A child brought lice — what to do? - briefly
Check the child’s scalp, apply an approved lice treatment, and simultaneously wash all clothing, bedding, and personal items in hot water; inform the school or daycare so they can take preventive measures.Check the child’s scalp, apply an approved lice treatment, and simultaneously wash all clothing, bedding, and personal items in hot water; inform the school or daycare so they can take preventive measures.
A child brought lice — what to do? - in detail
When a youngster is diagnosed with head‑lice, immediate, systematic action prevents spread and eases treatment.
First, isolate the affected child from close contact with peers for at least 24 hours after the first application of an approved pediculicide. This limits transmission while the insecticide takes effect.
Second, apply a recommended over‑the‑counter product containing either permethrin 1 % or pyrethrin with piperonyl‑butoxide. Follow the label precisely: wet the hair, apply the lotion or shampoo, leave it on for the specified duration, then rinse thoroughly. Do not reuse the same product on the same child within a week; resistance can develop.
Third, remove all live insects and nits using a fine‑toothed comb. Comb the hair in sections, starting at the scalp and moving outward. Repeat the combing process at least twice a day for seven days. Discard the comb after each use or sanitize it with hot, soapy water.
Fourth, decontaminate personal items. Wash the child’s clothing, bedding, and towels in hot water (≥ 60 °C) and tumble‑dry on high heat. Items that cannot be laundered should be sealed in a plastic bag for two weeks or exposed to direct sunlight for 48 hours.
Fifth, treat household members only if they show signs of infestation. Routine prophylactic treatment of asymptomatic contacts is unnecessary and may promote resistance.
Sixth, educate caregivers about detection. Inspect the scalp behind the ears and at the nape of the neck daily for several weeks. Early identification shortens the treatment cycle.
Finally, document the episode in a health record and inform the school or daycare according to local policies, providing details of the steps taken and the expected timeline for the child’s return. This transparency supports coordinated management and reduces future outbreaks.