How to remove all lice?

How to remove all lice? - briefly

Apply a WHO‑approved pediculicide to dry hair, leave for the recommended duration, then rinse thoroughly. Comb the hair with a fine‑tooth nit comb every 24 hours for ten days while laundering bedding and clothing in hot water to prevent re‑infestation.

How to remove all lice? - in detail

Head lice infestations require a systematic approach to eradicate the insects and prevent re‑infestation. The process begins with accurate identification, proceeds through targeted treatment, includes environmental decontamination, and ends with monitoring for recurrence.

Identification

  • Examine the scalp under bright light.
  • Look for live lice, nymphs, or viable eggs (nits) attached close to the hair shaft.
  • Use a fine‑toothed comb to separate strands and reveal hidden parasites.

Chemical treatment

  1. Choose a pediculicide approved for the age group.
  2. Apply the product to dry hair, following the label’s timing precisely.
  3. Rinse thoroughly with lukewarm water.
  4. Repeat the application after 7–10 days to kill newly hatched lice before they reproduce.

Manual removal

  1. After the first chemical application, wet the hair with a conditioner to loosen nits.
  2. Use a metal nit comb, moving from scalp outward in 1‑cm sections.
  3. Dispose of each combed-out nit in a sealed container.
  4. Repeat the combing session every 2–3 days for two weeks.

Alternative options

  • Dimethicone‑based lotions suffocate lice without neurotoxic chemicals.
  • Essential‑oil mixtures (e.g., tea tree, lavender) may aid in detaching nits but should be used with caution on children.

Environmental decontamination

  • Wash clothing, bedding, and towels used within the past 48 hours in hot water (≥ 60 °C) and dry on high heat.
  • Seal non‑washable items in a plastic bag for two weeks.
  • Vacuum carpets, upholstered furniture, and car seats; discard vacuum bags immediately.

Follow‑up

  • Conduct a visual inspection 14 days after the initial treatment.
  • Perform a final nit combing session to confirm absence of eggs.
  • Educate household members about avoiding head‑to‑head contact and sharing personal items.

Adhering to these steps eliminates the infestation and minimizes the likelihood of resurgence.