How to treat a child's bedbug bites? - briefly
Clean each bite with mild soap and water, apply a cold compress to lessen swelling, and use an over‑the‑counter hydrocortisone cream or oral antihistamine to control itching. Monitor for signs of infection and consult a physician if lesions spread, become painful, or fever appears.
How to treat a child's bedbug bites? - in detail
Bedbug bites on a child require prompt cleaning, symptom relief, and observation for complications.
Begin with gentle cleansing. Use lukewarm water and a mild, fragrance‑free soap to wash the affected area for 30 seconds. Pat the skin dry with a clean towel; do not rub, as friction can increase irritation.
Apply a topical anti‑itch agent. Options include:
- 1 % hydrocortisone cream, applied thinly 2–3 times daily.
- Calamine lotion, spread lightly until the area feels cool.
- A 0.5 % pramoxine gel for immediate soothing.
If swelling is pronounced, a cold compress (wrapped in cloth) can be placed on the bite for 10–15 minutes, repeating every hour as needed.
Systemic antihistamines may reduce widespread itching. Recommended doses for children are:
- Diphenhydramine (Benadryl) – 1 mg/kg per dose, not exceeding 25 mg, every 6 hours.
- Cetirizine – 2.5 mg for ages 2–5, 5 mg for ages 6–11, once daily.
Monitor the lesions for signs of infection: increasing redness, warmth, pus, or fever. Should any of these appear, seek pediatric evaluation promptly; oral antibiotics such as amoxicillin‑clavulanate may be prescribed if bacterial involvement is confirmed.
Avoid scratching. Keep the child’s nails trimmed short and consider using soft cotton mittens at night to limit skin damage.
Educate caregivers on environmental control to prevent re‑infestation. Steps include:
- Washing all bedding, clothing, and stuffed toys in hot water (≥ 60 °C) and drying on high heat for at least 30 minutes.
- Vacuuming mattresses, box springs, and surrounding furniture daily; discard vacuum bags immediately.
- Enclosing mattresses and pillows in zippered, bedbug‑proof covers.
- Inspecting and, if necessary, treating cracks, crevices, and baseboards with a labeled insecticide or contacting a professional pest‑management service.
Document the bite locations, dates, and any treatments administered. This record assists healthcare providers in assessing progression and determining whether further medical intervention is required.