How to get rid of lice in schoolchildren?

How to get rid of lice in schoolchildren? - briefly

Effective removal requires applying an FDA‑approved pediculicide shampoo or lotion, then combing hair with a fine‑toothed nit comb to extract live lice and eggs, while laundering clothing, bedding, and personal items in hot water. A repeat treatment after seven days eliminates newly hatched insects and, combined with classroom surface disinfection, minimizes reinfestation.

How to get rid of lice in schoolchildren? - in detail

Eliminating head‑lice infestations among school‑aged children requires a systematic approach that combines immediate treatment, environmental decontamination, and ongoing monitoring.

Effective medication should be applied promptly after confirmation of live insects or viable nits. Over‑the‑counter pediculicides containing 1 % permethrin or 0.5 % malathion are recommended for initial use; a second application 7–10 days later eliminates newly hatched lice. Prescription‑strength options, such as 0.5 % ivermectin lotion, are reserved for resistant cases. All treatments must follow the manufacturer’s instructions regarding dosage, application time, and safety precautions for children under two years of age.

Environmental control focuses on items that sustain lice survival. Steps include:

  • Washing clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 60 °C) and drying on high heat for at least 20 minutes.
  • Sealing non‑washable articles (e.g., hats, backpacks) in airtight plastic bags for two weeks to starve remaining insects.
  • Vacuuming classroom floors, carpets, and upholstered furniture thoroughly; discarding the vacuum bag immediately after use.
  • Avoiding direct head‑to‑head contact during classroom activities; encouraging the use of personal hair accessories.

Education of staff, parents, and students reinforces prevention. Information should cover:

  • Recognition of live lice versus empty nits, emphasizing that viable nits are attached within 1 mm of the scalp.
  • Proper combing technique using a fine‑toothed nit‑comb, performed on damp hair for 10 minutes daily for two weeks after treatment.
  • Immediate reporting of suspected cases to school health personnel, enabling rapid response and minimizing spread.

Follow‑up examinations are essential. A trained nurse or designated staff member should inspect affected children 10 days post‑treatment and again after four weeks. If lice persist, repeat the treatment cycle or switch to an alternative pediculicide as advised by a healthcare professional.

Documenting each case in a confidential log supports epidemiological tracking and helps identify clusters that may require broader interventions, such as whole‑class treatment or temporary suspension of shared activities.

By integrating prompt pharmacological action, rigorous environmental hygiene, and continuous education, schools can achieve rapid reduction of head‑lice prevalence and maintain a healthy learning environment.