When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Bed bugs

Last reviewed: 10 Jun 2025
Last updated: 12 Jul 2024

Summary

Definition

História e exame físico

Principais fatores diagnósticos

  • bed bug sighting
  • irregular curved or linear erythematous papules
  • new skin lesions noted in the morning
  • pruritus
Detalhes completos

Outros fatores diagnósticos

  • pain or burning
  • papular or diffuse urticaria
  • bullae
  • widespread urticaria/wheezing/stridor/hypotension
  • specks of blood or feces on sheets
Detalhes completos

Fatores de risco

  • high-turnover environment
  • recent travel
  • secondhand furniture in the home
Detalhes completos

Investigações diagnósticas

Investigações a serem consideradas

  • skin scraping of lesion (mineral oil preparation)
  • skin biopsy
Detalhes completos

Algoritmo de tratamento

AGUDA

symptomatic disease

Colaboradores

Autores

Whitney A. High, MD, JD, MEng

Professor of Dermatology and Pathology

Director of Dermatopathology (Dermatology)

School of Medicine

University of Colorado

Colorado

CO

Declarações

WAH declares that he has no competing interests.

Agradecimentos

Dr Whitney A. High would like to gratefully acknowledge Dr Julian Trevino, Dr Elizabeth Usedom, Dr Suzanna Dundon, and Dr David Carr, previous contributors to this topic.

Declarações

JJT, EU, SD, and DRC declare that they have no competing interests.

Revisores

Richard deShazo, MD

Chairman and Professor

Department of Medicine

Professor of Pediatrics

Billy S. Guyton Distinguished Professor

University of Mississippi Medical Center

Jackson

MS

Declarações

RD declares that he has no competing interests.

Xuan Nguyen, MD

Faculty Physician

Dermatology and Pediatric Dermatology

Phoenix Children's Hospital

Phoenix

AZ

Declarações

XN declares that she has no competing interests.

Ian F. Burgess, MSc, MPhil

Professor

Director

Medical Entomology Centre

University of Cambridge

Cambridge

UK

利益声明

IFB has been a consultant to various manufacturers of pharmaceutical products, alternative therapies, and combs for treating louse infections. IFB is an author of a number of references cited in this topic.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Parola P, Izri A. Bedbugs. N Engl J Med. 2020 Jun 4;382(23):2230-7. 摘要

McNeill C, Jarrett A, Shreve DM, et al. Bed bugs: current treatment guidelines​. J Nurse Pract. 2017 Jun;13(6): P381-8.全文

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

内容使用需遵循免责声明