虫咬皮炎如何治疗配图,仅供参考
CIMICOSIS TREATMENTTreating the environment. Since bedbugs cannot live or multiply on their human hosts,the emphasis on “treatment” of bedbugs should be aimed at the environmental harborages where the bugs reside,mate,and multiply. This might seem obvious,but this must be made clear to the patient/patient’s family,who might believe otherwise. Patients should be encouraged to find and eliminate the bedbugs in their hiding places. Steam treatment and vacuuming the areas where the organisms are found are reasonable pest control options. But with persistent cases,consulting a qualified professional pest control expert is suggested. Pest control companies are probably the best sources of information on how to most effectively manage bedbug infestations,but local health departments are also helpful,and there are multiple resources available online.,–
It should also be stressed to patients that having an infestation of bedbugs is not a reflection of their socioeconomic status or hygiene. A popular bedbug myth is that bedbugs are only found in squalid living conditions. The truth is bedbugs do not care how far up or down the socioeconomic ladder a dwelling is as long as it provides the darkness,warmth,CO2,and blood they need for survival. In fact,bedbugs have been found in the best hotels and finest homes.,Patients should also be informed that while it is not uncommon for one person in an infested bed to have bite marks while his or her bedmate appears bite free,it is highly probable that both bedmates are being bitten—one person might react enough to the bedbug’s saliva to produce the visible,itchy lesions,whereas in the other person,the bite does not cause a symptomatic reaction at all. Atopic patients,especially those previously bitten,tend to react more vigorously to any insect bite.,Treating the clinical symptoms. Contrary to patient expectation,the clinical treatment of bedbugs is primarily confined to controlling the symptoms created by the bites and educating the patients on how to eradicate the organisms from their dwelling. For treating the symptoms of bedbug bites,topical steroids (e.g.,a Class III topical steroid cream) and antihistamines (e.g.,hydroxyzine orally at bedtime) can reduce the itching,potentially buying the patient a good night’s sleep. In especially severe cases,systemic glucocorticoids can be used short term to good effect,though this is seldom necessary. The dosage of prednisone ranges from 5 to 60mg per day for a week,depending on the patient’s size,age,and symptom severity. Prednisone should be taken with food to avoid acid reflux and should be avoided by patients with diabetes (since it increases blood sugar levels) and by patients with hypertension,chronic heart disease,current infections,or dementia—all of which can be worsened by systemic steroids. These contraindications should be thoroughly discussed with the patient and family before treatment is instituted.","department":"
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