This includes identifying the bed bugs, assessing the structure and considering your treatment strategy. Bed bugs generally hide in cracks and crevices during normal daylight hours. They enter such areas easily because of their extremely flattened bodies. Typical hiding places are in the folds and tufts of mattresses, coils of springs, cracks and hollow posts of bedsteads, and upholstery of chairs and sofas. However, they are not restricted to these places. In heavy infestations, bed bugs are frequently found in places such as behind loose wallpaper, behind pictures on the wall, under door and window casings, behind baseboards, and even in light fixtures or medicine cabinets. When inspecting for bed bugs, you must look in any place that offers darkness, isolation, and protection.
Prior to the widespread use of synthetic insecticides, this small, brown blood-sucking bug was perhaps the most unwanted pest in America. The insidious bed bug was loathed even more than the cockroach. Although the bug’s impact was greatly reduced by insecticides during the 1940s and 1950s, it remained an occasional invader of homes, hotels and shelters. Pest management professionals now agree that bed bugs have become the most difficult pest to control.
Bed bugs are very resilient. Nymphs and adults can persist months without feeding which is unusual for most insects. The ability to survive without a blood meal is longer at cooler temperatures ― potentially up to a year or longer at 55°F or less. In temperature-controlled buildings, a more typical duration is about 2 to 6 months. Consequently, it is usually impractical to leave buildings unoccupied in hopes of ‘starving out’ an infestation. When infested dwellings such as apartments are vacated, bed bugs often disperse to nearby units, or reduce their activity until the unit is reoccupied. 
Adult bed bugs are brown, 1/4 to 3/8 inch long, and have a flat, oval-shaped body. Young bed bugs (called nymphs) are smaller and lighter in color. Bed bugs hide in a variety of places around the bed. They might also hide in the seams of chairs and couches, between cushions, and in the folds of curtains. They come out to feed about every five to ten days. But they can survive over a year without feeding.
Bed bugs were mentioned in ancient Greece as early as 400 BC, and were later mentioned by Aristotle. Pliny's Natural History, first published circa AD 77 in Rome, claimed bed bugs had medicinal value in treating ailments such as snake bites and ear infections. (Belief in the medicinal use of bed bugs persisted until at least the 18th century, when Guettard recommended their use in the treatment of hysteria.[51])
Systematically treat the room–all cracks and crevices around windows, outlets, blinds, pictures, posters and clocks on walls, baseboards, under edges of carpets and any other crevices or void areas in the room. Remember that immature bed bugs are very tiny. Dozens of bed bugs can hide in a recessed screw hole in a bed frame or dresser. Therefore it’s important that no hiding place be overlooked. Treatment can include vacuuming, but should not be limited to vacuuming only. Vacuums do not remove eggs, and will likely not remove all bed bugs from deeply infested cracks and crevices. Vacuums can remove many bed bugs from mattresses and the exterior of box springs (remember to immediately double-bag the vacuum bag after cleaning and dispose of outside in a trash can or dumpster). Sticky tape is another method of picking up bed bugs from furniture, walls, etc.

Items that cannot be placed in a washer or dryer can sometimes be de-infested by wrapping them in plastic and placing them outdoors in a hot, sunny location for at least a day (for example, on pavement or in a closed vehicle parked in the sun). Packing items loosely in garbage bags and elevating objects off the ground helps the heat permeate further, and will make it harder for bugs to find a cool place to hide. Monitoring with a thermometer is prudent to ensure that a temperature of at least 120°F is achieved wherever the bugs may be. 

