A prospective study on the incidence of Borrelia burgdorferi sensu lato infection after a tick bite in Sweden and on the Åland Islands, Finland (2008-2009)

Ticks and Tick-borne Diseases
Peter WilhelmssonPer-Eric Lindgren

Abstract

Lyme borreliosis (LB) is a common and increasing tick-borne disease in Europe. The risk of acquiring a Borrelia infection after a tick bite is not fully known. Therefore, we investigated the incidence of Borrelia infection after a bite by a Borrelia-infected tick and if the Borrelia load and/or the duration of tick-feeding influenced the risk of infection. During 2008-2009, ticks and blood samples were collected from 1546 tick-bitten persons from Sweden and the Åland Islands, Finland. Follow-up blood samples were taken 3 months after the tick bite. The duration of tick feeding was microscopically estimated and Borrelia was detected and quantified in ticks by real-time PCR. Anti-Borrelia antibodies were detected in sera using ELISA tests and immunoblot. Five percent (78/1546) of the study participants developed Borrelia infection (LB diagnosis and/or seroconversion) after a tick bite (45% bitten by Borrelia-infected ticks and 55% bitten by uninfected ticks). Of these, 33 developed LB (whereof 9 also seroconverted) while 45 participants seroconverted only. Experience of non-specific symptoms was more frequently reported by Borrelia-infected participants compared to uninfected participants. All who seroconverted removed "their" ti...Continue Reading

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Citations

Feb 10, 2016·The Lancet Infectious Diseases·Peter Wilhelmsson, Per Eric Lindgren
Jan 6, 2017·Vector Borne and Zoonotic Diseases·Sally J CutlerAna Amaro
Sep 28, 2017·PloS One·Ivar TjernbergMarianne van Hage
May 28, 2020·BMJ : British Medical Journal·Bart Jan KullbergJoppe W Hovius
Jun 13, 2018·FEMS Microbiology Reviews·Gerold Stanek, Franc Strle
Jan 2, 2020·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·Hanna CarlssonIvar Tjernberg
Nov 11, 2019·Zoonoses and Public Health·Benjamin CullKayleigh M Hansford
Aug 11, 2017·Archives of public health = Archives belges de santé publique·Laurence GeebelenKatrien Tersago
Jan 18, 2020·International Journal of Environmental Research and Public Health·Sarah E St PierreVett Lloyd
Feb 4, 2021·Vector Borne and Zoonotic Diseases·Albina Ponosheci-BiçakuGoran Tešović
Mar 24, 2021·Emerging Infectious Diseases·Mateusz MarkowiczGerold Stanek
Oct 31, 2020·Ticks and Tick-borne Diseases·Rosa M M GynthersenAnne-Mette Lebech
Jun 27, 2019·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Philipp BreitbartBarbara C Gärtner

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