If lice won't come out on a child, what should be done? - briefly
Apply a medicated lice shampoo or lotion as directed, repeat the treatment after 7–10 days, comb the hair with a fine‑toothed nit comb, and wash all clothing, bedding, and personal items in hot water; then continue daily checks for nits. If the infestation does not clear, consult a pediatrician for prescription‑strength therapy.
If lice won't come out on a child, what should be done? - in detail
When a child continues to harbor head‑lice despite initial treatment, a systematic approach is required.
First, verify that the product was applied correctly: follow the label instructions for dosage, timing, and thorough coverage of the scalp and hair shafts. Use a fine‑tooth comb to separate strands and ensure the medication reaches the base of each hair follicle.
Second, repeat the treatment according to the recommended interval, typically seven days after the first application. This second dose targets newly hatched nymphs that survived the initial exposure.
Third, implement a comprehensive environmental protocol:
- Wash all bedding, clothing, and towels used within the previous 48 hours in hot water (≥ 130 °F/54 °C) and dry on high heat.
- Seal non‑washable items in a sealed plastic bag for two weeks.
- Vacuum carpets, upholstered furniture, and car seats to remove stray hairs that may contain viable eggs.
Fourth, conduct daily inspections for at least two weeks. Use a fine‑tooth lice comb on dry hair, starting at the scalp and working outward. Remove any live insects or nits and record findings.
Fifth, consider alternative treatments if standard over‑the‑counter options fail:
- Prescription topical agents such as malathion or ivermectin, applied under medical supervision.
- Oral ivermectin, prescribed for resistant cases.
Finally, educate caregivers about prevention: avoid head‑to‑head contact, discourage sharing of hats, hair accessories, and personal items, and perform routine checks in environments where lice are common (schools, camps). Persistent infestation despite these measures warrants a consultation with a healthcare professional to rule out resistance or misdiagnosis.