If the insect bites are itchy and swollen, it’s okay to apply hydrocortisone cream 1% (Cortaid or other brand) twice a day as needed for 5-7 days. You may also give Benadryl by mouth every 6-8 hours as needed. If there is a firm redness that’s spreading, if the area is painful, warm, or if there is crusty drainage that looks like pus make an appointment to have it evaluated.
For prevention, please wear long pants/sleeves and use insect repellant during the early morning/evening times when the insects are out. Insect repellant is fine for children over the age of 2 months if it contains no more than 30% DEET. Spray the repellent on clothing and exposed skin, but be careful to avoid the hands and face. Children should wash off the repellent when they come inside.