Hygiena 2021, 66(3):87-93 | DOI: 10.21101/hygiena.a1787
Current issues of Lyme borreliosis and tick-borne encephalitis and their risk factors
- Univerzita Pavla Jozefa Šafárika v Košiciach, Lekárska fakulta, Ústav verejného zdravotníctva a hygieny, Košice, Slovenská republika
Objective: The aim of this seroepidemiological study was to determine the current prevalence of antibodies against Borrelia burgdorferi sensu lato (B. burgdorferi s. l.) and tick-borne encephalitis virus (TBEV) among the population of Eastern Slovakia and to evaluate risk factors associated with seropositivity.
Methods: Serum samples with completed questionnaires used for the risk factor analysis were obtained from 275 persons (healthy persons with possible working exposure to tick and outdoor activities and patients from different clinical departments). The set of respondents consisted of 108 (39.3%) men and 167 (60.7%) women. Sera were tested with ELISA and immunoblot assay (IB). During the analysis, we used logistic regression to interpret the influence between selected variables.
Results: The B. burgdorferi screening ELISA test revealed 18.2% positive samples for anti-B. burgdorferi s. l. IgG. The immunoblot, which was performed for the positive and borderline IgG samples, was positive in 15.3%. Positive antibodies of the IgM class were found in 9.1% of the population under study. We detected 0.4% seropositivity of IgG and 1.1% of positive IgM antibodies against tick-borne encephalitis virus. Our results also confirmed that the following risk factors, such as residence, frequent outdoor activities, and pet ownership are significantly associated with the prevalence of specific antibodies.
Conclusion: The results of seroprevalence obtained in the present study confirm the possibility of infection with B. burgdorferi and TBEV among respondents exposed to contact with ticks.
Keywords: tick-borne encephalitis, Lyme borreliosis, tick, risk factors, seropositivity
Received: April 2021; Accepted: June 21, 2021; Published: September 24, 2021 Show citation
References
- Head JR, Bumburidi Y, Mirzabekova G, Rakhimov K, Dzhumankulov M, Salyer SJ, et al. Risk factors for and seroprevalence of tick borne zoonotic diseases among livestock owners, Kazakhstan. Emerg Infect Dis. 2020 Jan;26(1):70-80.
Go to original source...
Go to PubMed...
- Paules CI, Marston HD, Bloom ME, Fauci AS. Tick borne diseases - confronting a growing threat. N Engl J Med. 2018 Aug 23;379(8):701-3.
Go to original source...
Go to PubMed...
- Enkelmann J, Böhmer M, Fingerle V, Siffczyk C, Werber D, Littmann M, et al. Incidence of notified Lyme borreliosis in Germany, 2013-2017. Sci Rep. 2018 Oct 8;8(1):14976. doi: 10.1038/s41598-018-33136-0.
Go to original source...
Go to PubMed...
- Jaenson TG, Hjertqvist M, Bergström T, Lundkvist A. Why is tick-borne encephalitis increasing? A review of the key factors causing the increasing incidence of human TBE in Sweden. Parasit Vectors. 2012 Aug 31;5:184. doi: 10.1186/1756-3305-5-184.
Go to original source...
Go to PubMed...
- Lindquist L, Vapalahti O. Tick-borne encephalitis. Lancet. 2008 May 31;371(9627):1861-71.
Go to original source...
Go to PubMed...
- Dorko E, Bušová A. Kliešťová encefalitída. Košice: Mgr.Viliam Oravec - GAIA; 2020.
- Cook MJ. Lyme borreliosis: a review of data on transmission time after tick attachment. Int J Gen Med. 2014 Dec 19;8:1-8. doi: 10.2147/IJGM.S73791.
Go to original source...
Go to PubMed...
- ÚVZ SR. Výročná správa o činnosti Úradu verejného zdravotníctva Slovenskej republiky za rok 2019 [online]. Bratislava: Úrad verejného zdravotníctva Slovenskej republiky; 2020 [cit. 2021-03-02]. Dostupné z: https://www.uvzsr.sk/docs/vs/vyrocna_sprava_SR_2019.pdf.
- Cora M, Kaklikkaya N, Topbaş M, Çan G, Yavuzyilmaz A, Tosun İ, et al. Determination of seroprevalence of Borrelia burgdorferi IgG in adult population living in Trabzon. Balkan Med J. 2017 Jan;34(1):47-52.
Go to original source...
Go to PubMed...
