Bedbug bites, like all insect bites, can become infected through excessive scratching, as underneath the fingernails lies a host of bacterial pathogens. If your bites become infected, they will appear red and swollen, feel tender and may drain pus. Typically there will not be a fever unless a substantial area of the skin is involved. If you experience any of these symptoms, you must seek medical attention as it points to a secondary infection. Your physician may prescribe antibiotic therapy or, if the infection is mild, an antiseptic medication that you can buy without a prescription.[12][13][14]

As for traps, these capture methods may not be full-proof for all bedbug species. Researchers have found that while both the common and tropical bedbug species have hairy feet, C. hemipterushas denser foot hairs, making this tropical insect an expert climber on slick surfaces. In the study, detailed on March 15, 2017, in the Journal of Economic Entomology, the researchers found that adult tropical bedbugs were much better at escaping traditional pitfall traps, which held onto most of the common bedbugs in the study.

Specks of blood on bedding, mattresses, or upholstered furniture such as couches and headboards: Look carefully at your blankets, sheets, and mattress pads and then check the mattress and box spring. Are there specks of blood anywhere, especially near the seams? If so, there could be a bed bug infestation. You should also check for specks of blood on all upholstered furniture, including couches and headboards.
I know when you get infested with these, the bedding and mattresses all have to go. We are just barely scraping by as it is, and we have a bed for each kid no matter how often they come to see us – including ours, that’s SEVEN mattresses and bedding sets. Our landlord is not returning our calls, and although I know that he is responsible for not treating the problem which (per neighbor reports) the previous tenants had, too. But the lawyer wants $500 to even send a LETTER, let alone go to court. And I keep thinking that even if we go to court and win, the courts will make him treat the apartment…not replace the furniture that’s effected because of it. So…we sleep on floors, with newspapers?
Thanks so much to the person who mentioned the hot/cold water method! I think when you do it when you first notice the bites, It will keep them from becoming huge, itchy welts! I run hot water over the bites and I feel a sense of relief, as if I’m scratching the bite, without actually scratching it. The area turns pink, and I keep going until the relief sensation has subsided, then I run cold water over the area. Works great and it does last for hours!
Objects or insects in the ear can be placed in the ear by patients themselves, or an insect crawling in the ear. Ear wax can also cause ear problems if Q-tips are overused to clean the ears. Symptoms of an object in the ear are inflammation and sensitivity, redness, or discharge of pus or blood. When to seek medical care for an object or insect in the ear is included in the article information.
Bed bug eradication is challenging and it’s prudent to hire a professional when resources allow. However treatment can be expensive, often costing hundreds or thousands of dollars. Those who cannot afford this often must cope with the problem themselves. A useful step that anyone can take to combat bed bugs is to install bed encasements. Covering the mattress and box spring can help eliminate a substantial portion of the bed bug population -- especially if discovered early while most of the bugs are still confined to the bed area. Extra care should be taken when installing budget encasements since these can tear easily, especially on metal bed frames. Ideally both the mattress and box spring should be encased. If only one encasement is possible it’s often best to cover the box spring which is harder to subsequently inspect.
An OTC antiseptic medication can be used for skin irritation that may then develop into an infection. As a precaution, do not use creams on broken or infected skin. If you have already been scratching, do not use these products on any raw or weeping areas. If you see signs of a skin infection, such as redness, don't use these creams in that area, and call your doctor.
Avoiding bed bugs is most challenging in hotels, apartment buildings, and other places where there are many people, high turnover and ongoing opportunities for introduction of the pests. Periodic, preventive inspection by tenants, housekeeping/maintenance staff, or pest control firms is the best way to detect infestations in their initial stages when they are easiest to control. Visual inspections can be supplemented by using various monitoring devices to capture and reveal bed bugs that may have been overlooked by occupants.   
