Early localized Lyme infection; Lyme borreliosis; Stage 1 Lyme disease; Lyme disease - primary
When walking or hiking in wooded or grassy areas:
- Spray all exposed skin and your clothing with insect repellant (spray outdoors only, do not use on face, use just enough to cover all other exposed skin, don't spray under clothing, don't apply over wounds or irritated skin, wash skin after going inside)
- Wear light-colored clothing to make it easier to spot ticks
- Wear long-sleeved shirts and long pants with the cuffs tucked into shoes or socks
- Wear high boots, preferably rubber
Check yourself and your pets frequently during and after your walk or hike.
Ticks that carry Lyme disease are so small that they are very hard to see. After returning home, remove your clothes and thoroughly inspect all skin surface areas, including your scalp.
If possible, ask someone to help you examine your body for ticks. Adults should carefully examine children.
Bratton RL, Whiteside JW, Hovan MJ, Engle RL, Edwards FD. Diagnosis and treatment of Lyme disease. Mayo Clin Proc. 2008;83:566-571.
Clark RP, Hu LT. Prevention of Lyme disease and other tick-borne infections. Infect Dis Clin North Am. 2008;22:381-396.
Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43:1089-1134.