Some people, however, have little or no reaction to bedbug bites. Those whose bodies do not initially react may subsequently develop symptoms, however, due to an allergic reaction caused by the development of antigen. Bedbugs never crawl under one's skin and markings implying this may be signs of other skin infections or a severe allergic reaction to bedbug bites.

A technique for "catching" (detecting) bedbugs is to have a light source accessible from bed and to turn it on at about an hour before dawn, which is usually the time when bedbugs are most active. A flashlight is recommended instead of room lights, as the act of getting out of bed will cause any bedbugs present to scatter.

Bedbugs can also sometimes be viewed during the day. The flashlight method is best; if you awaken during the night, leave your lights off but use your flashlight to inspect your mattress. Bedbugs are fairly fast in their movements, however, this can vary depending on how recently they have consumed a blood meal, and if treatment has been performed. Some have described their speed of travel as being about that of ants. Immature stages are quite small. A few seconds staring at patterned cover may be needed to notice them.

Some individuals have used glue traps placed in strategic areas around their home (sometimes used in conjunction with heating pads, or balloons filled with exhaled breath, thus offering the carbon dioxide that bedbugs look for) in order to attract and thus detect bedbug infestations.

This method has varied reports of success. It likely depends on extent of infestation, and given the choice of a heating pad and low carbon dioxide, it is not unreasonable to presume that the bedbugs will go for a person preferentially -- they have had a long time to evolve in their abilities to find hosts. There are also commercial traps like "flea" traps whose effectiveness is questionable except perhaps as a means of detection, but traps will certainly not work to control an infestation.

Perhaps the easiest method for detection is to place double-sided carpet tape in long strips near or around the bed and check the strips after a day or more. This is also useful in detecting insect presence in general.

Veterinarians may mistake bedbugs' leavings on a pet's fur as "flea dirt".

Bedbugs are known for being elusive, transient and nocturnal. For many, the only way to detect and identify with certainty an infestation is to contact a pest control professional, however, this pest was largely absent as a significant part of pest control services for decades, so the pest control industry is in process of ensuring staff are well-trained.

Incidence of infestations

With the widespread use of DDT in the 1940s and '50s, bedbugs all but disappeared from North America in the mid-twentieth century.[2] Infestations remained common in many other parts of the world, however, and in recent years have begun to rebound in North America. Reappearance of bedbugs in North America has presented new challenges for pest control.

Another reason for their increase is that pest control services more often nowadays use low toxicity gel-based pesticides for control of cockroaches, the most common pest in structures, instead of residual sprays. When residual sprays meant to kill other insects were commonly being used, they resulted in a collateral insecticidal effect on potential bedbug infestations; the gel-based insecticides primarily used nowadays do not have any effect on bedbugs, as they are incapable of feeding on these baits.

The Professional Pest Management Association, a US advocacy group for pest control operators (PCOs) conducted a "proactive bed bug public relations campaign" in 2005 and 2006, resulting in increased media coverage of bedbug stories and an increase in business for PCOs, possibly distorting the scale of the increase in bedbug infestations.

Living with infestation

If it is necessary to live with bedbugs in the short term, it is possible to create makeshift temporary barriers around a bed.

Although bedbugs cannot fly or jump, they have been observed climbing a higher surface in order to then fall to a lower one, such as climbing a wall in order to fall onto a bed. That having been said, barrier strategies nevertheless often have beneficial effects: an elevated bed, for example, can be protected by applying double-sided sticky tape (carpet tape) around each leg, or by keeping each leg on a plastic furniture block in a tray of water.

Bed frames can be effectively rid of adult bedbugs and eggs by use of steam or, used with caution, by spraying rubbing alcohol on any visible bugs (although this is not a permanent treatment). Small steam cleaners are available and are very effective for this local treatment.

A suspect mattress can be protected by wrapping it in a painter's disposable plastic dropcloth, neatly sealing shut all the seams with packing tape, and putting it on a protected bed after a final visual inspection. Bedding can be sanitized by a 120 °F (49 °C) laundry dryer.

AllerZip Waterproof Bug-Proof Zippered Bedding Encasement, Cal. King DEEP Size (Fits 13 -18 in. H)

Once sanitized, bedding should not be allowed to drape to the floor. An effective way to quarantine a protected bed is to store sanitized sleeping clothes in the bed during the day, and bathing before entering the bed.

Vermin and pets may complicate a barrier strategy. Bedbugs prefer human hosts, but will resort to other warm-blooded hosts if humans are not available, and some species can live up to eighteen months without feeding at all. A co-infestation of mice can provide an auxiliary food source to keep bedbugs established for longer. Likewise, a house cat or human guest might easily defeat a barrier by sitting on a protected bed. Such considerations should be part of any barrier strategy.

A camping tent can serve as a "safe" sanctuary for sleeping in the short term to avoid new bites. Keep sleep clothes in the tent to ensure bugs are not introduced to the tent.

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