Wilderness: Bristleworm Sting (cont.)

Medical Author:

Scott H Plantz, MD, FAAEM

Medical Editor:

Ivette Motola, MD

Medical Editor:

Francisco Talavera, PharmD, PhD

Medical Editor:

James Kimo Takayesu, MD

Treatment for a bristleworm bite or sting includes the following:

Apply topical acetic acid (vinegar) or isopropyl alcohol.
Remove bristles with tweezers or adhesive tape.
If severe inflammation and a continual burning sensation develop, apply hydrocortisone cream 3 times per day.
If signs of infection are present, such as pus, redness, or heat, apply topical antibiotic ointment.
Oral antibiotics are usually recommended to prevent infection. If infection develops, continue antibiotics for at least 5 days after all signs of infection have cleared. Check for drug allergy prior to starting any antibiotic. A doctor will recommend the right antibiotic. Some antibiotics can cause sensitivity to the sun, so use a sunscreen (at least SPF 15).
Pain may be relieved with 1-2 acetaminophen (Tylenol) every 4 hours and/or 1-2 ibuprofen (Motrin, Advil) every 6-8 hours.