<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Nahimana I</dc:creator>
  <dc:creator>Gern L</dc:creator>
  <dc:creator>Blanc DS</dc:creator>
  <dc:creator>Praz G</dc:creator>
  <dc:creator>Francioli P</dc:creator>
  <dc:creator>Péter O</dc:creator>
  <dc:date>2004</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">The aim of this study was to define the risk of developing Lyme borreliosis after a tick bite. A survey was conducted from 1993 to 1995 in the western part of Switzerland in a group of patients who presented for treatment of a recent tick bite. Only patients with negative serological tests (enzyme-linked fluorescent assay screening test, and IgG and IgM immunoblots) at the first consultation and for whom a second blood sample was available 2 months later were included in the study. Of the 376 patients included, 266 had no clinical manifestation (group 1) and 110 had a small local cutaneous reaction (&lt;2 cm) (group 2). The tick was available for 160 patients. Seroconversion was observed in 4.5% of 376 patients, 3.4% in group 1 and 7.2% in group 2. Typical erythema migrans, confirmed by seroconversion, was observed in three of 376 (0.8%) patients, while five of 376 (1.3%) patients developed a skin lesion without seroconversion. No other clinical manifestation of Lyme borreliosis was observed among these 376 patients. Borrelia detection in ticks did not correlate significantly with the risk of Lyme borreliosis. In conclusion, the risk of developing Lyme borreliosis in western Switzerland after a tick bite is low, and therefore, prophylactic antibiotics are not required.</dc:description>
  <dc:identifier>https://sonar.ch/global/documents/139258</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1007/s10096-004-1162-0</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/15278727</dc:relation>
  <dc:source>European journal of clinical microbiology &amp; infectious diseases : official publication of the European Society of Clinical Microbiology. - 2004</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Adolescent</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Adult</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Age Distribution</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Aged</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Aged, 80 and over</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Animals</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Arachnid Vectors</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Base Sequence</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Blotting, Western</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Borrelia burgdorferi</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Child</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Child, Preschool</dc:subject>
  <dc:subject xmlns:ns13="xml" ns13:lang="en">DNA, Bacterial</dc:subject>
  <dc:subject xmlns:ns14="xml" ns14:lang="en">Endemic Diseases</dc:subject>
  <dc:subject xmlns:ns15="xml" ns15:lang="en">Female</dc:subject>
  <dc:subject xmlns:ns16="xml" ns16:lang="en">Health Surveys</dc:subject>
  <dc:subject xmlns:ns17="xml" ns17:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns18="xml" ns18:lang="en">Incidence</dc:subject>
  <dc:subject xmlns:ns19="xml" ns19:lang="en">Infant</dc:subject>
  <dc:subject xmlns:ns20="xml" ns20:lang="en">Lyme Disease</dc:subject>
  <dc:subject xmlns:ns21="xml" ns21:lang="en">Male</dc:subject>
  <dc:subject xmlns:ns22="xml" ns22:lang="en">Middle Aged</dc:subject>
  <dc:subject xmlns:ns23="xml" ns23:lang="en">Molecular Sequence Data</dc:subject>
  <dc:subject xmlns:ns24="xml" ns24:lang="en">Polymerase Chain Reaction</dc:subject>
  <dc:subject xmlns:ns25="xml" ns25:lang="en">Risk Assessment</dc:subject>
  <dc:subject xmlns:ns26="xml" ns26:lang="en">Sex Distribution</dc:subject>
  <dc:subject xmlns:ns27="xml" ns27:lang="en">Surveys and Questionnaires</dc:subject>
  <dc:subject xmlns:ns28="xml" ns28:lang="en">Switzerland</dc:subject>
  <dc:subject xmlns:ns29="xml" ns29:lang="en">Tick-Borne Diseases</dc:subject>
  <dc:subject xmlns:ns30="xml" ns30:lang="en">Ticks</dc:subject>
  <dc:title xmlns:ns31="xml" ns31:lang="en">Risk of Borrelia burgdorferi infection in western Switzerland following a tick bite.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>