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Volume 27, Number 4—April 2021
CME ACTIVITY - Research

Infections with Tickborne Pathogens after Tick Bite, Austria, 2015–2018

Mateusz MarkowiczComments to Author , Anna-Margarita Schötta, Dieter Höss, Michael Kundi, Christina Schray, Hannes Stockinger, and Gerold Stanek
Author affiliations: Medical University of Vienna, Vienna, Austria (M. Markowicz, A.-M. Schötta, M. Kundi, C. Schray, H. Stockinger, G. Stanek); Private Medical Office, Thiersee, Austria (D. Höss)

Main Article

Table 2

Comparison of persons infected and not infected with Borrelia burgdorferi sensu lato after tick bite, Austria, 2015–2018*

Variable Not infected, n = 457
Infected, n = 25
p value
No. or mean ± SD Median, % (IQR) No. or mean ± SD Median, % (IQR)
Sex
M 214 46.8 12 48.0 1.000
F
243
53.2

13
52.0
NA
Age, y
48.7 ± 14.5
48.5 (36.8–59.1)

52.4 ± 14.0
54.0 (42.9–58.6)
0.216
Use of repellent 17 3.7 2 8.0 0.258
No. ticks 1.3 ± 1.2 1.0 (1.0–1.0) 2.4 ± 3.8 1.0 (1.0–2.0) <0.001
Time, tick bite to blood test, d† 4.3 ± 4.0 4.0 (2.0–6.0) 3.9 ± 2.1 3.0 (2.0–5.0) 0.645
Duration of tick attachment, d
1.0 ± 2.9
1.0 (0.0–2.0)

1.2 ± 1.2
1.0 (0.0–2.0)
0.668
Tick location
Left leg 119 26.0 15 60.0 <0.001
Right leg 130 28.4 13 52.0 0.022
Left arm 53 11.6 6 24.0 0.106
Right arm 55 12.0 4 16.0 0.530
Head/neck 21 4.6 1 4.0 1.000
Abdomen/chest 71 15.5 4 16.0 1.000
Genital/pelvic area 111 24.3 5 20.0 0.811
Back
46
10.1

4
16.0
0.314
Antimicrobial drug‡ 30 6.6 0 0.0 0.39
PCR positive 62 13.6 11 44.0 <0.001
IgG§ 57 12.5 6 24.0 0.08
IgM§ 30 6.6 2 8.0 0.58
IgG and IgM§ 23 5.0 2 8.0 0.37
History of erythema migrans
84
18.0

8
32.0
0.15
Tick engorgement
None 180 39.5 4 16.0 <0.001
Slightly/partially 219 48.0 10 40.0 NA
Fully 57 12.5 11 44.0 NA

*IQR, interquartile range; NA, not applicable. 
†Time between tick bite and first blood test. 
‡Received within 4 weeks before tick bite. 
§Presence of Borrelia-specific antibodies at the first visit.

Main Article

Page created: January 11, 2021
Page updated: March 18, 2021
Page reviewed: March 18, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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