Just recently had my first experience w/ bedbug bites in Nicaragua. Hundred plus bites in one night and over a period of three days they became so inflamed, there were tiny blisters on each bite. These suckers snacked on me like I was an all you can eat buffet. I itched 4 days straight and finally went to a pharmacy there, which prescribed me acne creme. Worked, I guess, at least psychologically. But the bites kept festering more and more.
We’ve randomly gotten bites here and there but it’s summer so we were unsure. We had a cleaning lady come in recently and use her vaccuum so we suspect that could’ve brought in bed bugs! Last night was worst ever but I was outside yesterday but didn’t notice these bites til I just woke up. No signs of spots left behind on mattress, maybe one dot on bedding but could be anything. What do you think?? I have about 6-8 on my middle back and they are about an inch or so apart in one line across bra line area
Symptoms may not appear until some days after the bites have occurred.[5] Reactions often become more brisk after multiple bites due to possible sensitization to the salivary proteins of the bed bug.[3] The skin reaction usually occurs in the area of the bite which is most commonly the arms, shoulders and legs as they are more frequently exposed at night.[5] Numerous bites may lead to an erythematous rash or urticaria.[5]
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.
Thank you all for the advice I’m seeing on here. Hydrocortisone was doing nothing for these bites. I have a high tolerance for pain but these bites really made me want to cry. I tried the Veeno Oatmeal bath, Witch Hazel and the Aloe Vera and this is when I began to get relief. These bites were very uncomfortable. I still itch a little but the swelling has gone down tremendously. I keep the Aloe Vera and witch hazel handy for the itching.
Thanks so much to the person who mentioned the hot/cold water method! I think when you do it when you first notice the bites, It will keep them from becoming huge, itchy welts! I run hot water over the bites and I feel a sense of relief, as if I’m scratching the bite, without actually scratching it. The area turns pink, and I keep going until the relief sensation has subsided, then I run cold water over the area. Works great and it does last for hours!
Call your city or town health inpespector. In most major cities it is the landlords obligation to hire a an exterminator. In the case of bed bugs I believe there is more of an urgency and most city inspectors will come out within days, now that bb’s have reached epidemic levels not only in the U.S., but in many countries around the world. In some U.S.cities there are “lanlord/tenant agreements”, which are locally legal and binding contracts that state what the obligation of a landlord and tenant is, and most contain a clause which says that repairs, maintenance, etc.,which are landlords obligations, and what recourse a tenant has when the landlord refuses to repair or maintain his rental properties. In some cases, the tenant may pay for the repairs and deduct from the rent after following various steps first, such as, notifying the landlord via certified letter, prior to the tenant paying for said repairs. Please READ your lease and call your city or town’s health department or building inspectors first,as these ordinances may vary. You can always file a case in local claims court without an attorney,after paying for the repairs,if all else fails, and moving is not an option. I am not a lawyer, and this is not legal advice. I hope this helps. Bed bugs are a public health hazard. And not taken lightly by many local elected, or appointed officials. I hope this helps.
I have read a lot and saw a video where professionals can heat up your house with a machine to 140deg which will kill the bed bugs.They do make bed bug sprays (raid and others) and you can get mattress covers at wallmart. the ones for allergens will do. Don’t forget to seal up zippers. Read you can mix baking soda and water to a paste put it on for an hour or so. Wichazel, st johns wort and lemon juice, aloe and peppermint oil in tub may help relieve itch. Hope this helps.
Pulled back the sheet and sure enough there were bugs. I saw 2, but I believe there were more. I killed the two then he went to report it to the front desk and they did nothing about it. We checked out the next day and i did not have a reaction until 3 days later after we left for Orlando. Went to the pharmacy, got lanacane oinment and other meds for the itching. Its been 2weeks since the bite and I’m still itching like crazy. Luckily I came on this site and i tried the baking soda paste and it seems to be working. I also used the witch hazel and will try raw aloe also. I hate to little black bugs.

Bedbugs are small oval-shaped non-flying insects that belong to the insect family Cimicidae, which includes three species that bite people. Adult bedbugs reach 5 mm-7 mm in length, while nymphs (juveniles) are as small as 1.5 mm. Bedbugs have flat bodies and may sometimes be mistaken for ticks or small cockroaches. Bedbugs feed by sucking blood from humans or animals. Cimex lectularius is the scientific name for bedbugs.


