What should be done if a child is severely bitten by fleas? - briefly
Wash the bites with mild soap and water, then apply a cold compress to reduce swelling and itching. Promptly consult a pediatrician for assessment and possible treatment with antihistamines, topical steroids, or antibiotics.
What should be done if a child is severely bitten by fleas? - in detail
A child who experiences extensive flea bites requires immediate care to reduce pain, prevent infection, and stop further exposure.
First, remove the insects. Wash the affected skin with lukewarm water and a mild, fragrance‑free soap. Pat the area dry with a clean towel; do not rub, as this can aggravate irritation.
Second, apply a topical antiseptic. Options include povidone‑iodine solution, chlorhexidine wipes, or a diluted hydrogen peroxide spray. Allow the antiseptic to air‑dry before covering the skin.
Third, control itching and inflammation. Over‑the‑counter hydrocortisone cream (1 %) can be applied two to three times daily. For intense pruritus, an oral antihistamine such as cetirizine or diphenhydramine is appropriate, following the dosage recommendations for the child’s age and weight.
Fourth, monitor for signs of secondary infection. Look for increasing redness, swelling, warmth, pus, or fever. If any of these develop, seek pediatric medical attention promptly; a clinician may prescribe oral antibiotics.
Fifth, address the source of the infestation. Wash all bedding, clothing, and stuffed toys in hot water (≥ 60 °C) and dry on high heat. Vacuum carpets, rugs, and upholstered furniture thoroughly; discard the vacuum bag or clean the canister afterward. Treat the home environment with a flea control product approved for indoor use, adhering to label instructions.
Sixth, prevent recurrence. Keep pets on a veterinarian‑approved flea regimen, including topical treatments, oral medications, or collars. Regularly groom pets and clean their sleeping areas.
Finally, document the episode. Record the date of onset, symptoms, treatments applied, and any medical consultations. This information assists health professionals in evaluating the child’s response and planning future preventive measures.