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.
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.
Discourage bed bug infestation by keeping clutter picked up, washing bedding and upholstery routinely and not buying used furniture. When you’re traveling, lower your risk of bringing bed bugs back home by opening your suitcase on a hotel desk or luggage rack instead of on the bed; keeping your belongings in your suitcase, not unpacked in dresser drawers; sealing dirty laundry in plastic bags that can be taken straight to the laundry room at home; and inspecting your luggage for bed bug activity before you bring it into your bedroom.
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.
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:
You can also try spraying an insecticide yourself. Just make sure the product you use is intended to kill bedbugs and is made for the type of space you are using it in (some are intended only for outdoor or garage use, rather than for indoor use in areas where you may be sleeping, cooking, and eating, among other things). And know that insecticides available to professionals are usually stronger and more effective than those that are available to consumers. (6)
One trick to make this disposal easier involves using the cut-off end of a nylon stocking (or a knee-high nylon stocking) and a rubber band. Insert the stocking (toe first) into the end of the vacuum suction wand/tube, leaving the opening of the stocking protruding out of the end of the suction wand. Then fold the stocking opening back over the end of the wand and use the rubber band to secure it there. When the vacuum is turned on and the bed bugs are sucked into the tube, they will be trapped in the stocking. Afterwards, carefully remove the rubber band and retrieve the bug-filled stocking. Then secure the end of the stocking with the rubber band and dispose of it. 
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:
Bed bug incidents in schools are best handled by knowledgeable pest control firms. Widespread insecticide treatment of classrooms, hallways, buses, etc. is unnecessary, ineffective and imprudent. Effort instead should be spent checking chairs, desks, lockers, coat rooms, etc. in the vicinity of where the bugs were found, and treatment should be focused on those specific areas. Canine inspections can also be useful in finding small numbers of bed bugs in schools and other establishments where there are no beds.      
When professionals need to treat an infestation, they don’t reach for rubbing alcohol or cedar oil or a blow dryer. They use a proven treatment process that involves a combination of proven products to get the job done. It’s not about whether or not a certain item can kill bed bugs, it’s about whether that item is the ideal part of a treatment that will actually get rid of an infestation. After all, your shoe would have a 100% kill rate on any bed bugs you smack with it – that doesn’t mean you can expect to be bed bug free after a diligent afternoon of shoe-wielding.
Bed bug sprays usually act as an insecticide and repellent. The best kind of bed bug sprays should kill bed bugs on contact and need to be used repeatedly to help eliminate your bug problem. According to the Texas A&M University, bed bug sprays are best used in combination with other bug control methods like natural bed bug powders. This is because bed bugs don’t build up resistance to natural bug powders and products like diatomaceous earth which kills bed bugs as long as the powder is dry.5
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. 
Unlike those of other insects, bed bug bites may sometimes appear in tight lines of multiple, small, red marks where multiple bed bugs have fed along an exposed area. Bed bug bites can cause itchiness. Initially, a victim may detect a slight burning sensation. The burning area then develops red bumps, known as papules or wheals (rash). In extreme cases, bites may swell dramatically or turn into blister-like skin inflammations.
If you need to treat items that can’t be laundered or steamed, you can use a portable bed bug heater, like a ZappBug Oven or a ThermalStrike Ranger. These heaters can safely treat household items like books, papers, CDs, and dry clean only clothing. Not only are bed bug heaters an effective part of a bed bug treatment process, but they’re one of the most popular prevention tools on the market. When you come home from a trip, just put your suitcase in the heater, zip it shut, and turn it on. In just a few hours, any bed bugs or eggs hiding in your belongings will be dead.
Some pest control firms also employ commercial steamers or spot-freezing equipment to treat areas where bed bugs are found or suspected. Used correctly, they kill bugs and eggs on contact. Neither method, however, affords residual protection against bed bugs which may have been missed. Steaming and spot-freezing equipment also have limited ability to penetrate fabric, wood, and other materials where bed bugs often reside. 
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 most of the bed bugs were wiped out by the chemicals, three groups continued to thrive after being treated with chlorfenapyr, and five groups were still kicking after being treated with bifenthrin. That means that while some bed bugs will respond to these chemicals, others won't—and it's likely that more and more bugs will become resistant over time.

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 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.
Insect and spider bites and how to deal with them Insect and spider bites can occur almost unnoticed, or they can be painful. Either way, home treatment is usually enough for most symptoms. However, some bites can spread serious disease, such as Lyme disease and malaria. Find out how to protect against bites and what to do if someone has a severe reaction to a bite. Read now
Some bed bug products cannot be used where others can. Also, bed bugs can build up a resistance to certain pyrethroids, making them difficult to treat. This is why using a variety of products to kill and control bed bugs will produce the best results. We recommend using one of our bed bug kits. These kits include our most powerful and effective products for a variety of applications to save you time and money.
When professionals need to treat an infestation, they don’t reach for rubbing alcohol or cedar oil or a blow dryer. They use a proven treatment process that involves a combination of proven products to get the job done. It’s not about whether or not a certain item can kill bed bugs, it’s about whether that item is the ideal part of a treatment that will actually get rid of an infestation. After all, your shoe would have a 100% kill rate on any bed bugs you smack with it – that doesn’t mean you can expect to be bed bug free after a diligent afternoon of shoe-wielding.
Next, vacuum and steam along baseboards, window sills, and the edge of the carpet. When you’re done vacuuming, the bag or canister should be cleaned or discarded to limit exposure of bed bugs to other parts of the home. The steamer can also be used to treat sofas, chairs, furniture, and cabinets. When applying steam, remember to move the nozzle slowly (about one inch per second) to ensure that all bed bugs and eggs are killed.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Bed bugs occur in all regions of the globe.[7] Rates of infestations are relatively common, following an increase since the 1990s.[3][4][6] The exact causes of this increase is unclear; with proposals including greater travel, more frequent exchange of second-hand furnishings, a greater focus on control of other pests, and increasing resistance to pesticides.[4] Bed bugs have been known human parasites for thousands of years.[2]
Vigilant travelers may also want to elevate suitcases off the floor on a stand, tabletop or other hard surface rather than storing them on the floor or another bed. Hyper-vigilant travelers may further opt to keep belongings in sealed plastic pouches and their suitcase in a zippered tote — however each traveler must decide how cautious they wish to be. 
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
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’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.

