With practice and a flashlight, nonprofessionals can become proficient in finding and destroying bed bugs. The process is made easier by reducing clutter, especially in bedrooms and sleeping areas. Bugs that are spotted can be removed with a vacuum (see previous discussion), or killed with over-the-counter insecticides labeled for such use. Most bed bug sprays intended for householders have little remaining effect after the spray has dried. Therefore it’s important to initially contact as many of the insects as possible with the spray droplets. Insecticide labels should be read carefully as some bed bug products should not be used on mattresses and seating areas. Some insecticides applied as powders or dusts (e.g., diatomaceous earth) will kill bed bugs although boric acid powder will not. However powders can be messy and difficult to apply, especially by nonprofessionals. Total release foggers (otherwise known as ‘bug bombs’) are ineffective against bed bugs and potentially dangerous when used incorrectly (see University of Kentucky entomology fact sheet Limitations of Home Insect Foggers).
Insecticides might also have their work cut out for them: Entomologists have known that the common bedbug has built up resistance to some typical insecticides such as those containing certain pyrethroid chemicals like deltamethrin, according to Entomology Today. Deltamethrin apparently paralyzes an insect's nervous system, according to Cornell University.
When you finish, throw out the vacuum bag to avoid spreading the bugs. If you use a shop vacuum or bagless vacuum, dump the contents you’ve collected into a bag, tie it up, and throw it out. And treat the filter and the inside of the canister with contact spray insecticide. Flat surfaces like walls and dresser tops can be wiped with alcohol. Wipe a small inconspicuous area first to see if the alcohol will damage the paint or finish.
Perform a quick inspection of the upper piping every time you change your sheets. Make a more thorough examination by folding the piping over and closely inspecting both sides all the way around, top and bottom. Do this a couple times a year or every time you flip or rotate your mattress. If you spot any signs, keep reading to learn how to get rid of bed bugs.
Treat or isolate your bagged items. For washable items research shows that dry cleaning, washing in hot water for 30 minutes, or tumble drying for 30 minutes on high will kill all stages of bed bugs. Non-washables are a little trickier.  Items that aren’t needed for a while can just be stored. It takes 2-5 months to kill bed bugs by isolating them in bags (the warmer the temperature, the shorter the survival time for starving bed bugs). Heating bags by placing in direct sunlight is one of the most effective methods during the warm summer months.  Seven pounds of items placed in clear bags in direct sunlight on a 95 degree day will get hot enough to kill all bed bug life stages in one afternoon.  Also, placing bagged items in a chest freezer (0 degrees F) for 8-10 hours is lethal for bed bugs and their eggs. Some toys may be disinfested by cleaning with hot soapy water and/or rubbing alcohol.
Have had the same issue. We finally used Diatemacios Earth. Haven’t seen any since we put it down 3 months ago. Drawback to using this is that the powder has to be there. As long as you can see the powder it is working. All baseboards, cracks, crevices and around beds. Even between the boxspring and mattress. It if food grade so it is not harmful to humans or animals.
It’s cost us about 3 to 6 hundred dollars to get them exterminated. Alcohol does kill on contact but it takes a lot more than that. Some things need to be bagged up until you can wash all clothes! They can live without feeding on your blood for months and months! I had them feeding on me but my husband worked outside and had darker skin so they weren’t biting him at first until they found his white legs! He was sporting a farmers tan.LOL
One method of applying freezing temperatures to bed bugs entails the use of carbon dioxide (CO2) applied as “snow” with a portable application device, i.e., Cryonite™. When applied directly onto bed bugs, the frozen CO2 will kill them. However, this method is similar to using contact pesticides, that is, there is no residual activity. It can kill only as many bed bugs as the applicator can find. The advantage of using this type of freezing device is that bed bugs may be killed quickly and without the use of more hazardous pesticides. Again, this is not a stand-alone treatment, and it is recommended that it be used as a supplemental to the application of residual pesticides and/or other means of control.
Buy “say bye bugs” I think its liquid diatemacious earth food grade, I put powder down on my couch took all loose wood off and they were hidden under material sprayed and dusted it with the diatemacious earth kills them on contact, of course you have to do it 10 days. Because even dead they can lay eggs……keep spraying every day, wash bedding in hot water dry at least 45 min on high heat, after you think they are dead, put mattress or furniture in bed bug bag for a year, because they can stay alive for a year without eating…om working on it going on 3 days now!!
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.
Inspection for bed bug infestations must be very thorough. Your primary tool is a flashlight. Since bed bugs are cryptic insects and spend most of their time hiding, you will need a flashlight to find them. You must move and/or disassemble some items while searching including beds, dressers, carpets and rugs. While you inspect, be alert for a bed bug smell which has been described as an obnoxious sweetness or fresh, red raspberries. You should also look for accumulations of cast nymphal skins and for stains of blood spots on sheets and linens. A common location for bed bug infestations is a box spring. The framework is often made of wood and contains cracks can crevices suitable for harborage. Other common areas include wall voids, behind switch plates, interior corners of bedside tables, under the edges of wall to wall carpeting, couches and stuffed chairs.
