of protection you need — the higher the concentration of DEET, the longer you are protected. A 10 percent concentration protects you for about two hours. Keep in mind that chemical repellents can be toxic, and use only the amount needed for the time you'll be outdoors. Don't use DEET on the hands of young children or on infants younger than age 2 months. According to the Centers for Disease Control and Prevention, oil of lemon eucalyptus, a more natural product, offers the same protection as DEET when used in similar concentrations. Don't use this product on children younger than 3 years.
- Do your best to tick-proof your yard. Clear brush and leaves where ticks live. Keep woodpiles in sunny areas.
- Check yourself, your children and your pets for ticks. Be especially vigilant after spending time in wooded or grassy areas. Deer ticks are often no bigger than the head of a pin, so you may not discover them unless you search carefully. It's helpful to shower as soon as you come indoors. Ticks often remain on your skin for hours before attaching themselves. Showering and using a washcloth may be enough to remove any unattached ticks.
- Don't assume you're immune. Even if you've had Lyme disease before, you can get it again.
- Remove a tick with tweezers. Gently grasp the tick near its head or mouth. Don't squeeze or crush the tick, but pull carefully and steadily. Once you've removed the entire tick, dispose of it and apply antiseptic to the bite area.
References
- Hu L. Treatment of Lyme disease. http://www.uptodate.com/home/index.html. Accessed March 24, 2010.
- Hu L. Clinical manifestations of Lyme disease in adults. http://www.uptodate.com/home/index.html. Accessed March 24, 2010.
- Lyme disease. Centers for Disease Control and Prevention. http://www.cdc.gov/ncidod/dvbid/lyme/index.htm. Accessed March 24, 2010.
- FDA warns consumers and health care providers not to use bismacine, also known as chromacine. U.S. Food and Drug Administration. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm150503.htm. Accessed March 29, 2010.
- Wormser GP, et al. The clinical assessment, treatment and prevention of Lyme disease, human granulocytic anaplasmosis and babesiosis: Clinical practice guidelines. Infectious Disease Society of America. 2006;43:1089.
- Lyme disease. National Institute of Allergy and Infectious Diseases. U.S. Department of Health and Human Services. http://www3.niaid.nih.gov/topics/lymeDisease/understanding/. Accessed March 25, 2010.
- Lyme disease: The facts, the challenge. www3.niaid.nih.gov/topics/lymeDisease/PDF/LymeDisease.pdf. Accessed March 29, 2010.
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