A child has lice: what should be done? - briefly
Inspect the scalp, remove nits with a fine‑tooth comb, and apply an FDA‑approved lice treatment as directed; then launder clothing, bedding, and personal items in hot water and vacuum the environment. Repeat the treatment after 7–10 days to eradicate any newly hatched insects.
A child has lice: what should be done? - in detail
When a child is found to have head lice, immediate action prevents spread and reduces discomfort.
First, confirm the infestation by examining the scalp with a fine-toothed comb under bright light. Look for live insects, nits attached within ¼ inch of the hair shaft, or small brown specks that are not easily removed.
Next, apply an approved pediculicide. Follow the product label precisely: wash hair with a regular shampoo, towel‑dry, then apply the treatment to damp hair, ensuring coverage from scalp to tips. Leave the medication for the recommended time, usually 10 minutes, then rinse thoroughly. For resistant cases, consider a second application after 7–10 days, as recommended by health authorities.
While the chemical treatment works, remove nits manually. Use a fine comb on wet, conditioned hair, moving from the scalp outward in sections. Discard each combed-out nit to avoid re‑attachment.
Concurrent environmental decontamination reduces reinfestation risk.
- Wash bedding, hats, scarves, and any clothing worn during the previous 48 hours in hot water (≥ 130 °F) and dry on high heat.
- Seal non‑washable items in a sealed plastic bag for two weeks.
- Vacuum carpets, upholstered furniture, and car seats; discard vacuum bags afterward.
Inform caregivers, teachers, and anyone with close contact. Provide written guidance on treatment steps and the need for a follow‑up inspection after the second application.
Monitor the child’s scalp twice weekly for two weeks. If live lice persist after two treatment cycles, consult a medical professional for prescription‑strength options or alternative therapies.
Prevent future infestations by encouraging regular head checks, avoiding head‑to‑head contact during play, and discouraging sharing of combs, hats, or hair accessories.
Adhering to these measures eliminates the current problem and minimizes the likelihood of recurrence.