Tick removal and testing
If you find a tick attached to your skin, simply remove the tick as soon as possible. There are several tick removal devices on the market, but a plain set of fine-tipped tweezers works very well.
How to remove a tick
- Use clean, fine-tipped tweezers to grasp the tick as close to the skin’s surface as possible.
- Pull upward with steady, even pressure. Don’t twist or jerk the tick; this can cause the mouth-parts to break off and remain in the skin. If this happens, remove the mouth-parts with tweezers. If you cannot remove the mouth easily with tweezers, leave it alone and let the skin heal.
- After removing the tick, thoroughly clean the bite area and your hands with rubbing alcohol or soap and water.
- Never crush a tick with your fingers. Dispose of a live tick by
- Putting it in alcohol,
- Placing it in a sealed bag/container,
- Wrapping it tightly in tape, or
- Flushing it down the toilet.
If you develop a rash or fever within several weeks of removing a tick, see your doctor:
- Tell the doctor about your recent tick bite,
- When the bite occurred, and
- Where you most likely acquired the tick.
People who have removed a tick sometimes wonder if they should have it tested for evidence of infection. Although some commercial groups offer testing, in general this is not recommended because:
- Laboratories that conduct tick testing are not required to have the high standards of quality control used by clinical diagnostic laboratories. Results of tick testing should not be used for treatment decisions.
- Positive results showing that the tick contains a disease-causing organism do not necessarily mean that you have been infected.
- Negative results can lead to false assurance. You may have been unknowingly bitten by a different tick that was infected.
- If you have been infected, you will probably develop symptoms before results of the tick test are available. If you do become ill, you should not wait for tick testing results before beginning appropriate treatment.
Avoid folklore remedies such as “painting” the tick with nail polish or petroleum jelly, or using heat to make the tick detach from the skin. Your goal is to remove the tick as quickly as possible–not waiting for it to detach.