Rocky Mountain spotted fever

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Prevention

By Mayo Clinic staff

You can decrease your chances of contracting Rocky Mountain spotted fever by taking some simple precautions:

  • Wear long pants and sleeves. When walking in wooded or grassy areas, wear shoes, long pants tucked into socks and long-sleeved shirts. Try to stick to trails and avoid walking through low bushes and long grass.
  • Use insect repellents. Products containing DEET (Off! Deep Woods, Repel) often repel ticks. Be sure to follow the instructions on the label. Clothing that has permethrin (Repel, Permanone) impregnated into the fabric is toxic to ticks and also may be helpful in decreasing tick contact when outdoors.
  • Do your best to tick-proof your yard. Clear brush and leaves where ticks live. Keep woodpiles in sunny areas.
  • Check yourself and your pets for ticks. Do this after being in wooded or grassy areas. Some ticks are no bigger than the head of a pin, so you may not discover them unless you are very careful.
  • Don't assume you're immune. Even if you've had Rocky Mountain spotted fever before, it can occur in the same person more than once. Follow precautions and check yourself for ticks.
  • 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 have the entire tick removed, apply antiseptic to the bite area.
References
  1. Chen LF, et al. What's new in Rocky Mountain spotted fever? Infectious Disease Clinics of North America. 2008;22:415.
  2. Sexton DJ. Clinical manifestations and diagnosis of Rocky Mountain spotted fever. http://www.uptodate.com/home/index.html. Accessed July 31, 2009.
  3. Rocky Mountain spotted fever: Questions and answers. Centers for Disease Control and Prevention. http://www.cdc.gov/ticks/disease/rocky_mountain_spotted_fever/faq.htm. Accessed Aug. 3, 2009.
  4. Rocky Mountain spotted fever. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec14/ch177/ch177f.html. Accessed Aug. 3, 2009.
  5. Razzaq S, et al. Rocky Mountain spotted fever: A physician's challenge. Pediatrics in Review. 2005;26:125.
  6. Walker DH, et al. Rickettsia rickettsii and other spotted fever group rickettsiae (Rocky Mountain spotted fever and other spotted fevers). In: Mandell GL, et al. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 6th ed. Philadelphia, Pa.: Elsevier Churchill Livingstone; 2005. http://www.mdconsult.com/das/book/body/152732979-3/0/1259/1529.html?tocnode=51381835&fromURL=1529.html. Accessed Aug. 3, 2009.
  7. Rocky Mountain spotted fever. National Institute of Allergy and Infectious Diseases. http://www3.niaid.nih.gov/topics/rockyMountainSpottedFever/default.htm. Accessed Aug. 3, 2009.
  8. Centers for Disease Control and Prevention, et al. Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever, ehrlichioses, and anaplasmosis - United States. MMWR Recommendations and Reports. 2006;55:4. http://www.cdc.gov/mmwr/PDF/rr/rr5504.pdf. Accessed Aug. 3, 2009.
  9. Sexton DJ. Treatment of Rocky Mountain spotted fever. http://www.uptodate.com/home/index.html. Accessed July 31, 2009.
  10. Removing ticks. Centers for Disease Control and Prevention. http://www.cdc.gov/ticks/tick_removal.html. Accessed Aug. 3, 2009.

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Sept. 10, 2009

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