Until fairly recently, most people (and even pest control professionals) had never seen a bed bug. Bed bug infestations actually used to be very common in the United States before World War II. But with improvements in hygiene, and especially the widespread use of DDT during the 1940s and ‘50s, the bed bugs all but vanished. The pests persisted, however, in some areas of the world including parts of Africa, Asia, and Eastern Europe. Over roughly the past decade, bed bugs have made a dramatic comeback in the U.S.― they’re appearing increasingly in homes, apartments, hotels, health care facilities, dormitories, shelters, schools and public transportation. Other places where bed bugs sometimes occur include movie theaters, laundries, rental furniture, and office buildings. Immigration and international travel have contributed to the resurgence of bed bugs in the U.S. Changes in modern pest control practice, less effective insecticides ― and a decrease in societal vigilance ― are other factors suspected for the recurrence. 
I woke up this morning trying to figure out what’s this pain on my back and sadly I found out it was munched by a bed bug! It’s so gross and I don’t want my girlfriend to see it!  Can an antibiotic cure me from these bites? I only have antibiotics here and the nearest mini convenience store is 5 kilometers away so yeah help me please! Thanks Natasha!
Went on vacation with my husband, just 3 weeks ago. Stayed at a motel in Daytona. Had a double bed. Slept with my husband the first night, we did not go under the cover. The next night slept in the other bed, went under the cover and low and behold felt something biting me in the middle of the night, so I went on top of the cover for the rest of the night. Told my husband about it when we awoke.
No typically they do not like hair and actually prefer a host without hair (shaved legs etc). I would imagine this is one reason why we have hair on our bodies. However; this doesn’t mean that 1 or 2 wont get lost and end up in your hair. But typically they will not make that their place of rest or feeding. One thing I would like to advise is that for what I could imagine was quite some time these went unnoticed in my residence and have never caused me to itch, I would awake for work with my face being EXTREMELY PALE and a neck rash that I always assumed was from shaving also if goes unnoticed they must have been a factor in my bout of extreme depression / listlessness over the past few years. The cause…. According to the exterminator was the used furniture I got a too good to be true deal on at a garage sale for my first apartment, which he was even “nice” enough to deliver. He’s lucky he’s moved since than, lord knows what I would have done. But I will never forget his face.

Ticks are known transmitters of disease to humans and animals. Tick-borne diseases include Lyme disease, Rocky Mountain spotted fever, Q fever, tularemia, babesiosis, and Southern tick-associated rash illness. Infected ticks spread disease once they've bitten a host, allowing the pathogens in their saliva and mouth get into the host's skin and blood. Tick bites are typically painless, but the site of the bite may later itch, burn, turn red, and feel painful. Individuals allergic to tick bites may develop a rash, swelling, shortness of breath, numbness, or paralysis. Tick bite treatment involves cleaning and applying antibiotic cream.


Scratching can cause superinfection, leading to impetigo, cellulitis, or folliculitis.27–32 Reactions typically resolve within one to two weeks without treatment.32 Systemic reactions have been described, including asthma, generalized urticaria, angioedema, iron deficiency anemia, and, very rarely, anaphylaxis.33–36 Although bedbugs have been suspected to be vectors of more than 40 microorganisms, there is no evidence that they are involved in the transmission of disease.5
Bed bugs typically feed at night when we are sleeping. Even though these pests commonly feed for 5 minutes, the bite itself is painless and usually goes undetected at the time. In fact, bed bugs inject an anticoagulant (a blood thinner) as they feed, which makes feeding easier for the bed bug and also less detectable to you. Although you may not see the bed bugs, or feel their bites, they know when you are around. Bed bugs are attracted to warmth and carbon dioxide. So, if you are alive, warm, and breathing - then you are broadcasting loudly and clearly to all nearby bed bugs that "dinner is served!"

