Abstract
Local and regional reactions to bites from bloodsucking insects are common, often painful and sometimes disabling. With no effective immunotherapy currently available, treatment options are limited to preventing infestations and bites and using symptomatic medications. Simple daily life advice can reduce the risk of bites. This includes installing mosquito screens, modifying work and travel habits to avoid infested areas and treating clothes with an insecticide such as permethrin. Topical repellents are a key protection method, and advice should be sought from a doctor or pharmacist to ensure the most suitable product is used according to the patient's age and level of exposure. They are effective but should be used carefully and with caution. Special care should be taken when used in children and pregnant women due to their potentially toxic effects (they should not be sprayed directly onto the face, for example). Better knowledge of the biology of these insects combined with reasoned use of preventive measures could reduce the impact of these stings and bites.
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