
By Lauren McMichael, NP-C, Chesapeake Pediatrics
Spending time outdoors is great for kids, but sometimes nature comes with unwanted tagalongs, like ticks. If you find a tick on your child, don’t panic. With a few simple steps, you can safely remove it and help prevent illness.
Step 1: Stay Calm and Act Promptly
Ticks need time to transmit diseases, so it's key to remove them as soon as possible. Most tick-borne illnesses, including Lyme disease, require the tick to be attached for several hours before it can spread infection.
Step 2: Remove the Tick the Right Way
Use fine-tipped tweezers and follow these steps:
- Grab the tick as close to the skin's surface as possible.
- Pull upward with steady, even pressure. Don’t twist or jerk, as this can cause parts to break off and remain in the skin.
- Dispose of the tick by placing it in a sealed bag, wrapping it in tape, or flushing it down the toilet.
- Clean the area with soap and water or an alcohol wipe.
Wash your hands thoroughly after removing the tick.
Step 3: Monitor for Symptoms
After removal, watch your child for signs of illness, especially in the next 30 days. Call your child’s healthcare provider if you notice:
- A rash (especially a “bull’s-eye” pattern)
- Fever or chills
- Fatigue
- Headache
- Muscle or joint pain
These could be signs of a tick-borne illness and your child may need testing or treatment.
Prevent Future Bites
Protect your child by:
- Using insect repellent with DEET or picaridin.
- Wearing long sleeves and pants when hiking or playing in tall grass or wooded areas.
- Tucking pants into socks.
- Showering and doing tick checks after coming indoors. Focus on warm areas like behind the ears, underarms, waistband, knees, and hairline.
When to Call the Doctor
Contact your child’s healthcare provider if:
- The tick was attached for more than 24 hours.
- You’re unsure if the tick was fully removed.
- You see signs of infection at the bite site.
- Your child develops symptoms within weeks of a bite.
A little prevention goes a long way. With quick action and a watchful eye, you can keep your child safe and help them enjoy the great outdoors worry-free.