Encasing mattresses is one of many good parts of a solution, but it doesn't get rid of the infestation. There are going to be other bugs away from the mattress, hiding nearby. What mattress covers are good at is entombing the sometimes large number of bed bugs that can live on a mattress. And because the covers tend to be uniform in color and don't have a lot of seams that the bugs can hide in, it's easier to see the insects.
So wear a face mask and just… bleach the crap out of your bed frame. Cover the mattress, repeatedly super heat your bedding and such, and bleach bleach bleach. MAKE SURE TO CHECK YOUR MATTRESS COVER. I did kill a few trying to hide in the zipper area. I picked out the crawlies with gloves and killed them, then repeatedly did a bleach scrub in case of any eggs. I do recommend the sticky traps a lot because if you keep your bed away from any walls or furniture, then the sticky traps will let you know if the bed bugs are coming from elsewhere.
I woke up this morning trying to figure out what’s this pain on my back and sadly I found out it was munched by a bed bug! It’s so gross and I don’t want my girlfriend to see it!  Can an antibiotic cure me from these bites? I only have antibiotics here and the nearest mini convenience store is 5 kilometers away so yeah help me please! Thanks Natasha! 

Conventional insect repellents, like those used to deter ticks and mosquitoes, do not appear to be as effective against bed bugs. Therefore, attempting to avoid being bitten by applying insect repellent at bedtime is not recommended. Sleeping with the lights on is also not likely to deter hungry bed bugs, as they will adjust their feeding cycle to the host’s sleeping patterns. 
Bed bugs are not too picky when it comes to feeding. As long as skin is exposed, it’s a juicy target. However, it seems that bed bugs enjoy feeding on the neck region, making their feeding habits very close to those sparkly vampires you see on Twilight. Since most people wear pajamas when they go to sleep, other common areas for bites include the arms, hands, feet and face since they are also exposed. If you are sleeping in a hotel and are nervous about bed bugs, simply wear extra clothing to completely cover your skin. You can also purchase plastic covers to protect yourself against these pests while sleeping out.
We had bed bugs two years ago and I was hyper allergic. I’ve been paranoid every since. This morning I woke up with five marks on my stomach and am now terrified. When I got bit before it was my hands arms or face but it was my stomach… I wear guys shirts so my stomach was definitely fully covered. There have been zero signs for two years and suddenly five marks on my stomach. Is this some sort of rash or did they suddenly come out of nowhere within a night?
The only way to stop getting bedbug bites is to eradicate them, but it will be difficult and time-consuming. You can try to address the problem yourself, but It is best to enlist a professional pest control service that can use nonchemical and chemical measures. If you are renting, notify your landlord as other units should be inspected and the landlord may be required to assist in the eradication.
Scabies is a skin infestation of a type of mite known as Sarcoptes scabiei. These are tiny, almost invisible, eight-legged creatures that fall under the same class as spiders and ticks. Scabies mites burrow under the skin to lay eggs and will crawl around on the skin, causing intense itching. Once the eggs hatch, the larvae that emerge will burrow back into the skin, causing even more irritation.
After a few minutes of hot water therapy, use cool water on the bites. You may alternate hot and cool water several times until itching is minimal or gone. Finish with cool water and apply aloes to bites. You will have several hours of relief. My doctor told me the hot water releases the histamine in the skin glands and it tales several hours to refill the glands. About bee stings: I had a extreme reaction to one wasp sting several years ago. Last year I was attacked and suffered over 60+ bites on my face, neck and upper body. I raced into the house and jumped into to shower and opened the hot water full blast.
just got back from two weekends of traveling to two diff locations. noticed a slight rash yesterday on the side of my ribs and a couple smaller itchy spots on one side of my stomach, etc. i don’t think it was from the first weekend of travelling as my bed companion didn’t get anything. the second weekend was at a college campus, but i had wiped the bed down before putting sheets and a sleeping bag over it. got back home sunday and noticed the itch yesterday (tuesday). so now i’m freaking out and assuming the worst scenarios. i’ve washed and dried all my clothes (though i did leave my suitcase out for two days before i even realized the itch), my sheets, and used a handheld steamer on my mattress, clorox / lysol the edge of my bed and the wooden frame, vacuumed all open areas on my wooden floor, etc. not sure if i should go to urgent care or what, but i’ve so far used hydrocortisone (previously already prescribed). can you please help or can i send you photos since you’re more familiar with this? never happened to be at home before all 20 something years so now i’m terrified i brought something back with me!
All of the stages of bed bugs are visible, at least if you don't need reading glasses and you have a sufficient amount of light. So if you're looking closely enough, you can even see bugs in the nymphal first instar stage. A fecal spot, for its part, can be as large as a bed bug itself in terms of the area it covers. The spots are basically digested blood, so most are dark in color. On a white mattress, they stand out pretty well.

