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Updated: May 26, 2026

A Method for Evaluating Insecticide Efficacy against Bed Bug, Cimex lectularius, Eggs and First Instars
Published on: March 15, 2017
Bed bugs: clinical relevance and control options
Stephen L Doggett1, Dominic E Dwyer, Pablo F Peñas
1Department of Medical Entomology, ICPMR, Westmead Hospital, Westmead, New South Wales, Australia. Stephen.Doggett@swahs.health.nsw.gov.au
Abstract:
Since the late 1990s, bed bugs of the species Cimex lectularius and Cimex hemipterus have undergone a worldwide resurgence. These bed bugs are blood-sucking insects that readily bite humans. Cutaneous reactions may occur and can start out as small macular lesions that can develop into distinctive wheals of around 5 cm in diameter, which are accompanied by intense itching. Occasionally, bullous eruptions may result. If bed bugs are numerous, the patient can present with widespread urticaria or eythematous rashes. Often, bites occur in lines along the limbs. Over 40 pathogens have been detected in bed bugs, but there is no definitive evidence that they transmit any disease-causing organisms to humans. Anemia may result when bed bugs are numerous, and their allergens can trigger asthmatic reactions. The misuse of chemicals and other technologies for controlling bed bugs has the potential to have a deleterious impact on human health, while the insect itself can be the cause of significant psychological trauma. The control of bed bugs is challenging and should encompass a multidisciplinary approach utilizing nonchemical means of control and the judicious use of insecticides. For accommodation providers, risk management procedures should be implemented to reduce the potential of bed bug infestations.
Insights
Bed bugs (Cimex lectularius and Cimex hemipterus) are resurging globally, causing itchy skin reactions and potential health issues like anemia and asthma. Effective control requires a multidisciplinary approach, including nonchemical methods and careful insecticide use.
Area of Science:
- Medical Entomology
- Public Health
- Dermatology
Background:
- Global resurgence of Cimex lectularius and Cimex hemipterus bed bugs since the late 1990s.
- Bed bugs are hematophagous arthropods that frequently bite humans, leading to cutaneous reactions.
- Potential for anemia and asthmatic reactions in cases of heavy infestation.
Purpose of the Study:
- To review the health impacts of bed bug infestations.
- To discuss challenges and strategies for effective bed bug control.
- To highlight the importance of risk management for accommodation providers.
Main Methods:
- Literature review of medical and entomological studies on bed bugs.
- Analysis of reported health effects associated with bed bug bites.
- Evaluation of current bed bug control methodologies.
Main Results:
- Bed bug bites can cause various cutaneous reactions, from macular lesions to urticaria and bullous eruptions, often in linear patterns.
- Over 40 pathogens found in bed bugs, but no definitive human disease transmission is proven.
- Potential for anemia, asthmatic reactions, psychological distress, and adverse health effects from improper control measures.
Conclusions:
- Bed bug infestations pose significant public health challenges, necessitating a comprehensive control strategy.
- Integrated pest management, combining nonchemical methods with judicious insecticide application, is crucial.
- Accommodation providers must implement risk management to prevent and control bed bug infestations effectively.
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