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.
Cracks and crevices of bed frames should also be examined, especially if the frame is wood. (Bed bugs have an affinity for wood and fabric more so than metal or plastic.) Wooden support slats, if present, should be removed and examined since bed bugs often congregate where the ends rest on the frame. Screw holes, knots and other recesses are also common hiding places. Headboards secured to walls should be removed and inspected. In hotels, the area behind the headboard is often the first place that bed bugs become established. Bed bugs also frequently hide within items stored under beds. 
Apply residual Bed Bug Insecticide Spray. After every crack, crevice, switch plate, electrical switch, baseboard, box springs, mattress, etc, has been treated and everything is put back, it is time for the residual treatment. Using a hand held sprayer such as the Chapin Sure Spray apply Optimate, Cy-Kick, Suspend SC or Demand along the baseboards in the bedroom and closet, under and around the bed, behind the headboard, inside bed stands etc.
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.
It is hard to tell if you’ve been bitten by a bed bug unless you find bed bugs or signs of infestation. When bed bugs bite, they inject an anesthetic and an anticoagulant that prevents a person from realizing they are being bitten. Most people do not realize they have been bitten until bite marks appear anywhere from one to several days after the initial bite. The bite marks are similar to that of a mosquito or a flea — a slightly swollen and red area that may itch and be irritating. The bite marks may be random or appear in a straight line. Other symptoms of bed bug bites include insomnia, anxiety, and skin problems that arise from profuse scratching of the bites.
Next, vacuum and steam along baseboards, window sills, and the edge of the carpet. When you’re done vacuuming, the bag or canister should be cleaned or discarded to limit exposure of bed bugs to other parts of the home. The steamer can also be used to treat sofas, chairs, furniture, and cabinets. When applying steam, remember to move the nozzle slowly (about one inch per second) to ensure that all bed bugs and eggs are killed.

To know it's bedbugs, it's important to find the bugs themselves. Look at bedsheets and mattresses for little spots of blood, rusty-looking stains (crushed bugs), or black dots (bugs' poop). You might see live bugs around the seams or tags of mattresses and box springs, or in cracks of bed frames and other furniture. They can even hide in books, carpet edges, and electrical outlets.


Use a Hand Bellow Duster to apply dusts into the cracks and crevices with the Cimexa Dust. Put dust into duster. Remove switch plates and electrical outlet covers and dust into the openings. Another tool used for dusting would be a small paint brush or small makeup brush. Apply a small amount of dust on the tip of the brush, brushing into cracks and crevices. Dust any items hanging on the wall such as pictures with a small paint brush. Use a small paint brush to paint dust in seams and around buttons of mattress. Use dust or aerosol in all joints of the bed frame.
My husband works for a garbage company (this is how we think the invasion started) and at the moment they are localized to our bedroom and our bathroom. However, the first place we found them was in our headboard & footboard. It is wood with an intricate carving. We checked the mattress and box spring and didn’t find a thing. But they LOVE that wood.
Monitor Bed Bug movement with Traps. Bed Bug traps don't work to control bed bugs - they only monitor bed bug movement. Try using Catchmaster 288i Professional Bug Traps by placing them against walls, behind furniture, sticking them under bedframes (yes they work upside down), and anywhere you think bed bugs could be crawling to get back to the bed. Inspect these traps every few days. If you capture bed bugs, then you may have to retreat and do this entire procedure over again. If the traps are empty, then pat yourself on the back for a job well done, but don't think that bed bugs are gone forever. They could be walking around the trap or just waiting for the comforter to hit floor before they climb back into bed!

Abrupt temperature change is best when attempting to kill bed bugs, so the bugs do not have time to adjust to the new temperature. Because it can take many hours for heat or cold to penetrate objects, the process of killing bed bugs is complicated by the density and depth of the items to be heated or frozen. It may take 15 days at 32 F to kill bed bug adults and 30 days to kill bed bug eggs that are unprotected, and much longer to kill those that are hidden inside items. Temperatures below freezing will kill quicker, but less is known about killing bed bugs with cold compared with using heat against them.

Some bed bug species are parasites of bats or birds, and may bite people if the wild hosts are no longer available. Although similar in overall appearance, the species of bed bugs that normally feed on bats, swallows, chimney swifts, pigeons or other wild hosts can be differentiated from those that prefer humans. Entomologists and knowledgeable pest managers can make this determination. If bat bugs or bird bugs are present, roosting and nesting sites should be the primary focus, and the animals should be removed and excluded from the building. 
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