While encountering bed bugs in hotels is possible, typically only a small number of rooms have problems. If bed bugs are discovered, guests can request another room, preferably in another area of the building, since problems often extend to nearby units. Should you experience itchy welts suggestive of bed bug bites during your stay, it would be prudent upon returning home to place all clothing directly into the washer and/or dryer. Inspecting or vacuuming luggage upon arrival home is less useful since it’s hard to spot bed bugs inside a suitcase. The suitcase itself can either be treated or discarded. 
Bedbugs reproduce by a gruesome strategy appropriately named "traumatic insemination," in which the male stabs the female's abdomen and injects sperm into the wound. During their life cycle, females can lay more than 200 eggs, which hatch and go through five immature "nymph" stages before reaching their adult form, molting after each phase. [Infographic: Bedbugs: The Life of a Mini-Monster]
Itchy swollen bites may be the first sign of a bed bug problem. However, these itchy bites can take as long as 14 days to develop in some people, so it's important to look for other clues if you are concerned about an infestation. Bed bugs typically infest mattresses, box springs, bed frames, and couches. You may be able to find them hiding within the cracks and crevices of beds, furniture, floors, and walls. Bed bugs often leave evidence of small dark stains (fecal droppings) and rusty red spots (bloodstains) on bedding sheets, mattresses, and other areas they hide in or travel along. Heavy bed bug infestations can cause a sweet, musty smell.

Bedbug bites themselves are typically painless. However, the subsequent allergic reaction that may develop can cause intense pruritus. While feeding, bedbugs may inject one of several pharmacologically active substances, including hyaluronidase, proteases, and kinins. These compounds may induce different skin reactions, such as erythema, wheals, vesicles, or hemorrhagic nodules. Repeated bites may sensitize individuals, leading to more pronounced cutaneous manifestations or systemic hypersensitivity reactions. The local trauma from bedbug bites can lead to secondary bacterial infection, causing ecthyma, cellulitis, or lymphangitis. There is some evidence that bedbugs may also be a vector for hepatitis B and Chagas disease. Histologic findings from bite-site biopsy specimens typically show eosinophilic infiltrates, which are indicative of the allergic nature of the reaction. The image shown is papular urticaria, which may develop from bedbug bites.


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.
In a bed bug treatment, alcohol is basically an attempt to fill the role of a contact spray, which is an insecticide spray that kills bed bugs on contact. These sprays are proven to kill at a higher rate than rubbing alcohol could manage, and are extremely versatile in where they can be applied. Pair contact sprays with a couple of residual sprays, and you have a combination of chemicals that will kill bed bugs quickly now, and keep killing over the next few weeks.
In a bed bug treatment, alcohol is basically an attempt to fill the role of a contact spray, which is an insecticide spray that kills bed bugs on contact. These sprays are proven to kill at a higher rate than rubbing alcohol could manage, and are extremely versatile in where they can be applied. Pair contact sprays with a couple of residual sprays, and you have a combination of chemicals that will kill bed bugs quickly now, and keep killing over the next few weeks.
Prior to World War II, bed bug infestations were common. Since the development of synthetic organic insecticides such as DDT and chlordane almost 70 years ago, bed bug infestations in buildings have declined significantly - almost disappeared. In fact, in the United States, bed bug infestations have been exceedingly rare - almost non-existent - until a few years ago.
Bed bugs feed exclusively at night. They take approximately three to five minutes to engorge on blood. Once feeding is complete, they return to their harborage. Feedings take place every few days and nymphs require approximately six blood meals for complete development. Humans are the preferred host for the common bed bug, but it will feed readily on other animals, such as poultry, mice, rats, canaries, dogs, and cats, when necessary. Normally the bugs feed at night, but they will feed during daylight hours in places such as theaters, offices, and rest rooms that are not ordinarily used at night.
Stripping and vacuuming the mattresses and box springs, and encasing them.  Double bag your bedding and wash in hot water and dry for at least 30 minutes (discard the inner bag after putting bedding into the washer, as it could have bed bugs).  After vacuuming suspected bed bugs from the bed, take your vacuum cleaner outdoors and remove and discard the bag.  Purchase a good quality set of bed-bug-proof encasements for your mattresses and box springs. Bed bug-proof encasements are fabric sacks into which you slide your mattress or your box spring. The zippers on bed bug encasements are designed to be tight enough to prevent even the smallest life stages of the bed bugs from escaping. Also, good bed bug-proof encasements are woven to prevent bed bugs from biting you through the encasement. A good encasement will trap all bed bugs in the mattress and box spring inside, and will be smooth on the outside, providing few places for bed bugs to hide. Sears, Target, Walmart and other stores may sell bed bug-proof encasements, but these can also be purchased online. A good place to look for different brands and reviews of mattress encasements is Amazon.com (whether you buy there or at a local store). Go to http://www.amazon.com and search for “bed bug mattress protectors”.
To use sprays effectively to eliminate all traces of bed bugs, you need to know the signs of a bed bug infestation. The first sign that you may have bedbugs are some itchy bite marks on your skin when you wake up in the morning. Dr. Carol DerSarkissian on WebMD says that the bites from bed bugs cause red itchy bumps on the skin.3 You can learn about their other signs and symptoms in my articles on what do bed bug bites look like.
Should I worry about a tick bite? Ticks are parasites that feed on blood, and although their bites are harmless they can still transmit diseases, such as Lyme disease or Rocky Mountain spotted fever. Learn what ticks are and how to recognize the signs and symptoms of a bite. This MNT Knowledge Center article also explains how to prevent tick bites. Read now
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