A child has been found with lice: what should be done? - briefly
Apply an age‑appropriate lice treatment, such as a permethrin or pyrethrin shampoo, according to the instructions and repeat the dose after 7–10 days. Wash bedding, clothing, and personal items in hot water, vacuum the living area, and check peers and family members for infestation.
A child has been found with lice: what should be done? - in detail
When a child is identified as having head lice, immediate action focuses on removing the insects and preventing spread.
First, confirm the presence of live lice or viable eggs (nits) by examining the scalp with a fine-toothed comb under good lighting. If live insects are seen, begin treatment without delay.
Treatment steps
- Apply a lice‑killing product that contains either 1 % permethrin or 0.5 % pyrethrin, following the manufacturer’s instructions precisely.
- Leave the preparation on the hair for the recommended time, usually 10 minutes, then rinse thoroughly.
- After the initial application, repeat the treatment after 7–9 days to eliminate any newly hatched lice that survived the first dose.
- Use a fine‑tooth comb daily for at least one week, removing lice and nits from the hair strands.
Environmental control
- Wash the child’s bedding, pillowcases, and any clothing worn in the preceding 48 hours in hot water (≥ 130 °F) and dry on high heat.
- Place items that cannot be washed in a sealed plastic bag for two weeks, the typical lifespan of a louse off the host.
- Vacuum carpets, upholstered furniture, and vehicle seats to capture any stray insects.
Communication and monitoring
- Inform the child’s school or daycare promptly, providing details of the treatment dates and the planned follow‑up.
- Request that the institution conducts a brief screening of other children and staff, offering treatment to anyone found infested.
- Schedule a check‑up with a pediatrician or a qualified health professional if the infestation persists after two treatment cycles.
Prevention measures
- Advise regular hair checks, especially after group activities or playdates.
- Encourage children to avoid sharing combs, hats, hair accessories, or head coverings.
- Maintain short hair lengths where feasible, as longer hair can harbor more nits.
By executing these actions systematically, the infestation can be eradicated and the risk of recurrence minimized.