How to remove lice from children?

How to remove lice from children? - briefly

Apply a pediatric‑approved lice treatment and comb the hair with a fine‑tooth nit comb while the scalp is wet and conditioned, then repeat the process after 7–10 days to remove any newly hatched nits. Clean bedding, clothing, and personal items in hot water and vacuum furniture to prevent re‑infestation.

How to remove lice from children? - in detail

Lice infestations in young patients require prompt, systematic action to eradicate the insects and prevent recurrence.

First, confirm the presence of live nits or adult lice by parting the hair close to the scalp and examining the strands with a magnifying device. Identify the extent of the infestation, noting whether it is limited to the scalp or involves other body areas.

Next, select an appropriate treatment method:

  • Wet‑comb technique – Apply a generous amount of lukewarm water and a conditioner to the hair. Use a fine‑toothed lice comb, starting at the scalp and moving to the ends. Comb each section three times, rinsing the comb after each pass. Repeat every 2–3 days for ten days.
  • Over‑the‑counter pediculicides – Use products containing 1 % permethrin or 0.5 % pyrethrin, following the manufacturer’s instructions exactly. Apply to dry hair, leave for the recommended duration, then rinse thoroughly. A second application after seven days eliminates newly hatched lice.
  • Prescription medication – For resistant cases, oral ivermectin (200 µg/kg) or topical benzyl alcohol 5 % lotion may be prescribed by a clinician. Dosage and timing must follow medical guidance.
  • Non‑chemical options – Dimethicone‑based lotions suffocate lice without toxicity. Apply to dry hair, cover with a shower cap for eight hours, then wash out.

After treatment, address the environment:

  • Wash all bedding, clothing, and towels used within the previous 48 hours in hot water (≥ 130 °F) and dry on high heat.
  • Seal non‑washable items in sealed plastic bags for two weeks.
  • Vacuum carpets, upholstered furniture, and car seats; discard the vacuum bag or clean the canister afterward.

Monitor progress by inspecting the scalp every 48 hours. If live lice persist after two treatment cycles, repeat the chosen method or switch to an alternative. Persistent infestation warrants medical evaluation for possible secondary infection or resistant strains.

Maintain preventive habits: discourage head‑to‑head contact, avoid sharing hats or hair accessories, and perform regular scalp checks, especially after group activities. These steps collectively ensure complete elimination and reduce the likelihood of future outbreaks.