1. BED BUGS Sleep tight, dont let the Bed Bugs bite Not just your grandmas bedtime saying……… ICD Code133.0 Sonya Marlton, RN, MSN

2. W HAT ARE B ED B UGS C IMEX LECTULARIUS

3. S MALL INSECTS THAT FEED ON HUMAN BLOOD _______________________________ Adult bug size of an apple seed Non-flying Reddish brown in color, appearing more reddish after feeding on a blood meal

4. O RIGINS Not well established General notion that they are found in the bat's habitats as well as birds nest in North America, Europe and Australia

5. W HY ARE WE EXPERIENCING INCREASED B ED B UG INFESTATION IN THE U.S.? Increases in immigration and travel from the developing world Restrictions on the use of stronger pesticides specifically DDT Insect Resistance

6. W HERE DO THEY L IVE ? Environment

7. I DENTIFICATION BedbugDeer Tick

8. H OW TO I DENTIFY P RESENCE Check mattress and furniture seams for live or dead bugs, or feces

9. B EDBUGS ON MATTRESS

10. B EDBUGS ON BED FRAME

11. L IFE C YCLE 2 weeks for eggs to hatch 4 months for hatched eggs to become adult Adults live approximately 10 months Adult can live up to 12 months without eating

12. H OW DO THEY FIND YOU ? Carbon dioxide Each bed bug will feed every few days and then move back to their hiding place until they need to feed again

13. F EEDING H ABITS Bedbugs feed while you sleep, with peak biting activity just before dawn Bite several areas until full Feeding takes approximately 3 to 10 minutes Exposed body areas Face, neck, hands, legs, and arms

14. W HAT DOES A B ED B UG B ITE FEEL AND LOOK LIKE ? Itchy, red welts (histamine reaction to bite) Most redness will go away in 4 to 7 days Can be mis-diagnosed as mosquito bites, flea bites, or dermatitis

15. D O B ED B UGS C ARRY D ISEASE ? Bites are a nuisance Not know to Spread Disease Cause secondary infection from scratching Antihistamine or steroid creams for itching

16. D O THEY LIVE ON ANIMALS ? No They can bite animals They live in the environment Female bed bugs like to lay eggs on rough surfaces such as cardboard, like the back of a picture, or on fabric.

17. H OW TO GET RID OF THEM ? Professional Exterminator Clean Disinfect Eliminate hiding places Dont Use bug bombs Spray pesticides on surface of mattresses or sofas (only seems of mattress)

18. S TAYING IN H OTELS /L UGGAGE Check mattress seams, mattresses, furniture, and floor boards

19. H OTELS Keep luggage off of floor and zipped Wear pajamas that cover arms and legs Return home: Wash clothes and bedding in hot water, and dry on high heat Shake out suitcases

20. D ON T -B EWARE Scavenge beds and furniture that have seemingly been discarded and left by the curb for disposal, or behind places of business Used Mattresses Used Furniture

21. AWARENESS NOT FEAR

22. QUESTIONS

23. R EFERENCES Hill, C, A., MacDonald, J, F., (July, 2007), Bed bugs: biology and public health risk, retrieved from, http://extension.entm.purdue.edu/publications/E- 249.pdf Kells, S, A., Hahn, J, (August 23, 2006), Prevention and control of bed bugs in residences: information for homeowners and tenants, retrieved from, http://www.extension.umn.edu/distribution/housingan dclothing/dk1022.html (Kells & Hahn, 2006, p.1) Mayo Clinic. (September 2, 2010). Bedbugs, retrieved from, http://www.mayoclinic.com/health/bedbugs/DS0668