Insect bites and stings

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 and systemic effects are rare. Occasionally, hypersensitivity reactions are encountered, varying 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

Anaphylaxis: See Anaphylaxis/Anaphylactic Shock .

For pain:

  • Paracetamol, oral, 1 g 4–6 hourly when required.
    • Maximum dose: 15 mg/kg/dose.
    • Maximum dose: 4 g in 24 hours.

LoEIII