"In the past, bedbugs have repeatedly shown the ability to develop resistance to products overly relied upon for their control. The findings of the current study also show similar trends in regard to chlorfenapyr and bifenthrin resistance development in bedbugs," study researcher Ameya Gondhalekar, research assistant professor at Purdue's Center for Urban and Industrial Pest Management, said in the Entomology Today statement. "With these findings in mind and from an insecticide resistance management perspective, both bifenthrin and chlorfenapyr should be integrated with other methods used for bed bug elimination in order to preserve their efficacy in the long term."
Español: matar chinches, Italiano: Liberarsi delle Cimici da Letto, Русский: избавиться от постельных клопов, Deutsch: Bettwanzen loswerden, Français: se débarrasser des punaises de lit, Nederlands: Bedwantsen bestrijden, Čeština: Jak se zbavit štěnic, 中文: 清除床虱, Português: Acabar com os Percevejos, Bahasa Indonesia: Membasmi Kutu Busuk, हिन्दी: खटमलों से छुटकारा पायें, العربية: التخلص من بق الفراش, ไทย: จัดการตัวเรือด, Tiếng Việt: Diệt trừ rệp, 한국어: 빈대 퇴치하는 법, Türkçe: Tahtakurularından Nasıl Kurtulunur, 日本語: トコジラミを退治する
Treat mattress box spring and furniture voids with Cimexa Dust or Delta Dust. Turn bed box springs over and remove the cloth cover seal. Thoroughly inspect and treat the box springs area with insecticidal dust. After treatment replace the cloth cover seal with staples or screws. Hollow bed-frames, platforms, headboards and any other voids discovered during inspection should also be treated where possible. The upper mattress can be sprayed and treated with Bedlam Plus, Zenprox or Sterifab.
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.
Bed bug bites are caused primarily by two species of the insect Cimex: Cimex lectularius (the common bed bug) and Cimex hemipterus.[3] Their size ranges between 1 and 7 mm.[7] They spread by crawling between nearby locations or by being carried within personal items.[2] Infestation is rarely due to a lack of hygiene but is more common in high-density areas.[8][2] Diagnosis involves both finding the bugs and the occurrence of compatible symptoms.[5] Bed bugs spend much of their time in dark, hidden locations like mattress seams or cracks in the wall.[2]
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.
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.”
The life cycle stages of a bed bug are egg, nymph, and adult. The reason they are called bed bugs is that they readily infest mattresses, bed frames and box springs. Eggs are laid along the edges of or around buttons on the mattresses. Eggs can also be glued to rough surfaces. Bed bug females lay about 200 eggs, usually at the rate of three or four a day. Eggs are placed in cracks, crevices and other isolated and protected shelters. Females lay eggs after a blood meal. Eggs will hatch in one or two weeks into Nymphs. Newly hatched bugs (Nymphs) begin feeding immediately. At room temperature, and with an available food supply, the nymphal period will last 14 to 30 days. They shed their skin (Instar) five times before becoming adults. Bed bugs will mate soon after becoming mature, so the time from egg hatch to egg laying is 4 to 9 weeks, under favorable conditions. The average life span of the bed bug is 6-12 months and they feed every 10 days or so during this time. Bed bugs can survive many months without a blood meal and their reproduction is high.
Alcohol. 90% works best. On contact … also…they go where the blood is…. you must wash everything in very hot water. Then put freshly washed and folded clothes in clean plastic bags. Store for as long as possible… spray Carpet.. baseboards..clothes bedding..mattresses.. etc.. etc.. you can buy a large sprayer at walmart for $5.00 . Saves time… do not spray alcohol on some items. It will ruin. Your leather…shoes. Luggage purses..etc..
Bedbugs are a species of insect known as cimex lectularius (literallycimex is Latin for bug and lactularius is Latin for bed). There is a second common species of bedbugs known as cimex hemiptera. These are known as the tropical bedbugs, staying within 30 degrees of the equator. There are published reports, many without supporting evidence, that each of the common bedbug species has chemically different saliva. Some researchers, however, have found no difference in the reactions caused by each species.
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Many news reports in recent years have focused on the discovery of bedbugs and their health effects (even in upscale five-star hotels), and a number of lawsuits have been filed by guests of fashionable hotels who awoke to find hundreds of bedbug bites covering their skin. Searching on travel-review web sites regularly reveals information and even photos confirming the presence of bedbugs in numerous hotels.
Killing all bed bugs on your bed frame and headboard. Normally this would be done by a pest control professional. Approximately 70% of all bed bugs in the typical infestation are located on the mattress, box spring and bed frame.  You’ve encased the mattress and box spring and taken care of that problem.  Now you have to make sure that your bed frame is bed bug free. Vacuuming alone won’t do this.  Vacuuming can remove many bed bug adults and nymphs, but it isn’t very good at removing eggs.  For this job you’ll need insecticide sprays and possibly dusts to treat every crevice and void in your bed.  For insecticide spray and dust options see below. Remember that insecticides can be hazardous if you don’t follow label directions.  Read the whole label before spraying or dusting.  The label directions are the law and failure to follow the label not only puts you and your family at risk, it is against the law.  Homemade sprays, by the way, are usually less safe than commercial insecticides.  Stick with the legal stuff. 