Ticks are known transmitters of disease to humans and animals. Tick-borne diseases include Lyme disease, Rocky Mountain spotted fever, Q fever, tularemia, babesiosis, and Southern tick-associated rash illness. Infected ticks spread disease once they've bitten a host, allowing the pathogens in their saliva and mouth get into the host's skin and blood. Tick bites are typically painless, but the site of the bite may later itch, burn, turn red, and feel painful. Individuals allergic to tick bites may develop a rash, swelling, shortness of breath, numbness, or paralysis. Tick bite treatment involves cleaning and applying antibiotic cream.
Some people experience anxiety, sleeplessness and unease as symptoms of having had bed bugs. Let's face it, bed bug infestations are understandably significant psychosocial stressors, and some people may experience sleeplessness as they worry about bugs biting them or their family members. Not surprisingly, people have been known to self-isolate, avoiding family and friends out of concern for spreading the infestation, or (if word gets out that they have bed bugs) they may be avoided by friends or others in the community, or find they have problems at work.  As a result, victims of bed bug infestations may experience moderate to severe levels of stress, anxiety and depression. In severe cases, these persons should seek counseling and treatment as required.

First and foremost I think the wisest course of action to take is to get rid of your bed. the whole shebang…the mattress and box spring and all your linens, blankets, pillows and articles of clothing you use to lay in bed with (robes, pajamas and underwear). It’s just not worth it. Get a temporary air mattress for a few weeks if need be. You will be better off in the long run.
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The bites are on my arms and my legs (below my knees). I was wondering if someone could give me advice on how I can heal the old bites that I scratched till they bled. They have been healing but its quite slow and some seemed to have scarred. I’m getting tired of people at my high school asking about the bites on my arms and I hate that I can’t wear anything like shorts, skirts and dresses without them being visible.
Claude suggested a “hot as you can stand it” shower or bath to treat the bites. The itching will intensify for a few seconds, but then there is the relief which lasts for many hours. Some believe that the heat from the water overloads the ends of your nerves and prevent them from telling your brain to itch. Some think that the heat causes your body to release more histamine than usual and thereby less histamine around the bite. Whatever the reason, it’s commonly used as a solution to itching caused by bites.
been fighting them the past month. got rid of my bed today…cleaned the entire area very well and fortunately i have a seemingly clean twin bed in my spare room to sleep on till i get a new bed in for myself (twin is too small) and when that comes this bed is going out too. I threw away ALL of my pillows and bedding. I’ve inspected the boxspring and beat the mattress to stir anything to see if they are there as well but as the spare room is just that. The twin bed and the spare room have barely been used in years.
The treatment of bedbug bites depends on the symptoms and their severity. The bites should heal and disappear in one to two weeks whether you treat them or not. The goal is to prevent scratching the itchy rash, which can lead to a skin infection. You can use over-the-counter (OTC) anti-itch creams such as calamine lotion or those containing diphenhydramine or cortisone. Be sure to read the product label and don't use these creams around the eyes, anus, or genitals.
Wash the bites with soap and water. Wash the area with mild soap and water; use a bar of soap and enough water to wet surface of your hands. Work the soap in your hands into thick, soapy lather. Rub the lather over the affected area liberally. Repeat until the entire area is covered. Leave on and do not rinse. Allow the soap lather to dry over the bitten areas. You should experience immediate relief from itching.[5]
"In the past, bedbugs have repeatedly shown the ability to develop resistance to products overly relied upon for their control. The findings of the current study also show similar trends in regard to chlorfenapyr and bifenthrin resistance development in bedbugs," study researcher Ameya Gondhalekar, research assistant professor at Purdue's Center for Urban and Industrial Pest Management, said in the Entomology Today statement. "With these findings in mind and from an insecticide resistance management perspective, both bifenthrin and chlorfenapyr should be integrated with other methods used for bed bug elimination in order to preserve their efficacy in the long term."

