University of Iowa Health Science Relations and
Barbara A. Muller, MD
Professor of Internal Medicine
First Published: November 2000
Last Revised: December 2003
Peer Review Status: Internally Peer Reviewed
Insects are discriminating creatures with their own favorite
fragrances. Some prefer Obsession, some favor lighter scents like
Giorgio, and some will bite anyone that happens to be near, no matter
how they smell.
"We don't know why insects seem to prefer some individuals over others,"
says Dr. Barbara A. Muller, professor in the department of
internal medicine at the University of Iowa College of Medicine and
staff physician at UI Hospitals and Clinics. "We do know mosquitoes are
attracted to warmth and human odors, including body
sweat, by carbon dioxide given off during breathing.
"Be sensible to avoid being bitten or stung," Muller says. "Wear long
sleeves and pants, socks and closed-toed shoes when you're in the woods. The smell of food attracts insects, so be careful when eating or drinking sweet beverages outdoors. Don't wear perfume,
cologne, or bright-colored clothes." In addition, you can use a
repellent containing deet, the active ingredient in most brand-name
repellents, Muller says. "Deet will help protect you from bites or
stings by flies, gnats, chiggers, ticks, and mosquitoes. However,
deet doesn't work against yellow jackets, hornets or honeybees." Cover all exposed skin, but be careful to keep the
repellent away from your eyes and mouth. "In hot, humid weather, you
may need to apply the repellent every two hours."
Several people swear by home remedies for mosquito bites, including a paste made of three teaspoons of baking soda and one teaspoon of water to relieve itching, Muller
says. "And Avon's Skin-So-Soft is a favorite insect repellant with many people."
The reason bug bites are so annoying is because flies, fleas, and
mosquitoes actually sting their victims with a sharp stylus to inject saliva and chemicals to prevent blood clotting. Then they suck the blood.
"Your reaction to a bite depends on your sensitivity to
the insect's saliva. Some people have no reaction at all, and some
may have itching, bumps or redness that may be associated with fever or joint pain. Cool, wet compresses and oral antihistamines can help ease the
pain."
Yellow jackets, hornets or honeybees sting with venom and may
cause an allergic reaction that may include mild to moderate burning, itching, swelling and redness. "In .5% to 1.5% of stings, serious allergic reactions may occur leading to anaphylaxis," Muller
says. Symptoms of a severe allergic response include local swelling
that spreads from the sting site, body rash, hives, coughing,
wheezing, shortness of breath or shock. "These reactions are
life-threatening. It is extremely important to administer epinephrine intramuscularly if available and call 911 immediately."
People who spend a lot of time outdoors, including farmers and
utility workers, and who have allergic diseases have a greater chance
of developing an allergic reaction to insect stings. But severe
allergic reactions to mosquitoes and flies are extremely rare.
If you have questions about insect repellents or insect stings,
talk to your doctor.
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