Dr. Annalena Dehé & Dr. med. Lukas Dehé
First aid is a matter close to our hearts, emergency doctors out of passion, parents of twins.
Summer is just around the corner, and unfortunately so are insects, especially mosquitoes and biting midges. It’s almost unavoidable: biting mosquitoes often attack our babies. In most cases, insect bites are harmless and heal without any problems. In very rare cases, there are children who react with a severe allergic reaction to insect venom – especially bee or wasp venom – even in their early years. In this article, you’ll find practical tips to be perfectly prepared for summer and insect bites!
Table of Contents
- Treating insect bites in children
- Insect bites on the neck and face
- Removing bee stingers
- Protecting children from insect bites
Treating insect bites in children
Other children also develop an allergy only over the course of their lives, which gradually arises over time and with each contact, such as an insect sting from, for example, bees, wasps, or hornets.
In the vast majority of milder cases, the sting site shows
- redness with warmth as well as
- a pronounced itch,
which is triggered by the venom and the associated inflammatory reaction.
Scratching and manipulating the sting site can further worsen this local
soft tissue reaction.
Mosquito bite in children – what helps?
After a mosquito bite - especially in small children,
who are not aware of the consequences of scratching - it can be helpful
to cool the bite briefly,
- e.g., with a refrigerator-cold compress or also
- under running cold water.
Afterwards, the bite can be treated with a cooling insect bite gel. After a day of playing in the
sandbox or in the forest, it makes sense to also clean the bite area with a disinfectant that is
non-alcoholic.
What to do for insect bites on children – 4 tips
Here you will find 4 tips on how parents should act after an initially harmless insect bite:
-
Cool insect bites briefly (relieves itching and swelling)
-
For soiled skin, disinfect the puncture site (disinfectant based on non-alcoholic formula)
-
Check if a thorn remains in the skin; if present, it should be removed immediately
-
In case of signs of inflammation or if the child has scratched, also disinfect these areas (disinfectant based on non-alcoholic ingredients)
Important Notice
If swelling and redness last longer than 48 hours, if these symptoms and/or pain continue to increase, and if fever possibly occurs, a visit to the pediatrician should always take place. Even a small sting can lead to a severe inflammatory reaction.
Special case: insect stings in the throat or facial area
With stings on the face—especially in the neck area—as well as with accidentally swallowed insects, there is always a risk of swelling in the airway area. As soon as swelling occurs in the mentioned area, it is a critical emergency situation: the emergency services or emergency doctor should be called immediately.
What parents can do: In an acute situation, parents can try—depending on the sting location:
- to keep the swelling as minimal as possible by cooling (e.g., ice cubes) or a very cold drink.
- If available, antiallergic medicines can also be given in case of signs of an allergic reaction, such as antihistamines.
Other signs of an allergic reaction can include, besides severe swelling, skin redness and/or hive formation. This reaction may initially occur only around the sting area and then spread over the entire body as it progresses.
Important Notice
In emergency situations in general, but especially when an allergic reaction is suspected, it is extremely important for parents to keep calm. For any additional stress factor can further worsen the (allergy) symptoms.
Removing a bee sting: Here's how to do it!
In bees, the so-called venom sac is located at the very tip of the stinger. After a bee sting, you should always check whether the stinger has remained in the skin – this is usually the case. Wasps, on the other hand, can sting repeatedly with the same stinger. If the bee’s stinger is still in the skin, it should be removed immediately, as venom continues to be pumped from the venom sac into the body.
Here’s how to remove a stinger:
-
Secure the sting, for example with tweezers, as close to the skin at the bite site as possible and not too close to the tip of the sting.
-
Remove the sting with a quick, jerky movement along the angle of the sting.
-
Then check whether the sting has been completely removed or if it remains lodged in the puncture site.
How can children be protected from insect bites?
There are various recommendations for preventing insect bites.
Foldable content
The "right" Clothing Line
It makes sense to favor long-sleeved and long-legged Clothing Line, even if you can't fully protect yourself with them.
Insect repellent spray
Attention, as insect repellent sprays are not approved for all ages. Some of these insect repellents can cause allergic reactions, so you should always “test” on a neutral skin area before applying the product extensively. For babies, the spray should not be applied directly to the skin. It is better to gently moisten only the Clothing Line. If you are unsure, you can of course consult a pediatrician.
Insect protection nets
Windows can be fitted with these screens.
Mosquito nets
This aid for cribs and strollers even provides an additional darkening effect.
Important Notice
Do not hang fully woven cloths completely over the baby carriage. If the cloths are not approved for this use, you increase the risk of heat buildup or overheating / heat stroke.
We wish you a summer without insect bites!
Our medical experts take the utmost care to formulate medical content correctly and clearly. This article is for informational purposes and does not replace medical advice. This article also does not claim to be complete. In a medical emergency, please call 112.
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