If all other options have been exhausted, you may need to seek a professional PMP (Pest Management Professional). There are pesticides that are approved for professionals to use during a infestation. These pesticides, however, are not always effective, and typically not as effective as steam cleaning, excessive heat, or excessive cold. The exterminator may opt to treat the area with carbon dioxide.
A flashlight:  Bed bugs hide in dark areas and in cracks and crevices.  Bed bugs are a dark red to brown color, but they can be light brown if they haven’t been feeding. This makes it very hard to see them. When hunting for bed bugs hold your flashlight parallel to the surface being inspected, this will cause eggs and small bed bugs to cast a shadow, making them easier to find.
Bed bugs often hide in seams, folds and crevices of mattresses, box springs, bed frames and headboards. A thorough inspection requires dismantling the bed so that upper and lower seams and surfaces can be examined. Things to look for are the bugs themselves, shed skins of the nymphs (immature bed bugs), and the blackish fecal spots. The dark spots of dried bed bug excrement are often present along mattress seams or wherever the bugs have resided. Box springs afford many places for bed bugs to hide, especially along the upper seams and underneath, where the bottom edge of the box rests on the frame. If an underlying dust cover is present, it may have to be removed to gain access for inspection and possible treatment. Successful treatment of mattresses and box springs can be difficult, however, and infested ones may need to be discarded or encased in a protective cover. 
While alcohol can kill bed bugs on contact, it’s not going to kill nearly enough of bed bugs to be considered effective. In lab studies, even 99 percent concentrations of alcohol only killed between 40% to 60% of the adults that were sprayed. On top of that, alcohol has no long-lasting residual effect, and doesn’t affect bed bug eggs. 60% sounds good, but a contact killer should be able to kill a lot closer to 100% of the bed bugs you see. Otherwise, a shoe or a blowtorch would be the more reliable tool for the job. (Editor’s note: please don’t use a blowtorch.)
Mix 8 ml (about 1/3 oz)(measurements on the bottle) or one 8 ml vial of Temprid FX with one gallon of water. Remember to use what you mix-within 24 hours. Adjust the spray pattern to a mist by turning the nozzle. A low fine mist is best for most spraying, but you may need to use a stream to get into some cracks and crevices. If you can't get into the cracks and crevices use one of the aerosols described below with it's crack and crevice tips to reach into these areas.
Because bed bugs have become so prevalent in the past few years, many fear they’ll be their next victim. They became so anxious and paranoid of the possible bed bug presence. If you eliminate the pests though, you could have a certain sense of peace knowing that you would not be bothered or bitten them. However, you wouldn’t be able to sleep well for long if you would not kill bed bugs right and continuously do the bed bug preventive steps.
While alcohol can kill bed bugs on contact, it’s not going to kill nearly enough of bed bugs to be considered effective. In lab studies, even 99 percent concentrations of alcohol only killed between 40% to 60% of the adults that were sprayed. On top of that, alcohol has no long-lasting residual effect, and doesn’t affect bed bug eggs. 60% sounds good, but a contact killer should be able to kill a lot closer to 100% of the bed bugs you see. Otherwise, a shoe or a blowtorch would be the more reliable tool for the job. (Editor’s note: please don’t use a blowtorch.)
One of the many uses of tea tree oil around the house is to use it as a DIY natural bed bug spray. Tea tree oil contains compounds that have an insecticidal effect against insects as well as their larvae and eggs. Although no direct studies have been published on the effect of tea tree oil on bed bugs, research has shown that it has a lethal effect on many bugs and insects.
1. Mattress Safe Encasements: Mattress Safe Products are bed encasements to place over your mattress or boxspring so you don't have to throw them away. They are bedbug certified. If using a labeled insecticide on the mattress or boxspring first, apply on mattress or box springs then zip it up. It has a patented hook to keep the bed bugs inside the encasement so they cannot escape. Keep the encasement in place for one year (due to bed bug life cycles).
You can check bedding, mattresses, furniture, and crevices in walls for bed bug infestation. Do your inspection just before dawn, which is when they are the most active. The bugs will be larger and slower after feeding. Bedbugs will quickly flee from light, so live bugs are best located in the folds and seams of mattresses and sheets. Bedbugs are about the size of an apple seed, about 1/4 inch long. They change from light brown to purple-red after feeding. You may also see their eggs, which are about the same size as the adults. The eggs will often be in seams, cracks, or crevices.
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The type of reaction provoked depends on previous exposure; repeated bites may lead to an allergic reaction, which may lead to pronounced cutaneous manifestations. Some patients show a severe systemic hypersensitivity to arthropod allergens. The site of the bite can also become secondarily infected with bacteria infection and lead to ecthyma, cellulitis, and/or lymphangitis.
Mattress Encasements:  Mattress encasements are large “fabric bags” that you place a mattress inside. Once zippered closed, any surviving bed bugs will eventually starve. You will need an encasement for each mattress and box-spring in your home. If there are bed bugs in your mattress or box-spring they will start to die within two weeks, inside an encasement, but encasements should be left on for at least a year.There are many types of encasements so it is important to make sure you use an encasement designed for bed bug control. 
Determine which rooms are infested. Bedrooms are the principal locations for bed bugs; however, any room where people sleep in the home may provide harborage for bed bugs. Living rooms with sofas and sofa beds are the next most common sites for bed bugs. Typically an infestation starts in one room and spreads slowly to other places where people sleep.  The sooner you find and treat bed bugs the easier it will be to get rid of them.  Wait too long and bed bugs may be found throughout your home.
Human infestation with bedbugs, lice, and mites are common causes of dermatologic symptoms. Although these organisms thrive in conditions of overcrowding and decreased sanitation, Americans of all socioeconomic backgrounds may be at risk for infestation. Clinicians must maintain high suspicion in the appropriate set of clinical circumstances to identify and treat infestations, as they can cause substantial dermatologic and psychological discomfort for patients. Images courtesy of the US Centers for Disease Control and Prevention.
While your laundry cycle is running, use a vacuum cleaner to remove any bed bugs, shells, fecal droppings, or eggs that might be along the seams of your mattress, pillows, box spring, and along the cracks and crevices in the bed frame, headboard, and footboard. Follow up the vacuuming with a high pressure steamer to penetrate deep inside mattresses, box springs, bed frames, headboards, and footboards to kill bed bugs and eggs on contact.

