I can't remove lice from a child—what should I do?

I can't remove lice from a child—what should I do? - briefly

Use an FDA‑approved lice treatment (such as 1 % permethrin or 0.5 % malathion) exactly as directed, then comb out all nits with a fine‑toothed nit comb and repeat the treatment after 7–10 days; if lice persist after two cycles, consult a healthcare professional.

I can't remove lice from a child—what should I do? - in detail

When a child still has live lice after an initial attempt, verify that the insects are indeed present. Use a fine-tooth comb on damp hair, scanning from scalp to ends. If nits or adult lice are seen, proceed with a systematic approach.

1. Choose an appropriate product.
   • OTC shampoos or lotions containing 1 % permethrin or 0.5 % pyrethrin are first‑line.
   • For resistant cases, a prescription such as 0.5 % malathion, 0.05 % ivermectin, or benzyl alcohol lotion may be required.
   Follow the label precisely: apply to dry hair, leave for the recommended time, then rinse.

2. Perform meticulous combing.
   • After treatment, divide hair into sections.
   • Run a nit‑comb from scalp to tip, removing each caught nymph or egg.
   • Rinse the comb after each pass to avoid re‑infestation.
   • Repeat combing every 2–3 days for at least one week.

3. Repeat the chemical treatment.
   • Most products demand a second application 7–10 days after the first to kill newly hatched lice.
   • Do not exceed the maximum number of applications indicated on the packaging.

4. Decontaminate personal items and environment.
   • Wash clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 130 °F) and dry on high heat.
   • Seal non‑washable items in a sealed bag for two weeks.
   • Vacuum carpets, upholstery, and car seats; discard the vacuum bag or clean the canister afterward.
   • Avoid sharing combs, hats, or headphones until the infestation is cleared.

5. Monitor and document.
   • Inspect the child’s hair daily for live insects or viable nits.
   • Keep a brief log of treatment dates and observations to identify any pattern of recurrence.

6. Seek professional assistance when necessary.
   • Persistent lice after two complete treatment cycles.
   • Allergic reaction to topical agents.
   • Inability to perform thorough combing due to age or cooperation issues.
   A pediatrician or licensed lice‑removal specialist can provide prescription medication or manual extraction.

By adhering to a disciplined regimen—accurate diagnosis, correct product use, repeated mechanical removal, environmental sanitation, and vigilant follow‑up—most cases can be resolved without further escalation.