Trombiculosis
Encyclopedia
Trombiculosis, trombiculiasis, or trombiculidiasis is a rash caused by trombiculid
Trombiculidae
Trombiculidae is a family of mites called trombiculid mites Trombiculidae is a family of mites called trombiculid mites Trombiculidae is a family of mites called trombiculid mites (also called berry bugs; harvest mites; red bugs; scrub-itch mites; and aoutas.   In their larval stage, those...

 mites.

Prevention

Chiggers are commonly found on the tip of blades of grasses to catch a host, so keeping grass short, and removing brush and wood debris where potential mite hosts may live, can limit their impact on an area. Sunlight that penetrates the grass will make the lawn drier and make it less favorable for chigger survival.

Chiggers seem to affect warm covered areas of the body more than drier areas. Thus, the bites are often clustered behind the knees, or beneath tight undergarments such as socks, underwear, or brassieres. Areas higher in the body (chest, back, waist-band, and under-arms) are affected more easily in small children than in adults, since children are shorter and are more likely than adults come in contact with low-lying vegetation and dry grass where chiggers thrive.

Application of repellent to the shoes, lower trousers and skin is also useful. Because they are found in grass, staying on trails, roads, or paths can prevent contact. Dusting sulfur is used commercially for mite control and can be used to control chiggers in yards. The dusting of shoes, socks and trouser legs with sulfur can be highly effective in repelling chiggers.

Another good strategy is to recognize the chigger habitat to avoid exposure in the first place. Chiggers in North America thrive late in summer, in dry tall grasses and other thick, unshaded vegetation. Insect repellents containing one of the following active ingredients are recommended: DEET
DEET
N,N-Diethyl-meta-toluamide, abbreviated DEET, is a slightly yellow oil. It is the most common active ingredient in insect repellents...

, catnip oil extract (nepetalactone
Nepetalactone
Nepetalactone is an organic compound, first isolated from the plant catnip , which acts as a cat attractant. Nepetalactone is bicyclic terpenoid, i.e., it is a ten-carbon compound derived from isoprene with two fused rings, a cyclopentane and a lactone. The structure and the effects of the compound...

), citronella oil
Citronella oil
Citronella oil is one of the essential oils obtained from the leaves and stems of different species of Cymbopogon. The oil is used extensively as a source of perfumery chemicals such as citronellal, citronellol and geraniol...

 or eucalyptus oil
Eucalyptus oil
Eucalyptus oil is the generic name for distilled oil from the leaf of Eucalyptus, a genus of the plant family Myrtaceae native to Australia and cultivated worldwide. Eucalyptus oil has a history of wide application, as a pharmaceutical, antiseptic, repellent, flavouring, fragrance and industrial uses...

 extract. However, in 1993 issue a study reported on tests of two commercial repellents: DEET and citrus oil: "All chiggers exposed on the filter papers treated with DEET died and did not move off the treated papers. None of the chiggers that were placed on papers treated with citrus oil were killed." It was concluded that DEET was more effective than citrus oil.

Chiggers can also be treated using common household vinegar
Vinegar
Vinegar is a liquid substance consisting mainly of acetic acid and water, the acetic acid being produced through the fermentation of ethanol by acetic acid bacteria. Commercial vinegar is produced either by fast or slow fermentation processes. Slow methods generally are used with traditional...

 (5% acetic acid). For personal protection, apply insect repellent
Insect repellent
An insect repellent is a substance applied to skin, clothing, or other surfaces which discourages insects from landing or climbing on that surface. There are also insect repellent products available based on sound production, particularly ultrasound...

 to feet, legs, and mid-section.

Treatment

To reduce the itching, an application of anti-itch
Antipruritic
Antipruritics, also known as anti-itch drugs, are medications that inhibit the itching that is often associated with sunburns, allergic reactions, eczema, psoriasis, chickenpox, fungal infections, insect bites and stings like those from mosquitoes, fleas, and mites, and contact dermatitis and...

 cream containing hydrocortisone
Cortisol
Cortisol is a steroid hormone, more specifically a glucocorticoid, produced by the adrenal gland. It is released in response to stress and a low level of blood glucocorticoids. Its primary functions are to increase blood sugar through gluconeogenesis; suppress the immune system; and aid in fat,...

