Bed bugs are small, flat insects that feed on our blood, typically at night, while we are sleeping. Adult bed bugs are about 1/4 of an inch long, have flat, rusty-red-colored oval bodies, and look like an apple seed. They feed for about 3-10 minutes and their bodies swell and become bright red. During the bed bug life cycle, a female can lay 200-400 eggs depending on food supply and temperature. Bed bugs don't fly, but can quickly walk across floors, walls, and other surfaces.

Wash all linen on hot, dry on hot setting. Gather all linen, cloth and leather bags, mattress covers, clothing, teddy bears... etc. Machine wash on hot - wash the laundry bag also. Tumble dry on hot. Steam kills bed bugs. Some metropolitan areas offer bed bug laundry and dry cleaning services which have the added benefits of proven methods for killing bed bugs and bagging or storing cleaned items so they do not become re-infested while the home is still being exterminated.
Heat Treatment – this method kills bed bugs with heat. This could be implemented on clothes by putting them in a drier at a high temperature for 30 minutes. In a room, the use of heating devices could kill even the eggs and the nymphs of bed bugs at certain levels temperature at different durations of time. Ideally, to kill bed bugs in all stages, the temperature must be 115 degrees F or 46 degrees C.
Bedbugs often invade new areas after being carried there by clothing, luggage, furniture or bedding. The creatures don't discriminate between dirty and clean homes, which means even luxury hotels can be susceptible to bedbugs. The most at-risk places tend to be crowded lodgings with high occupant turnover, such as dormitories, apartment complexes, hotels and homeless shelters.
Bed bugs like to travel and are good hitchhikers. They will hide in suitcases, boxes and shoes to be near a food supply. They are elusive, nocturnal creatures. They can hide behind baseboards and in cracks, crevices, and folded areas of beds, bedding and adjacent furniture, especially mattresses and box springs. Bed bugs can also hide in electrical switchplates, picture frames, wallpaper and nearly anywhere inside a home, car, bus, or other shelter. Bed bugs usually come out at night for a blood meal. However, they are opportunistic insects and can take a blood meal during the day, especially in heavily-infested areas. Bed bugs usually require 5-10 minutes to engorge with blood. After feeding, they move to secluded places and hide for 5-10 days. During this time in the bed bug life cycle, they do not feed but instead digest their meal, mate, and lay eggs.
Insecticide Application This is the most common way to get rid of bedbugs, Lazarus says. Oftentimes, the professional will use several different products to effectively treat the area, though it may take a few rounds to ensure removal. “The advantage to this method is that the residual insecticide will continue to offer protection for a period of time,” Lazarus says. “The biggest drawback is that the preparation for service is time-consuming and must be repeated prior to each service.”
Bed bugs are attracted to their hosts primarily by carbon dioxide, secondarily by warmth, and also by certain chemicals.[4][16][17][18] Cimex lectularius only feeds every five to seven days, which suggests that it does not spend the majority of its life searching for a host. When a bed bug is starved, it leaves its shelter and searches for a host. It returns to its shelter after successful feeding or if it encounters exposure to light.[19] Cimex lectularius aggregate under all life stages and mating conditions. Bed bugs may choose to aggregate because of predation, resistance to desiccation, and more opportunities to find a mate. Airborne pheromones are responsible for aggregations.[20]
The Diatomaceous Earth seems to kill them and centipedes. Didn’t even know I had those til I put powder down to prevent bed bugs and found one curled up dead. It dries them out and kills them. Works great! I’ve heard boric acid doesn’t work on bed bugs but I do know it works wonders on killing roaches. My sister had them in an apartment & boric acid wiped them out!
Scrub infested surfaces with a stiff brush to dislodge eggs. Vacuum the room extensively. Use a vacuum hose attachment to thoroughly vacuum cracks and crevices on furniture and along baseboards on the walls. Vacuum along baseboards, furniture, bed stands, rails, headboards, foot boards, bed seams, tufts, buttons, edges of the bedding, as well as the edges of the carpets (particularly along the tack strips). A good vacuum cleaning job may remove particles from cracks and crevices to encourage greater insecticide penetration. Bed bugs cling tightly to surfaces, so it is best to vacuum by scraping the end of the vacuum attachment over the infested areas to pull out the bed bugs. Caution: It is not good to use a bristle attachment, because you may transfer bed bugs to other areas since they cling to the brush. Dispose of vacuum cleaner bags after you are finished in an outdoor trashcan.

