How to remove lice and nits from a child? - briefly
Apply an FDA‑approved pediculicide such as 1% permethrin to dry hair, leave it for the specified duration, then rinse thoroughly. After treatment, comb the hair with a fine‑tooth nit comb to extract live insects and eggs, repeat the process after 7–10 days, and wash clothing, bedding, and personal items in hot water.
How to remove lice and nits from a child? - in detail
Eliminating head lice and their eggs from a youngster requires a systematic approach that combines chemical or mechanical treatment, thorough cleaning of personal items, and preventive measures.
First, select an appropriate treatment. Over‑the‑counter pediculicides containing permethrin (1 %) or pyrethrin are effective when applied according to the product instructions. For children under two years, use a prescription‑only option such as benzyl alcohol lotion, or opt for a non‑chemical method like a fine‑toothed nit comb. Apply the solution to dry hair, leave it for the recommended duration, then rinse thoroughly.
Second, remove residual eggs. While the scalp remains damp, run a metal nit comb through small sections of hair from the scalp outward. Repeat the combing process every 2–3 days for two weeks, ensuring each pass removes visible nits and any newly hatched lice. Dispose of the comb after each use by soaking it in hot, soapy water.
Third, decontaminate personal belongings. Wash the child’s clothing, bedding, and towels in hot water (≥ 130 °F) and dry on high heat for at least 20 minutes. Items that cannot be laundered should be sealed in a plastic bag for two weeks or placed in a freezer at 0 °F for 24 hours. Vacuum carpets, upholstered furniture, and car seats to eliminate stray insects.
Fourth, educate caregivers and peers. Advise all household members to avoid sharing hats, hairbrushes, headphones, or pillows until the infestation is cleared. Encourage regular head checks, especially after sleepovers or group activities, to catch re‑infestations early.
Finally, monitor progress. Examine the child’s hair daily for live insects and nits. If live lice persist after two treatment cycles, consult a healthcare professional for alternative prescription medications such as ivermectin or malathion.
By adhering to this protocol—selecting a suitable product, combing meticulously, sanitizing the environment, and maintaining vigilance—complete eradication can be achieved while minimizing the risk of recurrence.