Epidemiological characteristics of tick bite in the surrounding areas of Beijing from 2019 to 2023
Objective:To review the epidemiological characteristics of tick bites in Beijing and surrounding are-as over the past 5 years,and to provide a basis for standardized in-hospital diagnosis and treatment.Methods:The epidemiological characteristics of tick bite patients seen and admitted to the emergency department of the Fourth Medical Center of the General Hospital of the People's Liberation Army(PLA)from January 1.2019,to Decem-ber 31,2023,were descriptively analyzed.Results:A total of 493 cases were disposed of in the emergency depart-ment and 210 cases admitted to the hospital in 5 years,of which 362 cases(73.4%)were localized and 31 cases(0.06%)were febrile.The distribution of patients was mainly in Shunyi,Pinggu and Mentougou districts(330 ca-ses),with Mentougou district(330 cases)having the largest number of injuries,accounting for 66.9%,and May to August being the high incidence months of bites,accounting for 98.7%(487 cases),with 100%of the bitten persons(493 cases)being outdoor activities,and with the age of 30-39 years old being the main high incidence age,and 49.9%(246 cases)of the bites on the lower limbs.The main reason for consultation after bite was re-moval of the insect(asymptomatic),accompanied by itching,pain,fever and other symptoms,which were all clinically cured by application of doxycycline.Conclusion:Most of the tick bites were asymptomatic,and the main reason for consultation was to remove the insect,with local symptoms such as itching,and if symptoms such as itching and fever appeared,they should go to a regular hospital immediately,and Doxycycline was recommended for oral treatment.