If all other options have been exhausted, you may need to seek a professional PMP (Pest Management Professional). There are pesticides that are approved for professionals to use during a infestation. These pesticides, however, are not always effective, and typically not as effective as steam cleaning, excessive heat, or excessive cold. The exterminator may opt to treat the area with carbon dioxide.
Scabies is very common in shelters. Permethrin. Cream applied head to toe then wages off in the shower the next morning should clear it up. Also ALL bedding must be washed in hot borax and ammonia water the best day. All surfaces must be wipe down with 50% water and 50% rubbing alcohol. Thorough vacuuming of the bedroom washing curtains and miniblinda. All clothes must be washed in hot water. Good luck
Aerosols (D-Fense NXT, Crossfire Aerosol, or Bedlam Plus) Usage: Simply attach the plastic tip to the aerosol can. Apply as a crack and crevice or spot treatment where evidence of bed bugs occurs. This includes bed frames, box springs, inside empty dressers, clothes closets, curtain rods, hollow spaces, carpet edges, high and low wall moldings and wallpaper edges.

Visit your doctor. You can also see a doctor for diagnosis if you do not find signs of bedbugs in your bed and cannot identify the source of the bites or rash. However, there is a very good chance that your physician will not be able to firmly diagnose that you have been bitten by a bedbug because the symptoms look so similar to those that result from other insect bites and skin conditions. Nevertheless, you may feel comforted by going to see your doctor, who can confirm for you that bedbugs pose little physical threat to humans.
Bedbugs are small wingless insects with a flat body. Like all insects, they have six legs. Their color can range from whitish to brown, but after feeding (on blood from animals or people), they appear rusty red. Bedbugs grow to about 0.5 cm in length and can be seen by the naked eye. Their name comes from the fact that they often hide in bedding or mattresses.
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Bed bugs usually bite people at night while they are sleeping. Hungry bed bugs may also feed during the daytime, especially if this is when the occupant normally sleeps. They feed by piercing the skin with an elongated beak through which they withdraw blood. Engorgement of the bed bug takes roughly three to 10 minutes, but because the bite is painless, the person seldom realizes they are being bitten. Bed bugs normally do not reside on people like head or body lice do; instead, immediately after feeding, bed bugs crawl to a secluded location to digest their meal. Symptoms after being bitten by bed bugs vary from person to person. Many develop an itchy red welt within a day or so of the bite. Others have little or no reaction. Sometimes the reaction is delayed days or even weeks after the actual bite occurs, which can make it difficult to determine where or when bites actually occurred. Studies conducted in bed bug-infested apartments suggest about 30 percent of people do not react even when bitten repeatedly over time, and there is still higher incidence of non-reactivity among the elderly. Unlike flea bites, which occur mainly around the lower legs and ankles, bed bugs feed on any skin exposed while sleeping (face, neck, shoulders, back, arms, legs, etc.). The welts and itching are often wrongly attributed to other causes, such as mosquitoes. For these reasons, infestations may go a long time unnoticed, and can become quite large before being detected. 

Bring in only what is needed, and avoid sitting or placing coats and other items on beds, floors and sofas where the bugs commonly reside. Essential items can be placed on a tabletop or other hard surface, preferably away from bedrooms and sleeping areas. Better to sit on a hard (non-upholstered) chair than on sofas and recliners. Also try to avoid leaning or brushing against beds and upholstered furniture. If such items are carried out of infested dwellings (e.g., by sanitation workers or firefighters), it’s best to wrap them in plastic or at least not hold them against your body during transport. Emergency Medical (EMS) personnel may need to take additional precautions, such as removing a patient’s bed bug-infested shoes or clothing, or installing plastic sheeting before transporting them in the emergency vehicle.    

I have various skin lesions which might or might not be bed-bug bites–small, raised, sometimes red, sometimes itchy. The problem is I live right next door to a large park and get all kinds of insects in summer, may small enough to get through my window-screen. Also, I have Parkinson’s disease, and the meds I take for it can produce hives and itching as a side-effect. And, my bedding and mattress are all dark colored, so I likely would not see fecal stains or shed bed-bug skins.
Bedbugs are small, flat, wingless insects with six legs that, like mosquitoes, feed on blood from animals or people. They range in color from almost white to brown, but they turn rusty red after feeding. The common bedbug doesn't grow much longer than 0.2 inches (0.5 centimeters) and can be seen by the naked eye to the astute observer.  Bedbugs get their name because they like to hide in bedding and mattresses.
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