BUG BITES & STINGS

Prevention:

  • Avoid areas where insects nest or congregate, such as stagnant pools of water, uncovered foods and gardens where flowers are in bloom
  • Do not use scented soaps, perfumes or hairsprays on your child
  • Wear non-fluorescent clothing to help decrease the chance of a bee sting
  • Apply insect repellent with less than 30% DEET every 3-4 hours to children†greater than 6 months old (may need to be applied more often)
  • It is a good idea to lightly spray the childís clothing, avoid the childís eyes and†make sure the childís hands are washed well to prevent rubbing in the eyes

LOCAL REACTION

Description: local inflammatory reaction (lasts 1-3 days)

  • Redness, swelling/edema, itching
  • Usually worse on the hands and face
  • NOT an allergy!!! (unless it spreads beyond the site of the bite)

Treatment:

  • Cold compress and elevation
  • Topical treatments: Benadryl cream, anti-itch creams and/or hydrocortisone 1% cream 3x/day
  • Oral treatments: Benadryl for itching if topical treatment isnít helping
  • If bee sting: can try meat tenderizer on the area of redness

SYSTEMIC/ALLERGIC/GENERALIZED REACTION

Description:

  • HIVES (raised welts) all over!!
  • Drop in blood pressure (dizzy or light-headed)
  • Respiratory distress (swelling of tongue, mouth, face; shortness of breath/cough)

Treatment: (after calling our office)

  • Call 911 or to Emergency Room immediately!!
  • Epipen kit (if known allergy)
  • Oral Benadryl
  • Referral to allergist for evaluation

Watch for a secondary infection at bite sites:

  • Usually occurs 3-4 days after the bite * Increased swelling, redness, firm and tender at the site after 3 days
  • Red streaking away from the bite site
  • Yellow or foul smelling drainage at the site

UPDATED JULY 2005


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