- Lernout T, Kabamba-Mukadi B, Saegeman V, Tré-Hardy M, de Laveleye M, Asikainen T, et al. The value of seroprevalence data as surveillance tool for Lyme borreliosis in the general population: the experience of Belgium. BMC Public Health. 2019 May 17;19(1):597. doi: 10.1186/s12889-019-6914-y.
Go to original source...
Go to PubMed...
- Bacon RM, Kugeler KJ, Mead PS; Centers for Disease Control and Prevention (CDC). Surveillance for Lyme disease--United States, 1992-2006. MMWR Surveill Summ. 2008 Oct 3;57(10):1-9.
- Wilking H, Fingerle V, Klier C, Thamm M, Stark K. Antibodies against Borrelia burgdorferi sensu lato among adults, Germany, 2008-2011. Emerg Infect Dis. 2015 Jan;21(1):107-10.
Go to original source...
Go to PubMed...
- Hjetland R, Nilsen RM, Grude N, Ulvestad E. Seroprevalence of antibodies to Borrelia burgdorferi sensu lato in healthy adults from western Norway: risk factors and methodological aspects. APMIS. 2014 Nov;122(11):1114-24.
Go to original source...
Go to PubMed...
- Sajanti E, Virtanen M, Helve O, Kuusi M, Lyytikäinen O, Hytönen J, et al. Lyme Borreliosis in Finland, 1995-2014. Emerg Infect Dis. 2017 Aug;23(8):1282-8.
Go to original source...
Go to PubMed...
- Eliassen KE, Berild D, Reiso H, Grude N, Christophersen KS, Finckenhagen C, et al. Incidence and antibiotic treatment of erythema migrans in Norway 2005-2009. Ticks Tick Borne Dis. 2017 Jan;8(1):1-8.
Go to original source...
Go to PubMed...
- Tulloch JSP, Christley RM, Radford AD, Warner JC, Beadsworth MBJ, Beeching NJ, et al. A descriptive epidemiological study of the incidence of newly diagnosed Lyme disease cases in a UK primary care cohort, 1998-2016. BMC Infect Dis. 2020 Apr 16;20(1):285. doi: 10.1186/s12879-020-05018-2.
Go to original source...
Go to PubMed...
- Buczek A, Rudek A, Bartosik K, Szymańska J, Wójcik-Fatla A. Seroepidemiological study of Lyme borreliosis among forestry workers in southern Poland. Ann Agric Environ Med. 2009;16(2):257-61.
- Jones EH, Hinckley AF, Hook SA, Meek JI, Backenson B, Kugeler KJ, et al. Pet ownership increases human risk of encountering ticks. Zoonoses Public Health. 2018 Feb;65(1):74-9.
Go to original source...
Go to PubMed...
- Dehnert M, Fingerle V, Klier C, Talaska T, Schlaud M, Krause G, et al. Seropositivity of Lyme borreliosis and associated risk factors: a population-based study in Children and Adolescents in Germany (KiGGS). PLoS One. 2012;7(8):e41321. doi: 10.1371/journal.pone.0041321.
Go to original source...
Go to PubMed...
- Rabinowitz PM, Gordon Z, Odofin L. Pet-related infections. Am Fam Physician. 2007 Nov 1;76(9):1314-22.
Go to PubMed...
- Andersson CR, Vene S, Insulander M, Lindquist L, Lundkvist A, Günther G. Vaccine failures after active immunisation against tick-borne encephalitis. Vaccine. 2010 Apr 1;28(16):2827-31.
Go to original source...
Go to PubMed...
- Lindblom P, Wilhelmsson P, Fryland L, Matussek A, Haglund M, Sjöwall J, et al. Factors determining immunological response to vaccination against tick-borne encephalitis virus in older individuals. PLoS One. 2014 Jun 26;9(6):e100860. doi: 10.1371/journal.pone.0100860.
Go to original source...
Go to PubMed...
- Sumilo D, Asokliene L, Avsic-Zupanc T, Bormane A, Vasilenko V, Lucenko I, et al. Behavioural responses to perceived risk of tick-borne encephalitis: vaccination and avoidance in the Baltics and Slovenia. Vaccine. 2008 May 19;26(21):2580-8.
Go to original source...
Go to PubMed...
- Juceviciene A, Vapalahti O, Laiskonis A, Ceplikiene J, Leinikki P. Prevalence of tick-borne-encephalitis virus antibodies in Lithuania. J Clin Virol. 2002 Jul;25(1):23-7.
Go to original source...
Go to PubMed...