Quick answer: Bed bugs don't come from dirt, and they don't appear on their own. They're carried in on luggage, clothing, used furniture and other belongings, or they crawl over from a neighboring apartment. A single fertilized female can start an infestation, and a spotless home is just as likely to get them as a messy one.1,2,3,4
Key Takeaways
- Travel and secondhand furniture are the most common ways bed bugs get into a home.1,5
- Cleanliness doesn't matter. Bed bugs are drawn to warmth, blood and carbon dioxide, not dirt.2,6
- They spread through apartment buildings. In one Purdue study, bed bugs reached 45% of a high-rise's units in under 3.5 years.7
- Infestations grow fast: under ideal conditions, a population can double about every two weeks.8,9
- Bites aren't a reliable sign. About 3 in 10 people don't react to bed bug bites at all.3
- Bed bugs aren't known to spread disease, but they can cause sleep loss, anxiety and skin infections.2,10
Finding bed bugs usually raises the same questions: How did they get here? Did I do something wrong? Will they spread? This guide answers them, from the everyday ways bed bugs travel to where the species came from in the first place. If you're not sure you have bed bugs yet, start with the signs of bed bugs.
In this guide
How Do Bed Bugs Get Into Your Home?
Bed bugs can't fly or jump. They travel by hiding in the seams and folds of things people carry.11,2 The most common routes are:
- Travel: hotels, motels, shelters, dorms and other places where many people sleep. Bed bugs turn up even in five-star hotels.5,2
- Secondhand furniture and mattresses, especially beds and couches left on the curb.3,5,12
- Visitors and caregivers, through their bags, coats and belongings. Bed bugs don't live on people, so a short daytime visit to an infested home is unlikely to transfer them.3
- Kids' backpacks and coats from school or daycare.13
- Moving vans, moving blankets and storage warehouses, which can pass bugs from one customer's belongings to another's.14,15
- Laundromats and shared laundry rooms.16
- Neighbors, when bugs crawl between apartments through cracks and openings in walls, floors and ceilings.3,12
Pest professionals find bed bugs almost everywhere people spend time. In a 2018 national survey, 91% had found bed bugs in single-family homes, 89% apartments and condos, 68% hotels and motels, 59% nursing homes, 47% schools and daycares, 46% offices and 19% public transportation.17

Can You Get Bed Bugs From a Person, a Pet or Outdoors?
| Question | Answer |
|---|---|
| Do bed bugs come from dirt? | No. How clean a home is doesn't determine whether it gets bed bugs; clutter just gives them more places to hide.2,3,6 |
| Can I get bed bugs from another person? | Possible but uncommon. They ride on belongings and clothing, not on people's bodies.3 |
| Can my dog or cat bring them in? | Unlikely. Bed bugs may bite pets in an infested home, but they don't live on them, and pets aren't considered a source.18 |
| Can they come from outside? | Not common bed bugs, which live indoors with people. Close relatives can: bat bugs from bats in attics or walls, and swallow bugs from swallow nests on the house. They look almost identical to bed bugs.19,3 |
If you've had bats or nesting swallows, bites may come from bat bugs or swallow bugs instead, and they need different treatment: the roost or nest has to be removed and the animals kept out.19,3 See bugs that look like bed bugs.
How Do Bed Bugs Spread in Apartment Buildings?
Bed bugs spread from unit to unit by crawling through cracks and openings in walls, floors and ceilings, and on people's belongings.3,12 Purdue University researchers tracked an outbreak in a 223-unit, 15-story building:7
- 101 units (45%) became infested within 41 months of the first known case.
- 53% of units next door to an infested apartment were also infested.
- At least half of residents with bed bugs didn't know they had them.
- Infested furniture, resident turnover, visits between units and a shared wheelchair all helped spread them.
If you live in an apartment, tell your landlord right away. Units on both sides, above, below and across the hall should be inspected.3 Check your lease and local laws on who pays for treatment; see bed bug laws.
How Fast Does a Bed Bug Infestation Grow?