I have been divorced from my ex for 4 yrs now but remain friends with him and see him often. I recently learned that my ex in laws have a heavy bed bug infestation. My ex lives 3 houses away but is at his mothers every day as they are elderly. He has been dealing with the bugs and my ex’s petulance about the bugs. They have doctors appointments coming up and I wonder if they should tell the doctor about this. My ex has tried to get them to bathe more, treat the bites, wash the clothes but they act as if it is a big imposition to them. I have not asked him over since I found out about them and am reluctant to do so. Am I wrong in thinking that the ex in laws can spread them to others at the doctors office and is it possible for my ex to bring them here?
Hi so I am 32 years old and never heard of bedbugs intill 2 years ago I thought if u where dirty u can get it IM a clean freak and i got them I just moved into a new place and was only there for 2 months and I am also diabetic i got real sick and was in and out of the hospital and the drs just keap saying I need to clean my house and said they can’t do anything for the bedbugs bite and made it seem that it was my fault I was like I just moved in and don’t have anything in my place yet come to find out the apartments where all in feasted with bedbugs even my dog got sick the drs put me on so many different meds I was drug up with 2 kid’s to take care of i got bit from head to toe my ho body looked like i had something I was getting bit everyday with it leveing me with swollen skin that looked red as a Apple that was on fire that I would have to jump into a cold shower and just see steam come off my body i would cry all day cause if i wasn’t in pain i was feeling things crowing all over me and my head and face but couldn’t see anything but only see little bites or some that looked like blisters that had white yellow ish puss dripping or some that popped into black hos or some that would dry up and have colors like tan brown mixed with red look like a critical and i would scratch and it felt like sharp and pain coming off my skin so I moved and have been staying in a motel for 2 1/2 months to find out they have bed bugs and now me abd my husband and 2 kid’s have been getting bit to find out for me getting bit so much I got a real bad infection called prurigo nodularis

Bed bugs are an increasing cause for litigation.[69] Courts have, in some cases, exacted large punitive damage judgments on some hotels.[70][71][72] Many of New York City's Upper East Side home owners have been afflicted, but they tend to be silent publicly in order not to ruin their property values and be seen as suffering a blight typically associated with the lower classes.[73]
We exterminated our old house,called junk to pick up our furniture (it wasnt lower end items either 8 year old $140,000 furnishings it cost) sold the empty home and hope they had no problem.. We did get the empty house exterminated and told the junk collection we had bugs,I bet they kept our old furnishings as it was beautiful stuff …It made us crazy,those damn bugs…One night 12 bites on my neck,forehead and hands !! I still feel like bugs are crawling on me,I think we need psychiatric care…It took about 1 year to get over the feeling of bugs crawling on us…
I too feel hopeless about the bed bugs, I clean scrub and now have noticed them on the mattress, walls, picture frames and just the other day on my laptop!! I’ve tried so hard to get rid of these animals and haven’t been able too, my arms and hands feel like I have small pox these things can get really annoying the itching never stops I’ve tried aloe and calamine and it’s just getting worse. I’ve spent sleepless nights looking for them and I haven’t been able to get rid of them
Just because you can't see bed bugs, does not mean that they are not still there. Bed bugs are rarely seen in the day, out in the open or on the surface of beds or chairs. They have been described as champions of hide-and-seek. So, it is not uncommon to miss the bed bugs altogether. Bed bugs love to hide in the cracks and crevices associated with mattresses, cushions, bed frames and other structures, which is why it is very important to look for telltale symptoms of bed bugs and signs of an infestation, such as shed skins and specks of blood or feces on linens, furniture, mattresses and other areas where the bugs might be hiding.

Some patients develop blisters filled with blood or bloody fluid, especially on the arms and legs. These blood blisters are extremely rare and can burst, causing bleeding or oozing of the bloody fluid. Healthcare providers are not sure if the cause of these blisters is related to the bug or the human but have found groups of patients that were all bitten by bugs on the same train exhibiting this sign.
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. [29] 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.[30]
Wash all the clothing that you brought home in a washing machine. Even clothes that you didn't wear must be washed in hot water. If you cannot wash something in a washing machine, you can either place it in a hot dryer or seal the items in a plastic garbage bag. If you seal items in a  garbage bag, leave the bag securely closed in an extremely cold or hot place for a few months.
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