[Epidemiology of Lyme disease in a healthcare area in north-west Spain].
OBJECTIVE
To evaluate the influence of some risk factors on the incidence rate of Lyme disease and the main clinical manifestations.


METHODS
A retrospective study of Lyme disease (2006-2013) was performed in north-west Spain; we included only patients who fulfilled the epidemiological surveillance criteria defined by the Centers for Disease Control and Prevention.


RESULTS
The incidence rate varied between 2.64 and 11.61/100,000 inhabitants/year. Significant differences were found in relation to habitat, age and area of residence. Patients showed neurological (67.59%), dermatological (47.22%), rheumatological (15.74%) and cardiac (13.88%) manifestations, alone or combined.


CONCLUSIONS
Due to the increase of the disease in north-west Spain and the differences observed between the different areas, epidemiological studies are needed that increase the index of diagnostic suspicion and lead to the implementation of effective prevention measures.
Servicio de Pediatría, Hospital Universitario Lucus Augusti, Lugo, España. Electronic address: esther.vazquez.lopez@sergas.es.
María Esther
ME
Vázquez-López
Servicio de Neurología, Hospital Universitario Lucus Augusti, Lugo, España.
Robustiano
R
Pego-Reigosa
Unidad de Reumatología, Hospital del Bierzo, Ponferrada, León, España.
Carolina
C
Díez-Morrondo
Servicio de Neuropediatría, Hospital Clínico Universitario, Santiago de Compostela, La Coruña, España.
Manuel
M
Castro-Gago
Unidad de Epidemiología, Zoonosis y Salud Pública, Facultad de Veterinaria, Universidad de Santiago de Compostela, Lugo, España.
Pablo
P
Díaz
Unidad de Epidemiología, Zoonosis y Salud Pública, Facultad de Veterinaria, Universidad de Santiago de Compostela, Lugo, España.
Gonzalo
G
Fernández
Unidad de Epidemiología, Zoonosis y Salud Pública, Facultad de Veterinaria, Universidad de Santiago de Compostela, Lugo, España.
Patrocinio
P
Morrondo
D000328:Adult; D000818:Animals; D002391:Catchment Area, Health; D002648:Child; D017753:Ecosystem; D005260:Female; D006785:Hospitals, University; D006801:Humans; D015994:Incidence; D008193:Lyme Disease / Q000175:diagnosis / Q000453:epidemiology*; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D012621:Seasons; D013030:Spain / Q000453:epidemiology; D063189:Symptom Assessment; D064927:Tick Bites / Q000453:epidemiology
Clinical manifestations; Enfermedad de Lyme; Epidemiology; Epidemiología; España; Factores de riesgo; Incidence; Incidencia; Lyme disease; Manifestaciones clínicas; Risk factors; Spain