2. Active Guard Liners: Active Guard Mattress Liners may be placed on beds and are effective as both preventative and active bed bug treatments. They kill bed bugs and dust mites within 72 hours and will prevent bed bugs from infesting mattresses. ActiveGuard Liners act like a fitted sheet; it comes in single, full, queen, and king sizes that fit up to 17" in depth.
In order to get rid of this pest, you need to understand how it works. Getting rid of bed bugs can be a tricky task because they are expert hitchhikers. The best thing you can do is to entrust the task with an experienced pest control professional. However, if you are planning to do it yourself, I've provided you great tips and information about bed bugs to help you in your battle. That way, you can use your knowledge to eliminate them and keep them away.
Once the mattress and box spring are dry, encase them in sealed bed bug encasements. Encasements are crucial, as they prevent bed bugs from entering or escaping the mattress and box spring, cutting off key hiding places. Remember to leave the encasements on for at least 18 months to ensure that any bed bugs already inside have starved to death. Once the encasements have been applied, you can put your mattress and box springs back on your treated bed frame, and put your laundered bedding back on your bed.

We kept feeling something crawling on us when we sat on tge couch. Then tiny bites Started appearing. After months of trying various cleaning approaches, we contacted Terminex. Their inspector found two bedbugs in the seams of a chair in the bedroom , but nothing on the sofa. They charged me a thousand dollars and steam cleaned both the bed, chair and sofa. About 10 days later, we started getting bites again. Terminex came and “dusted” the areas thus time. This continued for a a few months and them the “inspector” from Terminex said they could fund no signs of the bugs rhe last few times and he thought misquitoes were probably biting us. It has been months now and the problem has worsened. Now I get horrible welts when bitten and we constantly look for tangible signs: excrement, bugs in tape, anything before we call a different extermination company but life has become unbearable. We can’t have guests over because we fear they’ll become infected. It has been and is a truly awful experience.

Most bed bug bites go away by themselves and don't need treatment. Keep the skin clean and try not to scratch. Over-the-counter, anti-itching cream for insect bites can help relieve the itching. If the bites are very itchy, your health care provider may prescribe cream or antihistamines to relieve the itchiness. Oral antibiotics may be prescribed for any secondary skin infection from excessive scratching.
Once bed bugs and their hideouts are discovered, a pesticide-free solution is to vacuum and dispose of the bag in a tightly sealed garbage bag or trash container. Vacuuming can pick up bed bugs, but bed bug eggs are less susceptible to vacuuming because they are sticky and adhere to surfaces. Moreover, vacuum cleaners can be sources of bed bug distribution. Not all bed bugs are killed when vacuumed. Those that survive may escape from vacuum cleaners and be transported elsewhere if canisters and bags are not disposed of carefully. In addition, bed bugs and their eggs may remain in the brushes and attachments of vacuum cleaners, where they can be transported to other rooms or units. For these reasons, the decision to vacuum should be carefully considered. Where vacuuming is done, it should be done with great care to avoid spreading infestations.

Bedbug bites, like all insect bites, can become infected through excessive scratching, as underneath the fingernails lies a host of bacterial pathogens. If your bites become infected, they will appear red and swollen, feel tender and may drain pus. Typically there will not be a fever unless a substantial area of the skin is involved. If you experience any of these symptoms, you must seek medical attention as it points to a secondary infection. Your physician may prescribe antibiotic therapy or, if the infection is mild, an antiseptic medication that you can buy without a prescription.[12][13][14]


After bedbugs find a food source, they bite down with their mouths and inject anticoagulant and anesthetic compounds into the skin. Depending on the species, these parasites feed on the host blood via 1 of 2 mechanisms. Vessel feeders directly insert their mouthparts into superficial capillaries, whereas pool feeders damage the superficial tissue and feed on the accumulated blood. As bedbugs feed, their color may change as they swell with the host blood, as shown in this picture of a larval bedbug feeding on a volunteer host. Image courtesy of the US Centers for Disease Control and Prevention (CDC).
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.

"By every metric that we use, it's getting worse and worse," says Coby Schal, an entomologist at North Carolina State University in Raleigh. Health authorities and pest control operators are regularly flooded with calls, and the epidemic may not have yet peaked. And because bedbugs are indoor pests, there are no high or low seasons throughout the year, he adds, only continual bombardment. "It's just the beginning of the problem in the U.S.," Schal says.


