What should be done if a child has lice? - briefly
«If a child is found to have head lice, apply a pediculicide shampoo or lotion according to the product instructions, then use a fine‑toothed comb to remove nits and repeat the treatment after 7‑10 days. Additionally, wash all clothing, bedding, and personal items in hot water or seal them in plastic bags for two weeks to prevent re‑infestation».
What should be done if a child has lice? - in detail
When a child is found to have head lice, immediate action limits spread and eases discomfort.
First, confirm the infestation by examining the scalp with a fine‑tooth comb under good lighting. Look for live insects, nits attached within ¼ inch of the hair shaft, or brown‑ish specks.
Next, select an appropriate treatment:
- Over‑the‑counter pediculicide shampoo or lotion containing permethrin (1 %) or pyrethrin; follow the package instructions precisely, including the recommended waiting period before rinsing.
- Prescription options such as ivermectin or malathion for resistant cases; obtain through a healthcare professional.
- Manual removal using a fine comb after applying a conditioner to loosen nits; repeat combing every 2–3 days for two weeks.
After application, wash all personal items that have contacted the head:
- Clothing worn within the previous 48 hours – launder in hot water (≥ 130 °F) and dry on high heat.
- Bedding, pillowcases, hats, scarves – same washing protocol; items that cannot be washed may be sealed in plastic bags for two weeks.
- Hairbrushes, combs, clips – soak in hot water (≥ 130 °F) for 10 minutes, then rinse.
Clean the living environment:
- Vacuum carpets, upholstered furniture, and car seats to remove stray lice and nits.
- Discard or wash toys and stuffed animals that cannot be heat‑treated.
Notify the child’s school or daycare promptly; most institutions require notification and may implement screening or exclusion policies until treatment is completed.
Monitor the situation:
- Perform weekly comb checks for at least four weeks to detect any surviving nits.
- If live lice reappear after proper treatment, repeat the pediculicide regimen after the recommended interval or consult a medical professional for alternative therapy.
Prevent future infestations by encouraging the following habits:
- Avoid sharing hats, hair accessories, or headphones.
- Keep hair tied back in long‑haired children during group activities.
- Conduct regular scalp inspections, especially after school vacations or sleepovers.
Following these steps reduces the likelihood of ongoing transmission and promotes a swift resolution.