How to get rid of different types of lice?

How to get rid of different types of lice? - briefly

Head lice are eliminated with a topical «pediculicide» applied twice, 7–10 days apart, and all clothing and bedding washed at ≥60 °C; body lice require the same laundering protocol combined with regular bathing. Pubic lice are removed by a single application of 1 % «permethrin» cream, followed by washing of personal items.

How to get rid of different types of lice? - in detail

Eliminating various lice species requires accurate identification, targeted treatment, and thorough environmental control.

Head lice (Pediculus humanus capitis) inhabit the scalp and attach eggs to hair shafts. Effective measures include:

  • Application of a 1 % permethrin lotion or a 0.5 % malathion solution, following label instructions for contact time.
  • Removal of nits with a fine‑toothed comb on damp hair, performed every 2–3 days for two weeks.
  • Re‑application of the pediculicide after 7–10 days to eradicate newly hatched insects.

Body lice (Pediculus humanus corporis) reside in clothing and lay eggs on seams. Control steps consist of:

  • Daily laundering of all garments at ≥ 60 °C or dry‑cleaning.
  • Thorough washing of bedding and towels under the same temperature conditions.
  • Use of a topical insecticide (e.g., ivermectin 0.1 % cream) on the skin if infestation persists.

Pubic lice (Pthirus pubis) attach to coarse body hair. Recommended actions:

  • Application of a 1 % permethrin or 0.5 % malathion cream to the affected area, left for the prescribed duration.
  • Washing all underwear, towels, and bedding in hot water, followed by high‑heat drying.
  • Sexual partners receive simultaneous treatment to prevent reinfestation.

Crab lice (Pthirus pubis) affecting facial hair or eyelashes require special care:

  • Use of a 0.5 % permethrin lotion applied with a cotton swab, avoiding direct contact with the eye.
  • Mechanical removal of visible insects using fine tweezers, performed by a healthcare professional.
  • Cleaning of personal items (e.g., makeup brushes) with hot water and detergent.

General preventive measures applicable to all lice types:

  • Regular inspection of hair and body hair, especially after close contact with others.
  • Avoidance of sharing personal items such as combs, hats, or clothing.
  • Maintenance of a clean living environment, including vacuuming carpets and upholstered furniture.

When over‑the‑counter products fail or contraindications exist, prescription oral ivermectin (200 µg/kg) may be administered as a single dose, with a repeat dose after 7 days if necessary.

All treatments should be documented, and follow‑up examinations scheduled 2 weeks after the final intervention to confirm eradication.