Bed bug bites usually do not pose a serious medical threat. The best way to treat a bite is to avoid scratching the area and apply antiseptic creams or lotions and take an antihistamine. Bed bug infestations are commonly treated by insecticide spraying. If you suspect that you have an infestation, contact your landlord or professional pest control company that is experienced with treating bed bugs. The best way to prevent bed bugs is regular inspection for the signs of an infestation.
Turns out, C. lectularius is also forming a resistance to other insecticides, according to a study published online April 10, 2017, in the Journal of Economic Entomology. The researchers, from Purdue University, found that three out of 10 bedbug populations collected in the field showed much less susceptibility to chlorfenapyr, and five of the 10 populations showed reduced susceptibility to bifenthrin, according to a post on Entomology Today. The scientists defined "reduced susceptibility" as a population in which more than 25 percent of the begbugs survived after seven days of exposure to the particular insecticide.

Other types of bed bug traps include those that do not rely on humans as bait, but instead use CO2and/or other attractants. CO2 is thus far the most powerful lure for bed bugs, as it is the primary cue they follow to locate hosts. Traps that issue CO2 for a period of time are more expensive than Climbup™ traps, but can effectively trap bed bugs when no host is present, such as in common areas, vacant homes or units, offices, schools, and theaters. Thus they can help confirm infestation and eradication.


Once Step 2B is complete and the insecticide mixture is dry, you can follow up with a bed bug aerosol spray. Bed bug aerosol sprays are insecticides that have fine particles that get deep into cracks and crevices. By using both a liquid concentrate insecticide mixture and an aerosol spray, you can treat bed bugs that may have built up a resistance to one product but not the other.
Bed bugs are highly vulnerable to heat; exposing them to a certain amount of direct heat will kill them instantly, while lower temperatures can kill them in a matter of minutes. This is why many forms of heat treatments are recommended. Some methods, such as steamers and portable heaters, have been proven effective through professional use and are quickly becoming standard issue in holistic treatment arsenals.
Traps aren’t an effective way to wipe out a bed bug infestation, but they’re an excellent way to determine whether you have them. Set traps in areas where they may hide or travel, like near baseboard trim or under nightstands. If they aren’t living in your mattress or other parts of your bed, that means they need to travel up the legs of the bed frame to get to you, so place traps there as well.
They come out at night to find food, which in their case means blood. Bedbugs have a special ingredient in their saliva (spit) that keeps blood from clotting while they feed, typically at night in areas where people sleep. After their blood meal, bedbugs don't stay on a person for long. Instead, they hide nearby, often in clothing or luggage, allowing them to spread when belongings move to another location.
Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: University of Alabama at Birmingham; University of Alabama Health Services Foundation
Serve(d) as a speaker or a member of a speakers bureau for: Ferndale Laboratories
Received research grant from: NIH, Veterans Administration, California Grape Assn
Received consulting fee from Astellas for review panel membership; Received salary from Massachusetts Medical Society for employment; Received salary from UpToDate for employment. for: Astellas.

