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Please call 911 if you think you have a medical emergency. Bristleworm Sting Treatment 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. more information from eMedicineHealth • When to Seek Medical Care For more information, read the complete article, Wilderness: Bristleworm Sting (http://www.emedicinehealth.com/script/main/art.asp?articlekey=58963) on http://www.emedicinehealth.com. WebMD Medical Reference from eMedicineHealth Reviewed by Cynthia Haines, MD on May 24, 2006 Last updated: May 24, 2006 This information is not intended to replace the advice of a doctor. © 2006 WebMD Inc. All rights reserved. Visit http://www.eMedicineHealth.com for first aid and consumer health information. Copyright 2008