Tick bites in a Lyme borreliosis highly endemic area in Switzerland

The duration of tick feeding is an important indicator to evaluate the risk of <i>Borrelia burgdorferi</i> sensu lato transmission, which increases considerably with the blood meal duration. This blood meal duration may be estimated from scutal index, the ratio between body length (idiosoma) and scutum width. For the estimation of blood meal duration in <i>Ixodes ricinus</i>, nymphal and adult female ticks were detached at predetermined intervals (24, 48, 72, and 96 h) from laboratory mice and rabbits and their scutal index calculated. From this, non-linear regression equations were developed to determine the duration of attachment for nymphal and adult female <i>I. ricinus</i> ticks. As part of an epidemiological study addressing the risk of subclinical (seroconversion) and clinical infections after a tick bite in the Neuchâtel area (Switzerland) over 3 years (2003–2005), duration of tick attachment and anatomical site of bites collected on participants as well as seasonal distribution of tick bites were studied. Tick attachment duration was estimated in all ticks collected during this study (<i>n</i>=261). Nymphs were attached for a mean (± standard error, SE) of 31.6 h (±2.6) and females for a mean (±SE) of 29.6 h (±3.2). Most nymphs were removed after 24 h of blood meal whereas most females were removed before 24 h. Legs were the major anatomical sites of bites for women (40.7%), men (44.4%), and almost all age classes. Only children <10 years old were bitten more frequently on the head (41.2%) and on the neck (38.5%) than participants >10 years. The majority of tick bites were recorded from May to July during the 3 years. Attachment sites can influence the discovery of ticks, hence the duration of the tick bite. A detailed body examination after each outing in forest and an early withdrawal of an attached tick is an effective way to prevent Lyme borreliosis.