Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan

Abstract This study was to determine risk assessment associated with bed bugs (Insecta: Hemiptera: Cimicidae) using participatory epidemiological tools in the selected public hospitals of district Faisalabad, Punjab, Pakistan. Bed bugs were collected and morphologically identified through a standard...

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Main Authors: Arzoo Ashraf, Muhammad Sohail Sajid, Hafiz Muhammad Rizwan, Kashif Hussain, Muhammad Asif Mahmood, Muhammad Imran Arshad, Zain ul Abdin, Shumaila Ashraf, Malcolm K. Jones, Dalia Fouad, Farid S. Ataya
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Language:English
Published: BMC 2025-02-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-025-21661-3
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author Arzoo Ashraf
Muhammad Sohail Sajid
Hafiz Muhammad Rizwan
Kashif Hussain
Muhammad Asif Mahmood
Muhammad Imran Arshad
Zain ul Abdin
Shumaila Ashraf
Malcolm K. Jones
Dalia Fouad
Farid S. Ataya
author_facet Arzoo Ashraf
Muhammad Sohail Sajid
Hafiz Muhammad Rizwan
Kashif Hussain
Muhammad Asif Mahmood
Muhammad Imran Arshad
Zain ul Abdin
Shumaila Ashraf
Malcolm K. Jones
Dalia Fouad
Farid S. Ataya
author_sort Arzoo Ashraf
collection DOAJ
description Abstract This study was to determine risk assessment associated with bed bugs (Insecta: Hemiptera: Cimicidae) using participatory epidemiological tools in the selected public hospitals of district Faisalabad, Punjab, Pakistan. Bed bugs were collected and morphologically identified through a standard taxonomic key. A descriptive cross-sectional survey of patients using a pre-designed questionnaire containing open-ended and closed-ended questions was conducted for six months between January 2023 and June 2023. Of the 384 participants, 113 (29.43%) had experienced itching or skin irritation presumably from the bed bug feeding activity. The study further revealed patients above age 40 (35.43%) and males (30.57%) experienced greater skin irritation responses compared to other participants. Among administrative divisions (tehsils) in the city of Faisalabad, Tehsil Sadar had the highest number of participants with itching or skin irritation (35.48%), while Tehsil Chak Jhumra had the lowest number (24.62%). Most observations of bed bugs by patients were in their beds (10.42%), with chairs (3.91%) being the second most reported location. However, we found bed bugs from only 17 (4.42%) beds and 5 (1.30%) from chairs. A majority of patients (60.9%) reported daily change of bedding; however, a significant proportion (29.9%) reported infrequent changes. About 25.5% of the patients shared beds with others and about 77.1% of patients brought their own bedding or clothing to the hospitals. The current study concluded that the bed bug infestation is a problem in the public hospitals of Faisalabad, Punjab, Pakistan. Risk factors such as sharing a bed, infrequent change of bedding, and bringing personal bedding to hospital while having medical treatment pose a concern.
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spelling doaj-art-e39d481ed596405ea4574734ae2b0be32025-02-02T12:45:52ZengBMCBMC Public Health1471-24582025-02-012511810.1186/s12889-025-21661-3Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, PakistanArzoo Ashraf0Muhammad Sohail Sajid1Hafiz Muhammad Rizwan2Kashif Hussain3Muhammad Asif Mahmood4Muhammad Imran Arshad5Zain ul Abdin6Shumaila Ashraf7Malcolm K. Jones8Dalia Fouad9Farid S. Ataya10Department of Epidemiology and Public Health, University of AgricultureDepartment of Parasitology, Faculty of Veterinary Science, University of AgricultureSection of Parasitology, Department of Pathobiology, KBCMA College of Veterinary and Animal Sciences, NarowalDepartment of Parasitology, Faculty of Veterinary Science, University of AgricultureInstitute of Public HealthDepartment of Epidemiology and Public Health, University of AgricultureDepartment of Entomology, Faculty of Agriculture, University of AgricultureCollege of Nursing, District Head Quarter HospitalSchool of Veterinary Science, The University of QueenslandDepartment of Zoology, College of Science, King Saud UniversityDepartment of Biochemistry, College of Science, King Saud UniversityAbstract This study was to determine risk assessment associated with bed bugs (Insecta: Hemiptera: Cimicidae) using participatory epidemiological tools in the selected public hospitals of district Faisalabad, Punjab, Pakistan. Bed bugs were collected and morphologically identified through a standard taxonomic key. A descriptive cross-sectional survey of patients using a pre-designed questionnaire containing open-ended and closed-ended questions was conducted for six months between January 2023 and June 2023. Of the 384 participants, 113 (29.43%) had experienced itching or skin irritation presumably from the bed bug feeding activity. The study further revealed patients above age 40 (35.43%) and males (30.57%) experienced greater skin irritation responses compared to other participants. Among administrative divisions (tehsils) in the city of Faisalabad, Tehsil Sadar had the highest number of participants with itching or skin irritation (35.48%), while Tehsil Chak Jhumra had the lowest number (24.62%). Most observations of bed bugs by patients were in their beds (10.42%), with chairs (3.91%) being the second most reported location. However, we found bed bugs from only 17 (4.42%) beds and 5 (1.30%) from chairs. A majority of patients (60.9%) reported daily change of bedding; however, a significant proportion (29.9%) reported infrequent changes. About 25.5% of the patients shared beds with others and about 77.1% of patients brought their own bedding or clothing to the hospitals. The current study concluded that the bed bug infestation is a problem in the public hospitals of Faisalabad, Punjab, Pakistan. Risk factors such as sharing a bed, infrequent change of bedding, and bringing personal bedding to hospital while having medical treatment pose a concern.https://doi.org/10.1186/s12889-025-21661-3Bed bugPrevalenceCimex lectulariusInfestationDistribution
spellingShingle Arzoo Ashraf
Muhammad Sohail Sajid
Hafiz Muhammad Rizwan
Kashif Hussain
Muhammad Asif Mahmood
Muhammad Imran Arshad
Zain ul Abdin
Shumaila Ashraf
Malcolm K. Jones
Dalia Fouad
Farid S. Ataya
Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan
BMC Public Health
Bed bug
Prevalence
Cimex lectularius
Infestation
Distribution
title Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan
title_full Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan
title_fullStr Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan
title_full_unstemmed Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan
title_short Participatory epidemiological approaches for risk assessment of bed bug (Insecta: Hemiptera: Cimicidae) infestation in public hospitals in the city of Faisalabad, Punjab, Pakistan
title_sort participatory epidemiological approaches for risk assessment of bed bug insecta hemiptera cimicidae infestation in public hospitals in the city of faisalabad punjab pakistan
topic Bed bug
Prevalence
Cimex lectularius
Infestation
Distribution
url https://doi.org/10.1186/s12889-025-21661-3
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