What should be done if a child is found to have lice? - briefly
Apply an FDA‑approved pediculicide to the child’s hair, repeat the treatment as directed, meticulously comb out all nits, and launder bedding, clothing, and personal items in hot water; then inform the school or daycare so they can conduct screening and implement preventive measures.
What should be done if a child is found to have lice? - in detail
When lice are identified on a child, confirm the infestation by examining the scalp and hair for live insects and viable nits within a half‑centimeter of the scalp. Use a fine‑toothed comb on wet, conditioned hair to improve visibility and accuracy.
Proceed with treatment promptly:
- Choose an approved pediculicide (e.g., permethrin 1 % or pyrethrin‑based product) and follow the manufacturer’s instructions regarding dosage, application time, and safety precautions.
- Apply the medication to dry hair, ensuring full coverage from scalp to tips. Rinse after the recommended period, then dry hair thoroughly.
- After the first treatment, repeat the application after 7–10 days to eliminate any newly hatched nymphs that survived the initial dose.
Address personal items and the environment:
- Wash the child’s bedding, clothing, and washable toys in hot water (≥ 50 °C) and dry on high heat for at least 30 minutes.
- Seal non‑washable items (e.g., stuffed animals, helmets) in sealed plastic bags for two weeks to starve remaining lice.
- Vacuum carpets, upholstered furniture, and car seats; discard vacuum bags or clean canisters immediately.
Notify relevant parties:
- Inform the child’s school or daycare, providing details of the treatment schedule and any required follow‑up inspections.
- Advise family members and close contacts to inspect their hair and, if necessary, repeat the treatment protocol to prevent reinfestation.
Monitor progress:
- Examine the child’s hair every 2–3 days for live lice or viable nits. Continue using a fine‑toothed comb for at least three weeks.
- If live lice persist after two treatment cycles, consult a healthcare professional for alternative therapies (e.g., ivermectin, oral medications) or resistance‑tested products.
Document the entire process, including dates of treatment, products used, and communications with institutions, to ensure a coordinated response and prevent future outbreaks.