![]() ![]() If a wasp nest or bee swarm is found near the home, employ a professional to remove it.Avoid situations where bee and wasp stings may occur.What is the treatment for bee and wasp stings? Prevention What is the differential diagnosis for bee and wasp stings? The severity of the reaction depends on the age and size of the victim, the number of stings, previous sensitisation, and co-morbidities such as atopy, mastocytosis, and immune status. Wasps can sting multiple times as they do not leave their stinger behind in the skin. Hyaluronidase is a potent allergen and is responsible for the rapid distribution of the venom in tissues. Melittin is the most toxic compound in bee venom, causing most of the pain but only minor allergic reactions. At least 90% of the venom is delivered in the first 20 seconds. An individual bee therefore can only sting once and dies within a day or two. Barbs on the lancets make it impossible for the bee to retract its stinger, leaving the stinger embedded in the wound after the bee escapes. The bee stinger consists of muscles, piercing stylet and lancets, and the venom sac, glands, and bulb. In Europe, the prevalence of systemic reactions to bee and wasp stings in the adult population is 0.3–8.9%, higher in beekeepers, lower in children, and are a major cause of anaphylaxis accounting for nearly 50% of adult cases and 20% in children. ![]() Beekeepers are particularly susceptible, typically receiving many stings over their working lifetime. Bee and wasp stings mostly occur outdoors, usually around the home. ![]()
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