- Eggs: a female lays about 1 to 5 eggs a day and roughly 150 to 500 in her lifetime.20,8,5,11
- Hatching: about 1 to 2 weeks at room temperature.3,8
- Growing up: young bed bugs pass through 5 nymph stages, each needing a blood meal, and can reach adulthood in about 5 weeks in a warm home.21,8,3
- Doubling: under ideal conditions, a population can double about every two weeks.8,9 In practice, growth is often slower.9
- Surviving without food: adults and nymphs can live for months without a meal.2,3
Bed bugs usually stay within about 8 feet of where people sleep, though they can crawl more than 100 feet in a night.2 That's why infestations start in the bed and spread to nearby furniture, baseboards and other rooms as numbers grow.3 See where bed bugs hide and bed bug pictures of each life stage.
How Bad Is My Bed Bug Infestation?
| Sign | Small or new infestation | Larger infestation |
|---|---|---|
| Fecal spots | One or two spots, often on mattress seams or behind the headboard | Groups of 10 or more, in many places |
| Shed skins and bugs | Few, hard to find | Clustered on seams, headboards, baseboards and belongings |
| Odor | None | A musty or sweet smell may be noticeable |
Don't judge by bites. About 30% of people don't react to bed bug bites, and the share is higher among older adults.3,11 To confirm, look for the bugs themselves or use interceptor traps under the bed legs; in a Rutgers study, interceptors left for 1 to 2 weeks found 93% of infestations.24 Trained dogs can help, but their accuracy in real apartments varied widely, so any alert should be confirmed by finding a bug.24,5
You can also have a bug identified by mail. Cornell University's Insect Diagnostic Lab accepts samples and photos for a fee.25

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Where Did Bed Bugs Originally Come From?
Bed bugs are older than bats. A 2019 study traced the bed bug family back about 115 million years, to the age of dinosaurs, and found that bed bug lineages later moved onto bats and birds many times.26,27 The common bed bug most likely moved to people from bats, possibly when early humans shared caves with them; bat-feeding and human-feeding populations still exist today.28,29
Bed bugs have bothered people for a very long time. Remains found in Egypt show they were living with people at least 3,550 years ago.30 A 2025 genetic study found bed bug numbers shifted sharply about 13,000 years ago and later followed people into the first cities. The authors suggest they may be the first urban pest insect.31
Why are bed bugs back?
Bed bugs became rare in wealthy countries after World War II, partly because of DDT, then returned in the late 1990s.3,11 The main reasons are:
- Insecticide resistance: 88% of 110 U.S. bed bug populations carried genes for resistance to common pyrethroid insecticides.32,33
- More travel and trade, which move bugs between cities and countries.5,34
- Changes in pest control and less awareness of bed bugs after decades without them.3,34
Do Bed Bugs Carry Disease?
Bed bugs aren't known to spread disease to people.2,34 Scientists have found more than 40 germs in bed bugs, but there's no evidence they pass any of them to people.11 In a lab study, bed bugs passed the parasite that causes Chagas disease between mice, but there's no evidence this happens in people; the CDC names only kissing bugs as carriers.35,36
Bed bugs can still affect your health:
- Itching and skin infections from scratching, and rarely severe allergic reactions.2
- Anxiety and trouble sleeping. In a small Montreal study, tenants with bed bugs had about five times the odds of anxiety and sleep problems.10
- Rarely, anemia from heavy, long-lasting infestations.37
See bed bug bites and bed bug symptoms for treatment.
How to Avoid Bringing Bed Bugs Home
- When you travel, check the mattress, headboard and luggage rack; keep bags off the bed and floor; and unpack straight into the washer, then dry on high heat.38 See our bed bug travel tips.
- Inspect used furniture before bringing it home, and never take mattresses or couches off the curb.39,3
- At the laundromat, carry laundry in plastic bags, check baskets and folding tables, and fold clothes at home.16
- When moving or storing belongings, inspect rental trucks, ask movers and storage companies how they check for bed bugs, use new boxes, and store items in sealed plastic.15,14
- In apartments, use door sweeps and seal gaps around baseboards and outlets.39
- At home, encase the mattress and box spring, cut clutter, and vacuum often.39,3
Already have bed bugs? See how to get rid of bed bugs, natural remedies rated by the evidence and how to choose an exterminator. For free quotes from local bed bug exterminators, call 1-877-673-2704 (we may be paid when you call), or ask an exterminator online (we may be paid when you use this link).
