{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T21:01:47Z","timestamp":1789074107564,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,9,22]],"date-time":"2014-09-22T00:00:00Z","timestamp":1411344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>In a recent national survey, over 30% of healthcare providers (<jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s) reported prescribing tick bite prophylaxis in the previous year. To clarify provider practices, we surveyed <jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s to determine how frequently and for what reasons they prescribed tick bite prophylaxis. We included four questions regarding tick bite prophylaxis in the DocStyles 2012 survey, a computer\u2010administered questionnaire of 2205 US primary care physicians, paediatricians and nurse practitioners. Responses in 14 states with high Lyme disease incidence (high <jats:styled-content style=\"fixed-case\">LDI<\/jats:styled-content>) were compared with responses from other states (low <jats:styled-content style=\"fixed-case\">LDI<\/jats:styled-content>). Overall, 56.4% of 1485 providers reported prescribing tick bite prophylaxis at least once in the previous year, including 73.9% of <jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s in high <jats:styled-content style=\"fixed-case\">LDI<\/jats:styled-content> and 48.2% in low <jats:styled-content style=\"fixed-case\">LDI<\/jats:styled-content> states. The reasons given were \u2018to prevent Lyme disease\u2019 (76.9%), \u2018patients request it\u2019 (40.4%) and \u2018to prevent other tickborne diseases\u2019 (29.4%). Among <jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s who provided prophylaxis, 45.2% did so despite feeling that it was not indicated. Given a hypothetical scenario involving a patient with an attached tick, 38.1% of <jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s from high <jats:styled-content style=\"fixed-case\">LDI<\/jats:styled-content> states and 15.1% from low LDI states would prescribe a single dose of doxycycline; 19.0% from high LDI states and 27.5% from low LDI states would prescribe a full course of doxycycline. HCPs prescribe tick bite prophylaxis frequently in areas where Lyme disease is rare and for tickborne diseases for which it has not been shown effective. HCPs may be unaware of current tick bite prophylaxis guidelines or find them difficult to implement. More information is needed regarding the efficacy of tick bite prophylaxis for diseases other than Lyme disease.<\/jats:p>","DOI":"10.1111\/zph.12159","type":"journal-article","created":{"date-parts":[[2014,9,22]],"date-time":"2014-09-22T10:40:27Z","timestamp":1411382427000},"page":"388-392","source":"Crossref","is-referenced-by-count":12,"title":["Tick Bite Prophylaxis: Results From a 2012 Survey of Healthcare Providers"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0049-6582","authenticated-orcid":false,"given":"A. E.","family":"Perea","sequence":"first","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. F.","family":"Hinckley","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. S.","family":"Mead","sequence":"additional","affiliation":[{"name":"Division of Vector\u2010Borne Diseases Centers for Disease Control and Prevention Fort Collins CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,9,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2014.01.008"},{"key":"e_1_2_9_3_1","first-page":"1","article-title":"Diagnosis and management of tickborne rickettsial diseases: Rocky Mountain spotted fever, ehrlichioses, and anaplasmosis\u2013United States: a practical guide for physicians and other health\u2010care and public health professionals","volume":"55","author":"Chapman A. 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