Effectiveness of personal protective measures to prevent Lyme disease
Effectiveness of personal protective measures to prevent Lyme disease
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DOI：
10.3201/eid1402.070725
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发表时间：
2008-02-01
影响因子：
11.8
通讯作者：
Shapiro, Eugene D.
中科院分区：
文献类型：
--
作者：
Vazquez, Marietta;Muehlenbein, Catherine;Shapiro, Eugene D.
在2002年停止生产莱姆病疫苗后，预防莱姆病的战略集中在个人保护措施上。这些措施的有效性尚未得到最终证明。我们的病例对照研究的目的是评估在一个高度流行的疾病地区的个人预防措施的有效性。病例患者是向康涅狄格州公共卫生部报告的LD患者，并被分类为具有明确的，可能的或不太可能的LD。确定了无LD的匹配对照。研究参与者进行了访谈，以评估预防措施的做法，并获得有关职业和娱乐风险因素的信息。使用防护服的有效率为40%;在皮肤或衣服上常规使用蜱虫驱避剂的有效率为20%。检查身体的蜱虫和喷洒杀螨剂的财产是无效的。我们的结论是，使用防护服和蜱虫驱虫剂（皮肤或衣服）是有效的预防LD。
After the manufacture of Lyme vaccine was discontinued in 2002, strategies to prevent Lyme disease (LD) have focused on personal protective measures. Effectiveness of these measures has not been conclusively demonstrated. The aim of our case-control study was to assess the effectiveness of personal preventive measures in a highly disease-endemic area. Case-patients were persons with LD reported to Connecticut's Department of Public Health and classified as having definite, possible, or unlikely LD. Age-matched controls without LD were identified. Study participants were interviewed to assess the practice of preventive measures and to obtain information on occupational and recreational risk factors. Use of protective clothing was 40% effective; routine use of tick repellents on skin or clothing was 20% effective. Checking one's body for ticks and spraying property with acaricides were not effective. We concluded that use of protective clothing and of tick repellents (on skin or clothing) are effective in preventing LD.