dermatologic disorders
Bedbugs
Treatment of Bedbugs
Symptomatic treatment Eradication and prevention of infestations Bedbug bites are treated symptomatically (eg, with topical corticosteroids and/or systemic antihistamines) as needed. Eradicating bedbugs is difficult and is closely linked to detection. Eradication typically requires a multipronged approach and includes accurate detection and monitoring techniques, nonchemical modalities, and chemical agents. Nonchemical control options include exposure to extreme temperatures, exclusion, and physical removal ( Treatment references ). Physical removal includes vacuuming affected areas and laundering suspect articles, then drying them on the dryer's hottest setting. In addition, entire rooms should be treated professionally, when possible, by heating to temperatures ≥ 50° C (122° F) or with multiple insecticides. The use of insecticides is limited largely because of issues with resistance. Bedbugs and eggs on infested items are killed when frozen at -20° C (-4° F) for at least 2 hours; however, placement in most home kitchen freezers is typically insufficient ( Treatment references ). 1.Doggett SL, Lee CY: Historical and contemporary control options against bed bugs,Cimexspp.Annu Rev Entomol68:169-190, 2023. doi: 10.1146/annurev-ento-120220-015010 2.Parola P, Izri A: Bedbugs.N Engl J Med382(23):2230–2237, 2020. doi: 10.1056/NEJMcp1905840 