Tick checks - Neonatal Disorders

What Are Ticks and Why Are They a Concern in Pediatrics?

Ticks are small arachnids that can attach to the skin and feed on blood. They are a concern in pediatrics because they can transmit various diseases, such as Lyme disease, Rocky Mountain spotted fever, and anaplasmosis. Children, due to their outdoor activities and closer proximity to the ground, are more susceptible to tick bites.

How to Perform a Tick Check on Children?

Performing a tick check is essential after children have been outdoors, especially in wooded or grassy areas. To perform a tick check:
1. Examine the entire body: Pay close attention to areas such as the scalp, behind the ears, under the arms, inside the belly button, behind the knees, and between the legs.
2. Use a mirror: For hard-to-see areas, use a mirror or ask for assistance.
3. Check clothes and gear: Ticks can attach to clothes and gear, so these should also be checked and washed.

What To Do If You Find a Tick on a Child?

If you find a tick attached to your child, follow these steps:
1. Use fine-tipped tweezers: Grasp the tick as close to the skin’s surface as possible.
2. Pull upward with steady pressure: Do not twist or jerk the tick, as this can cause parts of it to break off and remain in the skin.
3. Clean the bite area: Use soap and water or an antiseptic.
4. Dispose of the tick: Place it in alcohol, seal it in a bag, or flush it down the toilet.

When to Seek Medical Attention?

Seek medical attention if:
1. You cannot remove the entire tick.
2. The bite area becomes red, swollen, or infected.
3. Your child develops flu-like symptoms: Such as fever, headache, or fatigue within a few weeks of the bite.
4. A rash appears: Particularly a bullseye-shaped rash, which is indicative of Lyme disease.

How to Prevent Tick Bites in Children?

Prevention is key to avoiding tick bites:
1. Use insect repellent: Apply repellents containing DEET or permethrin on clothing and gear.
2. Wear appropriate clothing: Long sleeves, pants, and hats can provide a barrier against ticks.
3. Stay on trails: Avoid walking through tall grass and bushes.
4. Conduct daily tick checks: Especially after outdoor activities.

What Are the Signs and Symptoms of Tick-Borne Diseases?

Symptoms can vary depending on the disease but may include:
1. Fever and chills.
2. Headache and muscle aches.
3. Rash: Varies by disease; for example, erythema migrans (bullseye rash) is associated with Lyme disease.
4. Fatigue.
5. Neurological symptoms: Such as facial palsy or meningitis in severe cases.

Educational Resources and Further Reading

For more information, consider these resources:
- [Centers for Disease Control and Prevention (CDC)]
- [American Academy of Pediatrics (AAP)]
- [National Institutes of Health (NIH)]
- [Environmental Protection Agency (EPA)]



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Issue Release: 2021

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