Insect Bites and Stings
Description General measures Medicine treatment ICD-10 code: T63.4 + (X29.99/X23.99) + External Cause Code (V,W,X,Y) DESCRIPTION Toxicity due to insect bites and stings usually results in local effects only; systemic effects are rare. Occasionally, hypersensitivity reactions are encountered, which may vary from minor local inflammation to acute anaphylaxis. Multiple bee stings can res
Description
General measures
Medicine treatment
ICD-10 code: T63.4 + (X29.99/X23.99) + External Cause Code (V,W,X,Y)
DESCRIPTION
Toxicity due to insect bites and stings usually results in local effects only; systemic effects are rare. Occasionally, hypersensitivity reactions are encountered, which may vary from minor local inflammation to acute anaphylaxis.
Multiple bee stings can result in toxicity and may require ICU care.
GENERAL MEASURES
- Allergic reactions may be acutely life-threatening.
- Patients with multiple stings may develop delayed systemic toxicity. Beware of premature discharge from the healthcare facility.
MEDICINE TREATMENT
For anaphylaxis:
See: Emergencies and Trauma, Anaphylaxis/Anaphylactic reactions.
For pain:
- Paracetamol, oral, 15 mg/kg/dose 6 hourly as required.
Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition
Chapter 18: Poisoning, 18.2 Envenomation, 18.2.1 Insect Bites And Stings