Next, apply a bed bug powder into confined areas where it won’t be stirred up into the air. Places like the edges of carpeting, inside deep cracks and wall voids, and inside electrical outlets and light switches (accessed by removing the faceplate with a screwdriver) are good candidates for powders, as sprays can’t reach into these areas quite as well. We recommend using a professional powder applicator, which offers better control when applying the powder.
When bed bugs are suspected, sleeping and resting places should be thoroughly inspected. Check all possible hiding places, mindful that bed bugs, especially the young nymphs and eggs, can fit into very tiny cracks and crevices. Don’t overlook places where pets rest, and where bats or birds have entered structures. In these instances, bat or bird bugs, not bed bugs, may be present. If bats or birds are a source of infestation, they should be excluded from the premises. Note that bats and most bird species are protected by law and should not be killed. Contact the Illinois Department of Natural Resources for guidelines on bat or bird exclusion and removal.
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”.
A number of vital tasks carried out during sleep help maintain good health and enable people to function at their best. Sleep needs vary from individual to individual and change throughout your life. The National Institutes of Health recommend about 7-9 hours of sleep each night for older, school-aged children, teens, and most average adults; 10-12 for preschool-aged children; and 16-18 hours for newborns. There are two stages of sleep; 1) REM sleep (rapid-eye movement), and 2) NREM sleep (non-rapid-eye movement). The side effects of lack of sleep or insomnia include:

To treat an allergic reaction, the doctor may prescribe an antihistamine, corticosteroid, or epinephrine injection. If the area is infected, he or she might prescribe an antibiotic or recommend an over-the-counter antiseptic. Finally, if it’s severe itchiness that you’re dealing with, applying corticosteroid or taking an antihistamine in pill or liquid form may be able to help.
Nightstands and dressers may need to be emptied and examined inside and out, and tipped over to inspect the woodwork underneath. Oftentimes the bugs will be hiding in cracks, corners, and recesses. Other common bed bug hiding places include: along and under the edge of wall-to-wall carpeting, especially behind beds and sofas; cracks in wood molding; ceiling-wall junctures; behind wall-mounted pictures, mirrors, outlets and switch plates; under loose wallpaper; clothing and clutter within closets; and inside clocks, phones, televisions and smoke detectors.
Most people use a combination of bed bug sprays and bed bug powders to kill off bed bugs fast. Bed bugs are notoriously difficult to get rid of and finding the right spray to eliminate bed bugs is not always easy. Many natural residual bed bug sprays contain natural ingredients that have a proven repellent and insecticidal action against these infesting bugs. Some feel that they have to resort to commercial bed bug sprays to completely get rid of an infestation of bed bugs.
It takes time and persistence to get rid of bed bugs, and in some cases, the cooperation of landlords, neighbors and others. It can be physically and emotionally exhausting. It can also be expensive when pest control companies are called in. Just remember - bed bugs are more of a nuisance than a health concern and, with vigilance, you can avoid or deal with infestations.
Steaming is a great option in rooms and areas where the use of pesticides must be limited due to health or other concerns. When using the steamer, take your time and slowly move the steamer across the item you are treating for the best possible treatment. We still strongly recommend you follow-up with an insecticide labeled for bed bugs in areas where it is permissible to do so. All steaming should be done prior to covering a mattress or box spring with a protective cover and applying insecticides.
It takes time and persistence to get rid of bed bugs, and in some cases, the cooperation of landlords, neighbors and others. It can be physically and emotionally exhausting. It can also be expensive when pest control companies are called in. Just remember - bed bugs are more of a nuisance than a health concern and, with vigilance, you can avoid or deal with infestations.
A hair dryer might seem like a safer way to kill bed bugs with heat. Unfortunately, their maximum temperature is rarely more than 150 degrees. That heat level can kill bed bugs, but only if you maintain the heat over them for several minutes. So unless you want to follow each bug you see around with a hair dryer until they eventually die, you’d probably be better off just hitting them with the thing.
Bring in only what is needed, and avoid sitting or placing coats and other items on beds, floors and sofas where the bugs commonly reside. Essential items can be placed on a tabletop or other hard surface, preferably away from bedrooms and sleeping areas. Better to sit on a hard (non-upholstered) chair than on sofas and recliners. Also try to avoid leaning or brushing against beds and upholstered furniture. If such items are carried out of infested dwellings (e.g., by sanitation workers or firefighters), it’s best to wrap them in plastic or at least not hold them against your body during transport. Emergency Medical (EMS) personnel may need to take additional precautions, such as removing a patient’s bed bug-infested shoes or clothing, or installing plastic sheeting before transporting them in the emergency vehicle.    
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