Oil-based products have been so frequently touted as natural bed bug killers that they’ve even attracted government intervention. The Federal Trade Commission has charged multiple companies with deceptive advertising for overhyping their cedar oil-based products’ ability to treat an infestation. By claiming that their products can stop and prevent bed bug infestations, these marketers opened the door to government lawsuits for misleading their customers.
Prepare the room by separating treated from untreated furniture.  This will involve moving all your furniture to one side of the infested room (Remember, you’ve already assessed which rooms you think are infested.  You may not need to do this in every room).  The process is important because if you treat half of the items in a room and leave other areas untreated, bed bugs may return to the previously treated areas from untreated sites. Take all clothes from drawers, infested closets, etc. and double bag them in clear plastic bags (clear bags are easier to see where things are). Also double bag all personal items (toys, papers, books, electronics, CDs, or anything that could serve as a hiding place for bed bugs) and set them aside until they can be carefully treated, cleaned or inspected. 
The second technique is by doing a bed bug treatment by yourself using a chemical solution. Though this method offers quick results and is a bit inexpensive, still this is a risky process. Like the hiring of an exterminator that uses chemical pesticides, it presents several health risks and could cause asthma, allergies, breathing difficulties and even poisoning. Another problem is that, studies about the said pests found out that bed bugs are now becoming resistant to chemical pesticides.
Traps aren’t an effective way to wipe out a bed bug infestation, but they’re an excellent way to determine whether you have them. Set traps in areas where they may hide or travel, like near baseboard trim or under nightstands. If they aren’t living in your mattress or other parts of your bed, that means they need to travel up the legs of the bed frame to get to you, so place traps there as well.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
What’s the best way to get rid of bed bugs? Stop feeding them. To prevent those unwanted dinner guests, isolate your mattress from the rest of the room. Start by pulling the bed away from the wall and away from other furniture like nightstands and chairs. Remove box spring skirting that hangs down to the floor. Oversize blankets that drape to the floor can also act as a ladder for the little buggers.
Bed bug infestations usually occur around or near the areas where people sleep. These areas include apartments, shelters, rooming houses, hotels, cruise ships, buses, trains, and dorm rooms. They hide during the day in places such as seams of mattresses, box springs, bed frames, headboards, dresser tables, inside cracks or crevices, behind wallpaper, or any other clutter or objects around a bed. Bed bugs have been shown to be able to travel over 100 feet in a night but tend to live within 8 feet of where people sleep. 

Bed bugs tend to live in clusters similar to German cockroaches. Adult bed bugs generally travel 15 to 20 feet, or less, from their harborage sites. Common bed bugs feed on human blood just below the surface of the skin with their piercing-sucking mouthparts. Those bitten by a bed bug may develop small, white to red, hard welts at the bite site. These bites itch intensely.
Just to be clear, you can kill bed bugs with heat. It’s just a matter of using the right equipment. A high-pressure steamer is the weapon of choice for killing bed bugs on contact, since their steam can surpass 200 degrees, and can penetrate deep into soft materials like mattresses and upholstered furniture. You can also use a steamer on more than just clothes or other fabrics; a steamer can kill bed bugs hiding along baseboards, floorboards, window sills, door frames, and the edges of the carpet.
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Low toxicity contact sprays like SteriFab™ or Bedlam® are likely to kill bed bugs only on contact. Alcohol- and soap-based sprays, are only partly effective. All of these products, once dry, are likely to provide no further control. Eggs will not be killed by alcohol-based sprays, so repeat treatments are usually needed. Be careful when using sprays containing alcohol because they may be flammable.
As per mentioned, when you shift your furniture to located these bed bugs, you alert them and they may move from one infested room to another, which could be spared from in the first place. Therefore, when you spot signs of bed bugs early, be careful not to shift furniture, drawers and closets around too much. Wait for your pest control expert to advice.
Some patients develop blisters filled with blood or bloody fluid, especially on the arms and legs. These blood blisters are extremely rare and can burst, causing bleeding or oozing of the bloody fluid. Healthcare providers are not sure if the cause of these blisters is related to the bug or the human but have found groups of patients that were all bitten by bugs on the same train exhibiting this sign.

Use your vacuum's nozzle attachment to capture the bed bugs and their eggs. Vacuum all seams and crevices on your mattress, bed frame, baseboards, and any other objects close to the bed or furniture in the home found to be harboring bed bugs. It is essential to vacuum daily and immediately place the vacuum's contents into a sealed plastic bag and throw it away in an outdoor garbage can.


Systematically examine and treat all furniture (beds, bed frames, dressers, chairs, couches, night stands, etc.) following the same procedures and recommendations above. As a piece is treated it can be returned to the parts of the room that have been treated.  Note that furniture should be taken apart, drawers and cushions removed in order to inspect and treat every nook and cranny. When treating upholstered furniture, pay attention to each welt, button and fold. You may wish to discard low-value, stuffed furniture that is infested and too difficult to treat.  After spraying, return each article of furniture to the part of the room that has been treated. Do not reintroduce any furniture or other items to the treated room until they have been thoroughly cleaned, inspected or treated.
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