Cleveland is crawling with bed bugs.

Terminix this week released its 2018 ranking of the cities with the worst bed bug problems and Cleveland topped the list for the second consecutive year. The rankings are based on the number of services provided by the pest control company between Oct. 1, 2017 and Sept. 30, 2018.

The top five cities, in order, after Cleveland are: Philadelphia, Los Angeles, Indianapolis and Cincinnati. Other Ohio cities on the list are Columbus ranked eighth and Dayton 10th.

"Infestations of these pests are notoriously difficult to treat, and homeowners who suspect that bed bugs may have been introduced or found in their homes should contact a pest control professional," the company said in its announcement.