Bristleworm Sting Treatment

Treatment for a bristleworm bite or sting includes the following:

• Apply topical acetic acid (vinegar) or isopropyl alcohol.
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• Remove bristles with tweezers or adhesive tape.
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• If severe inflammation and a continual burning sensation develop, apply hydrocortisone cream 3 times per day.
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• If signs of infection are present, such as pus, redness, or heat, apply topical antibiotic ointment.
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• 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).
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• Pain may be relieved with 1-2 acetaminophen (Tylenol) every 4 hours and/or 1-2 ibuprofen (Motrin, Advil) every 6-8 hours.