Evidence map›Paper›PMID 41341672›Full record

ReviewAsia Pacific allergy2025

A systematic review of tick removal techniques: Relationship to outcomes of tick-induced allergic reactions and tick-borne illnesses.

Ayesha Owen, Katherine Duong, Jordan Symons, Bronte Cross, Andrew Ratchford, Sheryl van Nunen

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Asia Pacific allergy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ayesha OwenNorthern Beaches Clinical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.ORCID https://orcid.org/0000-0002-9347-6117
Katherine DuongNorthern Beaches Clinical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Jordan SymonsNorthern Beaches Clinical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Bronte CrossNorthern Beaches Clinical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Andrew RatchfordNorthern Beaches Clinical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.
Sheryl van NunenNorthern Beaches Clinical School, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Australia has the highest prevalence worldwide of tick-induced allergies (mammalian meat and tick allergy/anaphylaxis). Inappropriate tick removal techniques are known to trigger tick anaphylaxis. This study aimed to ascertain the evidence for the effectiveness of tick removal methods and their relationship to the outcomes of tick-induced allergies and tick-borne illnesses. The design involved is a systematic literature review. Scopus, Embase, and Medline were searched (September 20, 2023) for studies of tick removal techniques and for outcomes of tick-induced allergic reactions and tick-borne illnesses. Two reviewers reviewed abstracts and full texts. Included studies were appraised (Joanna Briggs Institute critical appraisal tools), and data were extracted, tabulated, and evaluated. Six studies investigated a relevant outcome, all of low or moderate quality. Tick-killing in situ before removal resulted in allergic reactions in only 3/61 patients and no anaphylaxis. 23/28 who presented to the Emergency Department following removal with tweezers had allergic reactions (one anaphylaxis). When those with known tick anaphylaxis killed ticks in situ before removal there was no subsequent anaphylactic reaction. A significant decrease in disease transmission and/or seropositivity (

Indexed as

Allergysystematic reviewticktick anaphylaxistick removal

Identifiers

PMID41341672
PMCPMC12672175

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.