The bites themselves don't usually pose any major health risk since bedbugs are not known to spread diseases, but an allergic reaction to the bites may require medical attention, CDC officials say. There have also been some strange cases linked to bedbug infestations. Researchers reported in the Canadian Medical Association Journal in 2009 that they treated a 60-year-old man for anemia caused by blood loss from bedbug bites. Another study published in 1991 in the Journal of the Egyptian Society of Parasitology found that people with asthma might be more susceptible to allergic reactions from bedbug bites.
Move your bed away from the wall and put on a bedbug-proof cover, which may be called an encasement or liner. You’ll want to do the same for your box spring if you have one. Unless you have a severe infestation, you may not need to get rid of your mattress. Your exterminator can help you decide if that’s a good option. Either way, it’s important to wait until after treatment is complete to bring a new mattress into your home to avoid it becoming infested, too. (4, 5)

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.

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.
It should also be noted that pest management professionals are subject to state regulation, licensing and regulation, while bed bug dog teams are typically unregulated. In Illinois, for example, bed bug detection dogs are regarded as inspection tools, not devices that facilitate the application of pesticides. A few private organizations certify dogs and their handlers as bed bug detectors, holding them to certain standards before awarding certification. But at present, these organizations, like dogs and handlers, are not subject to regulations that govern those who apply pesticides to control bed bugs. Nevertheless, the National Pest Management Association (NPMA) recommends that bed bug detection teams be independently certified and adhere to the minimum standards found in the NPMA’s Best Management Practices for Bed Bugs (see RESOURCES for more info). 
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.
It’s not likely that you’ll kill all the bed bugs with a bed bug spray. That’s where a residual powder insecticide comes into play. It kills any bugs that wander through the powder. Some powders can kill bugs for many years if left undisturbed. Skip the open areas and spray the powder in those places where you think they’ll be traveling to and from, like near bed legs and under baseboard trim.
Amazingly, these sneaky little bloodsuckers dine on you without waking you. You don't feel their stealthy bite because they inject a numbing agent into your body, along with an anticoagulant to keep your blood flowing as they suck. The first sign of bedbugs may be itchy, red bites on the skin, usually on the arms or shoulders. Bedbugs tend to leave straight rows of bites.
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]

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.


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 have five immature nymph life stages and a final sexually mature adult stage.[13] They shed their skins through ecdysis at each stage, discarding their outer exoskeleton.[14] Newly hatched nymphs are translucent, lighter in color, and become browner as they moult and reach maturity. Bed bugs may be mistaken for other insects, such as booklice, small cockroaches, or carpet beetles; however, when warm and active, their movements are more ant-like, and like most other true bugs, they emit a characteristic disagreeable odor when crushed.
An adult bed bug is about 1/5 inch long and 1/8 inch wide. Its reddish brown to mahogany-colored body is greatly flattened and oval shaped. After feeding, the bug's body enlarges considerably, becoming longer and much less flattened. Although the body is covered with tiny hairs, these hairs are so small that they are almost invisible to the naked eye, so the general body appearance is shiny. Bed bugs have piercing-sucking mouthparts that enable them to pierce the skin and suck blood from their hosts.

Waking up with bites might be the first indicator that you have a bed bug problem. Their bites are often arranged in lines or clusters on the face, neck, arms or hands. Where there are bed bugs in large numbers, you might smell a sweet, musty odor (from the bugs’ scent glands) or see rust-colored spots on your bedding or mattress caused by bed bug blood or excrement. If you look closely, you might see adult bed bugs themselves, usually in mattress folds or seams or on the wall behind the headboard. Bed bugs prefer to stay close to their food source and are typically found hiding out within 1 to 5 ft of infested beds or furniture.
Often, bedbug bites are clustered along lines usually following arms and legs. Theories range from the idea that bedbugs are feeding along blood vessels to the idea that bedbugs remain with their bodies touching the bedding while they feed, and the bugs are left to feed only along lines where the skin is touching the bedding in just the right manner.
Treat other areas in your home.  This is perhaps the most challenging part of do-it-yourself bed bug control.  If you catch an infestation early you may not need to do anything more than treat and isolate your bed as described above.  But if an infestation has spread to other parts of the home, bed isolation may not be good enough. Here is where professional help may be needed, especially if you’re not up to moving furniture. Still determined?  Here are some tips that may improve your chances of success: 
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