Insect bites and stings are common but tend to cause just a mild irritation. Some can be painful and cause allergic reactions. Occasionally they will get infected or spread serious illnesses such as Lyme’s disease. 

In the UK the most common bites and stings are from wasps, bees, hornets, horseflies, ticks, mosquitoes, fleas, bedbugs, spiders and midges

Recognition

• Swelling
• Red, irritated skin
• Painful skin
• Stinging

Treatment

• Reassure the child
• Move child to a safe area, away from more potential bites/ stings
• If a sting is visible remove it by scraping it off the skin with bank card or flat edge of a knife. Do not use tweezers as this can push poison into the skin
• Elevate the area 
• Wash the area with soap and water
• Apply a cold compress for at least 10 mins to reduce swelling
• Try to stop the child scratching the skin to limit the chance of infection

The pain, swelling and itchiness can sometimes last a few days. If you suspect anaphylaxis call 999/112 immediately. See anaphylaxis treatment later in course.

Activity