From the Research
The recommended treatment for bed bug infestations in pediatric patients involves a comprehensive approach focusing on environmental management rather than medication, as outlined in the most recent study 1.
Key Components of Treatment
- Thoroughly clean the child's environment by washing all bedding, clothing, and stuffed toys in hot water (at least 120°F) and drying them on high heat.
- Vacuum mattresses, furniture, and floors extensively, disposing of vacuum bags in sealed plastic.
- For items that cannot be washed, consider placing them in sealed plastic bags for 2-3 weeks or in a freezer below 0°F for at least 4 days.
- Professional pest control services using insecticides like pyrethroids, pyrroles, or desiccants are often necessary for complete eradication, as noted in 1.
Symptom Management
- For the child's skin, gentle cleansing of bite areas with soap and water is sufficient, with topical corticosteroids like hydrocortisone 1% cream applied twice daily for 3-5 days to reduce itching.
- Oral antihistamines such as diphenhydramine (1-2 mg/kg/dose every 6 hours, maximum 50 mg/dose) or cetirizine (2.5-5 mg daily for ages 2-5-10 mg daily for ages 6+) can help manage itching, as discussed in 2.
- Antibiotics are only needed if secondary bacterial infection occurs.
Importance of Integrated Pest Management
- The control of bed bugs is challenging and should encompass a multidisciplinary approach utilizing nonchemical means of control and the judicious use of insecticides, as emphasized in 1 and 3.
- Identification and eradication of bed bug infestations are crucial in preventing bedbug bites and reducing the risk of associated morbidity, as highlighted in 1 and 2.