, calamine
Calamine
Calamine is a mixture of zinc oxide with about 0.5% ferric oxide . It is the main ingredient in calamine lotion and is used as an antipruritic to treat mild pruritic conditions such as sunburn, eczema, rashes, poison ivy, chickenpox, and insect bites and stings...

, or benzyl benzoate
Benzyl benzoate
Benzyl benzoate is the ester of benzyl alcohol and benzoic acid, with the formula C6H5CH2O2CC6H5. This easily prepared compound has a variety of uses.-Synthesis:This colorless liquid is formally the condensation product of benzoic acid and benzyl alcohol...

 is often used (though calamine has been shown not to be effective). Hydrogen peroxide
Hydrogen peroxide
Hydrogen peroxide is the simplest peroxide and an oxidizer. Hydrogen peroxide is a clear liquid, slightly more viscous than water. In dilute solution, it appears colorless. With its oxidizing properties, hydrogen peroxide is often used as a bleach or cleaning agent...

 and capsaicin
Capsaicin
Capsaicin 2CHCH=CH4CONHCH2C6H3-4--3- ) is the active component of chili peppers, which are plants belonging to the genus Capsicum. It is an irritant for mammals, including humans, and produces a sensation of burning in any tissue with which it comes into contact...

 cream has also been effective. Another good way to relieve itching is to apply heat—either by using a hand held shower with water hot as one can stand, or by heating the bite with a hair dryer. The heat method will relieve itching for about four hours and will require repeating. Applying fingernail polish to the affected area does not kill the chigger; the chigger is actually no longer present by the time a rash is noticed.

The most effective way of removing chiggers is by washing the affected areas with warm water and soap
Soap
In chemistry, soap is a salt of a fatty acid.IUPAC. "" Compendium of Chemical Terminology, 2nd ed. . Compiled by A. D. McNaught and A. Wilkinson. Blackwell Scientific Publications, Oxford . XML on-line corrected version: created by M. Nic, J. Jirat, B. Kosata; updates compiled by A. Jenkins. ISBN...

. This must be done as soon as possible after exposure or possible exposure. Carefully wash the ankles, feet, behind the knees, and under the arms and chest. An Epsom salt bath may help alleviate itching. If one is near the seashore, wading for a few minutes in salt water will both get rid of the mites on one's skin and clothing and also alleviate the itching from their bites. Clothing, especially underwear, should be immediately discarded after returning from areas where exposure may have occurred. However, once symptoms appear, it may be too late to prevent further bites. Taking a hot bath when already covered with chigger bites may in fact be very uncomfortable and increase itching symptoms. Do not rub and scratch the skin aggressively, as this can break the skin and leave it vulnerable to a more serious infection
Infection
An infection is the colonization of a host organism by parasite species. Infecting parasites seek to use the host's resources to reproduce, often resulting in disease...

.

In some cases, the chigger is still present when the bite appears. A 10X magnifier can be used to see the chigger and it may be removed with fine-tipped tweezers. Once it is gone, covering the bite with nail polish, calamine lotion, vaseline or other petroleum jelly
Petroleum jelly
Petroleum jelly, petrolatum, white petrolatum or soft paraffin, CAS number 8009-03-8, is a semi-solid mixture of hydrocarbons , originally promoted as a topical ointment for its healing properties...

, baby oil, or anything else may help the pain and itching, but will neither suffocate the chigger nor help the bites heal any faster. Medication such as antihistamine
Antihistamine
An H1 antagonist is a histamine antagonist of the H1 receptor that serves to reduce or eliminate effects mediated by histamine, an endogenous chemical mediator released during allergic reactions...

s or corticosteroid
Corticosteroid
Corticosteroids are a class of steroid hormones that are produced in the adrenal cortex. Corticosteroids are involved in a wide range of physiologic systems such as stress response, immune response and regulation of inflammation, carbohydrate metabolism, protein catabolism, blood electrolyte...

creams may be prescribed by doctors, and might help in some instances.
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