What the Research Shows
Where Bed Bugs Come From: Frequently Asked Questions
Where do bed bugs come from in the first place?
They're carried in on luggage, clothing, used furniture and other belongings, or they crawl in from a neighboring unit. They never appear on their own.1,3
Do bed bugs mean my house is dirty?
No. Clean and dirty homes can both get bed bugs. Clutter doesn't attract them, but it gives them more places to hide.2,3,6
Can bed bugs come from outside?
Common bed bugs live indoors with people. Bat bugs and swallow bugs, close relatives, can move in from bat roosts or bird nests on a house.19
How long does it take for bed bugs to spread?
Under ideal conditions, a population can double about every two weeks, and in one apartment building bed bugs spread to 45% of units in under 3.5 years.8,7
Do bed bugs carry diseases?
They aren't known to spread disease, but they can cause itching, skin infections, sleep loss and anxiety.2,10
References
- Miller DM, Rogers J. How to Identify a Bed Bug Infestation, ENTO-4P. Virginia Cooperative Extension, 2012. pubs.ext.vt.edu
- Centers for Disease Control and Prevention. About Bed Bugs. CDC, 2024. www.cdc.gov
- Potter MF. Bed Bugs, ENTFACT-636. University of Kentucky Entomology, rev. 2026. entomology.mgcafe.uky.edu
- Saenz VL, Booth W, Schal C, Vargo EL. Genetic analysis of bed bug populations reveals small propagule size within individual infestations but high genetic diversity across infestations from the eastern United States. Journal of Medical Entomology 49(4):865–875, 2012 (PestInfo Wiki abstract). wiki.pestinfo.org
- Sutherland AM, Choe DH, Lewis VR. Pest Notes: Bed Bugs, Publication 7454. UC Statewide IPM Program, 2013. ipm.ucanr.edu
- U.S. Environmental Protection Agency. Bed Bug Myths. U.S. EPA (January 19, 2025 web snapshot). 19january2025snapshot.epa.gov
- Wang C, Saltzmann K, Chin E, Bennett GW, Gibb T. Characteristics of Cimex lectularius (Hemiptera: Cimicidae) infestation and dispersal in a high-rise apartment building. Journal of Economic Entomology 103(1):172–177, 2010. www.extension.entm.purdue.edu
- Miller DM, Polanco A, Rogers J. Bed Bugs Biology and Behavior, ENTO-8P. Virginia Cooperative Extension, 2019 (reviewed 2024). pubs.ext.vt.edu
- Pinto & Associates (reprinted). How fast can infestations grow? Pest Control Technology, March 2021. pctonline.com
- Susser SR, Perron S, Fournier M, Jacques L, Denis G, Tessier F, Roberge P. Mental health effects from urban bed bug infestation (Cimex lectularius L.): a cross-sectional study. BMJ Open 2(5):e000838, 2012. bmjopen.bmj.com
- Doggett SL, Dwyer DE, Peñas PF, Russell RC. Bed bugs: clinical relevance and control options. Clinical Microbiology Reviews 25(1):164–192, 2012. pmc.ncbi.nlm.nih.gov
- Quesada C, Gripp S. Biology, Habitat, and Management of Bed Bugs. Penn State Extension, updated 2025. extension.psu.edu
- U.S. Environmental Protection Agency. Bed Bugs in Schools: Guidance for Parents, EPA 730-F-16-001. U.S. EPA, 2016. www.epa.gov
- National Pest Management Association. Response to Bed Bugs in Moving & Storage (industry protocol). NPMA, n.d. www.pestworld.org
- New York City Department of Health and Mental Hygiene. Simple Ways to Avoid Bed Bugs During Moving and Storage. NYC DOHMH, n.d. www.nyc.gov
- U.S. Environmental Protection Agency. Avoid Bed Bugs at the Laundromat, EPA 740-F-17-009. U.S. EPA, 2017. epa.gov
- National Pest Management Association. Bed Bug Facts & Statistics (2018 Bugs Without Borders; 2011 Bed Bugs in America). NPMA PestWorld, n.d. pestworld.org
