How to check for lice on a child?

How to check for lice on a child? - briefly

Wet the child's hair, part it into small sections, and run a fine-tooth comb from scalp to ends, examining each strand for live insects or attached eggs; repeat every few days to confirm. If any lice or nits are found, begin appropriate treatment immediately.

How to check for lice on a child? - in detail

Detecting head‑lice infestations in a child requires a systematic visual inspection and appropriate tools. Begin by preparing a well‑lit area, preferably with natural daylight or a bright lamp. Use a fine‑toothed lice comb, a clean white towel, and a magnifying glass if available.

First, dampen the child’s hair with water or a light spray of conditioner; this immobilizes the insects and makes the hair easier to comb. Separate the hair into sections, starting at the scalp and moving outward. Run the comb through each section from the roots to the tips, wiping the comb on the towel after each pass. Examine the towel for live insects, nymphs, or brown‑ish eggs (nits) attached to the hair shaft.

Key visual indicators include:

  • Live lice: small, tan to gray insects about the size of a sesame seed, moving quickly on the scalp.
  • Nits: oval, translucent or yellowish, firmly cemented within ¼ inch of the scalp; they do not detach easily.
  • Cradle caps or scalp irritation: redness, scratching marks, or small sores may accompany an infestation.

If any lice or nits are found, repeat the combing process on the entire head at least twice, allowing a 48‑hour interval before the second examination to catch newly hatched nits. For thoroughness, inspect behind the ears, at the nape of the neck, and along the hairline.

When no insects are observed after two consecutive inspections, the child can be considered clear of infestation. Document the findings, note the date of the last check, and advise caregivers to maintain regular weekly combing during the peak season to prevent recurrence.