I can't eliminate lice from a child, what should I do?

I can't eliminate lice from a child, what should I do? - briefly

Apply a medicated lice shampoo or lotion as directed, then comb out all nits with a fine-toothed comb and repeat the treatment after 7–10 days. Wash bedding, clothing, and personal items in hot water and vacuum the living area to stop reinfestation.

I can't eliminate lice from a child, what should I do? - in detail

When head‑lice infestations remain after initial attempts, follow a systematic approach.

1. Verify the presence of live insects and viable eggs (nits) close to the scalp. Use a fine‑toothed lice comb on damp hair, examining each section from root to tip. Remove any visible nits with tweezers, pulling them straight out to avoid breaking the egg shell.

2. Apply an approved pediculicide according to the product label. Options include:

   • Permethrin 1 % lotion or shampoo, applied to dry hair, left for 10 minutes, then rinsed.
   • Pyrethrin‑based formulations, used similarly but may require a second application after 7–10 days.
   • Prescription agents such as malathion 0.5 % or ivermectin lotion for resistant cases; these require medical authorization.

3. After treatment, repeat the combing process every 2–3 days for at least two weeks. This removes any newly hatched nymphs before they can lay eggs.

4. Clean personal items and the environment:

   • Wash clothing, bedding, and towels used in the previous 48 hours in hot water (≥ 130 °F/54 °C) and dry on high heat.
   • Seal non‑washable items (e.g., hats, stuffed toys) in a sealed plastic bag for two weeks.
   • Vacuum carpets, upholstery, and car seats to capture stray insects.

5. Avoid re‑infestation:

   • Instruct the child to keep hair tied back and avoid head‑to‑head contact with peers.
   • Educate caregivers about not sharing combs, brushes, hats, or headphones.
   • Conduct weekly checks for at least one month following clearance.

6. Seek professional evaluation if:

   • The infestation persists after two full treatment cycles.
   • The child experiences severe scalp irritation or allergic reactions to the medication.
   • There is uncertainty about correct identification of lice versus dandruff.

Adhering to these steps maximizes the likelihood of complete eradication and reduces the chance of recurrence.