- Companion Animal Parasite Council. Bed Bugs (guideline). CAPC, updated 2014. capcvet.org
- Cranshaw WS, Camper M, Peairs F. Bat Bugs, Bed Bugs and Relatives, Fact Sheet 5.574. Colorado State University Extension, rev. 2013. www.extension.colostate.edu
- Polanco AM, Miller DM, Brewster CC. Reproductive potential of field-collected populations of Cimex lectularius L. and the cost of traumatic insemination. Insects 2(3):326–335, 2011. vtechworks.lib.vt.edu
- U.S. Environmental Protection Agency. Bed Bugs: Appearance and Life Cycle. U.S. EPA, n.d. www.epa.gov
- Miller DM. How to Identify a Bed Bug Infestation. Virginia Tech, via Virginia Department of Agriculture and Consumer Services, n.d. www.vdacs.virginia.gov
- Newkirk C. Signs of bed bug infestation. Michigan State University Extension, 2012. www.canr.msu.edu
- Cooper R, Wang C, Singh N. Accuracy of trained canines for detecting bed bugs (Hemiptera: Cimicidae). Journal of Economic Entomology 107(6):2171–2181, 2014. entomology.rutgers.edu
- Cornell University Insect Diagnostic Laboratory. How to send a sample or photo to the IDL. Cornell CALS, n.d. (fetched 2026-10-29). cals.cornell.edu
- Roth S, Balvín O, Siva-Jothy MT, Di Iorio O, Benda P, Calva O, Faundez EI, Anwarali Khan FA, McFadzen M, Lehnert MP, Naylor R, Simov N, Morrow EH, Willassen E, Reinhardt K. Bedbugs evolved before their bat hosts and did not co-speciate with ancient humans. Current Biology 29(11):1847–1853.e4, 2019 (White Rose repository record). eprints.whiterose.ac.uk
- Allen S. International research finds bedbugs evolved more than 100 million years ago. University of Sussex news, 17 May 2019. www.sussex.ac.uk
- Balvín O, Munclinger P, Kratochvíl L, Vilímová J. Mitochondrial DNA and morphology show independent evolutionary histories of bedbug Cimex lectularius (Heteroptera: Cimicidae) on bats and humans. Parasitology Research, 2012. web.natur.cuni.cz
- Ohio State University Bed Bugs site (CFAES). Bed Bug Evolution and Historical Records. Ohio State University, n.d. u.osu.edu
- Panagiotakopulu E, Buckland PC. Cimex lectularius L., the common bed bug from Pharaonic Egypt. Antiquity 73(282):908–911, 1999. www.cambridge.org
- Miles LS, Verrelli BC, Adams R, Francioli YZ, Card DC, Balvín O, et al. Were bed bugs the first urban pest insect? Genome-wide patterns of bed bug demography mirror global human expansion. Biology Letters, 2025, doi:10.1098/rsbl.2025.0061 (National Medical Library CZ record). dev.nlk.cz
- University of Kentucky College of Agriculture. Bed bug resistance to insecticides widespread (on Zhu F, Potter MF, Haynes KF, Palli SR et al.). UK Ag News, 2010. news.mgcafe.uky.edu
- Romero A, Potter MF, Potter DA, Haynes KF. Insecticide resistance in the bed bug: a factor in the pest's sudden resurgence? Journal of Medical Entomology 44(2):175–178, 2007. scholars.uky.edu
- U.S. Environmental Protection Agency. Introduction to Bed Bugs. U.S. EPA, n.d. www.epa.gov
- Salazar R, Castillo-Neyra R, Tustin AW, Borrini-Mayorí K, Náquira C, Levy MZ. Bed bugs (Cimex lectularius) as vectors of Trypanosoma cruzi. American Journal of Tropical Medicine and Hygiene 92(2):331–335, 2015. ajtmh.org
- Centers for Disease Control and Prevention. About Chagas Disease. CDC, n.d. www.cdc.gov
- Pritchard MJ, Hwang SW. Severe anemia from bedbugs (case report). CMAJ 181(5):287–288, 2009. www.cmaj.ca
- U.S. Environmental Protection Agency. Bed Bugs: Tips for Travel. U.S. EPA, n.d. epa.gov
- U.S. Environmental Protection Agency. Protecting Your Home from Bed Bugs. U.S. EPA (January 19, 2025 web snapshot). 19january2025snapshot.epa.gov