What is included in the long-term monitoring of patients treated for insect bites?

Updated: Jun 21, 2018
  • Author: Boyd (Bo) D Burns, DO, FACEP, FAAEM; Chief Editor: Joe Alcock, MD, MS  more...
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Answer

Follow-up monitoring for infection is advised for individuals bitten by an insect known to transmit a secondary disease, if exposed to the vector in an endemic area (eg, Chagas disease in the case of kissing bugs [Reduviidae] [24, 25] ).

Individuals who recover from a systemic reaction should consult with an allergist regarding desensitization and prevention measures.

Prescribe epinephrine auto-injector prior to discharge if the patient had a systemic response to an envenomation (see Hymenoptera Stings). Some patients require more than one injection of epinephrine to treat anaphylaxis, so prescribing two injectors should be considered. [26]


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