“…Sites and studies were excluded if a PCR was performed only in culture and/or direct fluorescence assay-positive ticks, and if accurate establishment of prevalence was impossible due to a bias (i.e., only some of the B. burgdorferi s.l.-positive ticks were tested for B. miyamotoi) or lack of clarification (i.e., the total sampled tick population was unknown or no distinction was made between host-derived and questing ticks). Data were collected from[12,14,[21][22][23][24][25]27,[29][30][31][32][33][34][35]37,38,40,[42][43][44][45].…”