Bedbugs are found all over the world. Bed bug infestations were common in the U.S. before World War II and became rare after widespread use of the insecticide DDT for pest control began in the 1940s and 1950s. They remained prevalent in other areas of the world and, in recent years, have been increasingly observed again in the U.S. Increases in immigration and travel from the developing world as well as restrictions on the use of stronger pesticides may be factors that have led to the relatively recent increase in bedbug infestations. While bedbug infestations are often reported to be found when sanitation conditions are poor or when birds or mammals (particularly bats) are nesting on or near a home, bedbugs can also live and thrive in clean environments. Crowded living quarters also facilitate the spread of bedbug infestations.

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.


We are often asked, "How do you kill bed bugs?" While we would love to give a simple answer, this is actually a loaded question. There are many ways to kill a bed bug but, if you want to kill all of the bed bugs in your home or business, it is important to pay attention to the details. Here are some ways you can kill bed bugs, and what you should know about each.
Mattress Encasements:  Mattress encasements are large “fabric bags” that you place a mattress inside. Once zippered closed, any surviving bed bugs will eventually starve. You will need an encasement for each mattress and box-spring in your home. If there are bed bugs in your mattress or box-spring they will start to die within two weeks, inside an encasement, but encasements should be left on for at least a year.There are many types of encasements so it is important to make sure you use an encasement designed for bed bug control. 
^ Johann Friedrich Wolff; Johann Philip Wolff. "According to Scopoli's 2nd work (loc. cit.), found in Carniola and adjoining regions. According to Linnaeus' second work on exotic insects (loc. cit.), before the era of health, already in Europe, seldom observed in England before 1670". Icones Cimicum descriptionibus illustratae. p. 127. Retrieved 1 December 2016. fourth fascicle (1804)

Desiccant dusts.  Two low toxicity dusts with good effectiveness include silica aerogel and diatomaceous earth (DE).  Both of these dusts are low risk to humans, and work by desiccating, or drying out, bed bugs that come in contact with it. Silica aerogel is, in some studies, superior for this purpose.  It is sold under various trade names including Tri-Die™ and CimeXa™.  Diatomaceous earth can also be effective.  Look for DE for insect control–it is not the same product as diatomaceous earth used in swimming pool filters, which is dangerous to breath. Some pest control companies now use desiccant dusts extensively in bed bug control. These relatively inexpensive dust can be purchased online or in garden centers or hardware stores. Look for products labeled for indoor use and lightly dust all accessible crack, crevices and voids.  A paint brush is useful for applying these dusts to seams and crevices in sofas and mattresses, along baseboards and inside drawers and dresssers.
People don't often consider bed bugs until they've left their mark. The appearance of flat, red welts in zigzag lines or small clusters is a key sign of bed bugs on humans. Bed bugs can also leave their bites in straight rows and, while they don't spread diseases to humans, their bites are quite irritating and scratching them can lead to bleeding and infection.
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