Demographic aspects of tick bites in Belgrade: two-year retrospective study

  • Aleksandra G Zelenović Faculty of medicine, University of Belgrade
  • Snežana Minić Faculty of medicine, University of Belgrade

Abstract


Introduction: Ticks are becoming an increasing problem in Europe. Every outing in nature bares a risk of a tick bite, especially in the spring and summer. Ticks are spiderlike ectoparasites from the Ixodida family, subclass Acarina. They may induce an irritation, trigger abscess and carry numerous spirohets, most commonly the bacteria Borrelia burgdorferi which can cause Lyme disease. The goal of this study was to determine the distribution of tick bites in studied population according to: bite localization, time (according to months) and Belgrade municipaliteies where the bite occurred.

Material and methods: 1199 individuals participated in this retrospective study, who were being treated at Dermatovenerology Clinic KCS Belgrade between January 2014 and December 2015, for tick bites. Following data was gathered: demographic data, geographical data about the place where the bite occurred, time of year, as well as the part of the body that was influenced.

Results: In the year 2014, 600 (50%) patients were treated, whereas in 2015 599 (50%) patients were treated. There were 715 (59.7%) males and 483 (40.3%) females. The average age of the participants was 41 (1-87). Most of the participants had one bite, 1128 (94.1%), 19 (1.6%) participants had two bites, while 6 (0.5%) participants had more than two bites. Most of the bites occurred during spring months 989 (82.5%), in the municipalities of Vozdovac 244 (20.4%) and Cukarica 224 (18.7%). The most common bite sites were below the waist line in all participant groups except for children, who had bites in the head and neck region.

Conclusion: Exposure to ticks carries a risk of getting Lyme disease. Whether or not the tick may be infected, it is suggested to take it out as soon as possible, so that it would not feast on blood and influence Lyme disease.

Key words: tick, Lyme disease, Borrelia burgdorferi, Belgrade municipalities

Author Biography

Snežana Minić, Faculty of medicine, University of Belgrade

Assistant Professor

Clinic of dermatovenerology, KCS

References

Cramaro WJ, Hunewald OE, Bell-Sakyi L, Muller CP. Genome scaffolding and annotation for the pathogen vector Ixodes ricinus by ultra-long single molecule sequencing. Parasit Vectors. 2017;10:71.

Jovanovic D, Atanasievska S, Protic-Djokic V, Rakic U, Lukac-Radoncic E, Ristanovic E. Seroprevalence of Borrelia burgdorferi in occupationally exposed persons in the Belgrade area, Serbia. Braz J Microbiol. 2015;46:807-14.

Dmitrović R, Drndarević D, Krstić A, Lalosević J, Lako B, Lazarević N et al. Lyme disease in the area of Belgrade. 1st reported cases. Vojnosanit Pregl. 1988;45:179-82.

Drndarević D, Lako B, Stojanović R, Stajković N, Obradović M, Zivanović B et al. Ixodes ricinus proven as a vector of Lyme borreliosis in Yugoslavia. Vojnosanit Pregl. 1992;49:8-11.

Magid D, Schwartz B, Craft J, Schwartz JS. Prevention of Lyme disease after tick bites. A cost-effectiveness analysis. N Engl J Med. 1992;327:534-41.

Grist N. Ticks are topical. J Infect. 1992;24:117-21.

Goldstein MD, Schwartz BS, Friedmann C, Maccarillo B, Borbi M, Tuccillo R. Lyme disease in New Jersey outdoor workers: a statewide survey of seroprevalence and tick exposure. Am J Public Health. 1990;80:1225-9.

Vos K, Van Dam AP, Kuiper H, Bruins H, Spanjaard L, Dankert J. Seroconversion for Lyme borreliosis among Dutch military. Scand J Infect Dis. 1994;26:427-34.

Niścigorska J. Epidemiologic-clinical aspects of tick borne borreliosis in the Szczecin Province. Ann Acad Med Stetin. 1999;45:157-73.

Steere AC, Coburn J, Glickstein L. The emergence of Lyme disease. J Clin Invest. 2004;113:1093-101.

Sood SK, Salzman MB, Johnson BJ, Happ CM, Feig K, Carmody L et al. Duration of tick attachment as a predictor of the risk of Lyme disease in an area in which Lyme disease is endemic. J Infect Dis. 1997;175:996-9.

Randolph SE, Gern L, Nuttall PA. Co-feeding ticks: Epidemiological significance for tick-borne pathogen transmission. Parasitol Today. 1996;12:472-9.

Thomas DD, Comstock LE. Interaction of Lyme disease spirochetes with cultured eucaryotic cells. Infect Immun. 1989;57:1324-6.

Gray J. Risk assessment in Lyme borreliosis. Wien Klin Wochenschr. 1999;111:990-3.

Gern L, Falco RC. Lyme disease. Rev Sci Tech. 2000;19:121-35.

Nahimana I, Gern L, Blanc DS, Praz G, Francioli P, Péter O. Risk of Borrelia burgdorferi infection in western Switzerland following a tick bite. Eur J Clin Microbiol Infect Dis. 2004;23:603-8.

Stajkovic N, Zec N, Lako B. Ecology of Borrelia Burgdorferi. Books of Abstract 1st Congree of the physicias of the Macedonian preventive, 2000;95-6.

Marusic P, Stajkovic N, Marusic V. Ecology investigation of Borrelia Burgdorferi at the territory of Timocka kraina preliminary results. Books of Abstract 1st Congree of the physicias of the Macedonian preventive, 2000;97.

Maiwald M, Oehme R, March O, Petney TN, Kimmig P, Naser K et al. Transmission risk of Borrelia burgdorferi sensu lato from Ixodes ricinus ticks to humans in southwest Germany. Epidemiol Infect. 1998;121:103-8.

Mladenovic J. Epidemiološki aspekti lajmske bolesti na teritoriji grada Beograda. Dissertation. Nis, Srbija: Univerzitet u Nisu; 2014.

Steere AC, Bartenhagen NH, Craft JE, Hutchinson GJ, Newman JH, Rahn DW et al. The early clinical manifestations of Lyme disease. Ann Intern Med. 1983;99:76-82.

Berglund J, Eitrem R, Ornstein K, Lindberg A, Ringér A, Elmrud H et al. An epidemiologic study of Lyme disease in southern Sweden. N Engl J Med. 1995;333:1319-27.

Bowen GS, Griffin M, Hayne C, Slade J, Schulze TL, Parkin W. Clinical manifestations and descriptive epidemiology of Lyme disease in New Jersey, 1978 to 1982. JAMA. 1984;251:2236-40.

Robertson JN, Gray JS, Stewart P. Tick bite and Lyme borreliosis risk at a recreational site in England. Eur J Epidemiol. 2000;16:647-52.

Published
2018/07/03
Section
Original Scientific Paper