title: Revisiting detachment techniques in human-biting ticks.
abstract: BACKGROUND
  Early and complete removal of ticks using the right technique is important to reduce tick-transmitted diseases. Several chemical and mechanical detachment techniques have been described previously.
  
  
  OBJECTIVE
  We aimed to compare the performance of 4 tick-detachment techniques that are widely used in human beings and to determine the optimal method from these techniques.
  
  
  METHODS
  A cross-sectional study was conducted on 160 patients between April and June 2010. Patients with reported tick bite were reviewed retrospectively and divided into the following 4 groups according to the tick-detachment technique used: card detachment, lassoing, freezing, and tweezers. Performance of each technique was evaluated according to the number of fully detached, nondetached, and crushed ticks and the duration of application.
  
  
  RESULTS
  Of the 160 tick-bite cases assessed, we found the following efficacy rates: 82.5% (33/40), technique using tweezers; 47.5% (19/40), lassoing technique; 7.5% (3/40), card detachment; and 0% (0/40), freezing technique. The efficacy rate of the technique using tweezers was significantly higher than that of the other 3 techniques (P < .05).
  
  
  CONCLUSIONS
  This was a relatively small sample size and not designed as a randomized clinical trial.
  
  
  CONCLUSIONS
  Tick detachment using tweezers, performed in an appropriate manner, is the easiest and most effective technique.
authors.affiliation: Department of Dermatology, Mugla Sitki Kocman University Training and Research Hospital, Mugla, Turkey. Electronic address: dr_asliakin@hotmail.com.
authors.forename: Asli
authors.initials: A
authors.lastname: Akin Belli
authors.affiliation: Department of Dermatology, Haseki Training and Research Hospital, Istanbul, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Dervis
authors.affiliation: Department of Biology, Namik Kemal University, Tekirdag, Turkey.
authors.forename: Sirri
authors.initials: S
authors.lastname: Kar
authors.affiliation: Department of Infectious Diseases, Koc University Medical School, Istanbul, Turkey.
authors.forename: Onder
authors.initials: O
authors.lastname: Ergonul
authors.affiliation: Faculty of Health Sciences, Marmara University, Istanbul, Turkey.
authors.forename: Aysen
authors.initials: A
authors.lastname: Gargili
mesh_terms: D000818:Animals; D003430:Cross-Sectional Studies; D005392:First Aid / Q000295:instrumentation*; D006801:Humans; D012189:Retrospective Studies; D064927:Tick Bites / Q000628:therapy*; D013987:Ticks
keywords: freezing; parasite-host relations; techniques; tick bites; tick infestations; tweezers