Routine Practices
Prophylaxis with a single dose of doxycycline for tick bites can be considered in children of any age if the tick was engorged, tick was attached >36 hours, and prophylaxis is given within 72 hours of tick removal. If tick attachment <36 hours with no Lyme Disease manifestations, no prophylaxis is indicated.
Borrelia burgdorferi
Paediatr Child Health 2014;19(7):379-83.
Antimicrobial Advisory Group Sept 2019