How to effectively remove lice and nits from a child?

How to effectively remove lice and nits from a child? - briefly

Apply a 1% permethrin or pyrethrin shampoo according to the label, leave it on the scalp for the recommended time, then comb the hair with a fine‑tooth nit comb to remove all eggs; repeat the treatment after 7–10 days to eliminate any newly hatched lice. Use a hot water wash for bedding and clothing, and keep the child’s hair tied back to prevent re‑infestation.

How to effectively remove lice and nits from a child? - in detail

Effective elimination of head lice and their eggs in a child requires a systematic approach that combines chemical treatment, mechanical removal, and environmental decontamination.

The process begins with accurate diagnosis. Examine the scalp under bright light, using a fine‑tooth comb to locate live insects and attached ovoids. Confirm presence by spotting moving lice or nits firmly attached within three‑millimetre distance from the hair shaft.

Select an appropriate pediculicide. Over‑the‑counter products containing 1 % permethrin or 0,5 % pyrethrin are first‑line options. Apply according to label instructions, ensuring thorough coverage from scalp to hair tips. For resistant infestations, prescription‑only agents such as 0,5 % malathion or 0,05 % ivermectin may be required; these should be administered under medical supervision.

After chemical application, perform mechanical removal:

  1. Wait the recommended exposure time (usually 10 minutes).
  2. Rinse hair with lukewarm water, avoiding hot water that may damage the scalp.
  3. Use a fine‑tooth nit comb, starting at the scalp and moving outward in small sections.
  4. After each pass, wipe comb teeth on a white tissue to inspect for lice or nits; discard captured insects.
  5. Repeat combing at least twice daily for seven days to capture newly hatched lice before they mature.

Environmental control reduces re‑infestation risk.

  • Wash all clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 55 °C) and dry on high heat.
  • Seal non‑washable items in a sealed plastic bag for two weeks.
  • Vacuum carpets, upholstery, and vehicle seats; discard vacuum bags immediately.

Monitor progress. Examine the child’s hair every 24 hours for live insects. Absence of lice after three consecutive days indicates successful treatment. If live lice persist after two treatment cycles, consult a healthcare professional for alternative therapy.

Consistent adherence to the outlined protocol eliminates the infestation and prevents recurrence.