To prevent bringing bed bugs to one's own home, travelers are advised to take precautions after visiting an infested site: generally, these include checking shoes on leaving the site, changing clothes in a garage before returning to their home, and putting the used clothes in a clothes dryer outside the house. When visiting a new lodging, it is advised to check the bed before taking suitcases into the sleeping area and putting the suitcase on a raised stand to make bedbugs less able to crawl in. "An extreme measure would be putting the suitcase in the tub." Clothes should be hung up or left in the suitcase, and never left on the floor.  The founder of a company dedicated to bedbug extermination said that 5% of hotel rooms he books into were infested. He advised people never to sit down on public transport; check office chairs, plane seats and hotel mattresses, and monitor and vacuum home beds once a month.
Fumigation using a penetrating gas is another way to de-infest dwellings or furnishings, but the procedure is only offered by certain companies. True fumigation is not the same as setting off a total release fogger or ‘bug bomb.’ (It should be noted that bug bombs are considered ineffective in the treatment of bed bugs, and can be quite dangerous if misused.) The fumigation process is technically complex and requires vacating the building for a period of days. The building is then sealed and injected with a lethal gas, usually sulfuryl fluoride. Because the entire building must be vacated, structural fumigation is logistically more challenging with multi-unit buildings such as apartments, than for single family homes. Bed bug fumigations tend to be more common in southern and western states, where the procedure is also used to control certain types of wood-dwelling termites.
While you are sleeping, bed bugs will bite using their mouthparts, commonly referred to as beaks. As they bite, they release an anticoagulant in their saliva preventing your blood from clotting. This allows them to receive a steady two- to three-minute blood meal—what they need in order to survive and reproduce. Bed bugs will not bite in defense, they will only bite for the sole purpose of feeding.
You can develop a skin infection if you scratch the bites. Rarely, a more severe allergic reaction to the bites could produce larger welts, blisters, or anaphylaxis. Bedbugs may also trigger asthma attacks and getting too many repeated bites could lead to anemia. Anxiety, insomnia, and sleep disturbances are common due to the stress of discovering bedbugs.
We took extreme measures and hired a Heat company to come in. They heat your house to approx 150 degrees (internal wall temp of 140 or more). Bed bugs can survive for 7 minutes at 115 degrees. The heat company heats your house to well above that temp and maintains it for 4 hours! It was great!!!! We have not seen a bed bug since…except for dead ones!! I will warn everyone…the treatment is not cheap. We have a 3200 sq foot house that is only 2 years old…the cost was $4000. They base the cost on square footage, age of home, insulation, etc. I freaked when I heard the estimate, but worth the money to be rid of them!!
The bed bug is a universal problem yet it can be dealt with on a regular basis. used items and new items carry bed bugs. always wash and dry for 20 min. ( its the heat that kills the bug). bed pillows need to be washed and dried on a regular basis and the beds head board are full of body skin cells that attract the bugs. a good old cleaning with vaccum and wipe down is needed. keep your vac cleaned and bag empty after each use, the bugs are in the vac.
When staying in a hotel, I check the bed before I bring the suitcase into the sleeping part of the room so that if I have to ask the manager for another room, then I haven't exposed my suitcase to the bugs. When settling in, I put my suitcase up on the suitcase stand or the desktop so that any bugs are less likely to crawl into it. An extreme measure would be putting the suitcase in the tub. If it's a porcelain tub, bed bugs would have a hard time crawling up it. It's also unlikely that they would randomly crawl up a tub, because it's not near the bed. But if I don't see bed bugs in the room when I inspect it, I just put my suitcase on the stand because I know the probability is really low that a bug is going to crawl up the stand and into my suitcase. I keep my clothes in the suitcase or hang them in the closet—I don't leave them on the floor because wandering bed bugs might crawl into them.
Bedbugs may enter your home undetected through luggage, clothing, used beds and couches, and other items. Their flattened bodies make it possible for them to fit into tiny spaces, about the width of a credit card. Bedbugs do not have nests like ants or bees, but tend to live in groups in hiding places. Their initial hiding places are typically in mattresses, box springs, bed frames, and headboards where they have easy access to people to bite in the night.