What should be done if a small child has lice?

What should be done if a small child has lice? - briefly

Treat the infestation promptly with an age‑appropriate pediculicide shampoo, applying it for the recommended duration and then using a fine‑tooth comb to remove all nits. Wash the child’s bedding, clothing, and personal items in hot water, vacuum upholstered surfaces, and repeat the treatment after 7–10 days to eliminate any newly hatched lice.

What should be done if a small child has lice? - in detail

If a toddler is found to have head‑lice, begin with a precise diagnosis. Examine the scalp with a fine‑tooth comb under bright light; look for live insects, nymphs, or viable eggs (nits) attached to hair shafts within a quarter‑inch of the scalp.

  1. Select an appropriate pediculicide

    • Choose a product approved for children under two years only if the label permits; otherwise use a dimethicone‑based lotion or a prescription medication such as malathion.
    • Follow the manufacturer’s dosage and application timing exactly; typically the solution remains on the hair for 10 minutes before rinsing.
  2. Apply the treatment

    • Separate hair into sections, apply the product thoroughly to the scalp and hair length.
    • Use a disposable comb to spread the solution evenly, ensuring coverage of the nape and behind the ears.
  3. Remove nits

    • After the prescribed waiting period, comb the wet hair with a fine‑tooth nit comb, starting at the scalp and moving outward.
    • Clean the comb after each pass with hot, soapy water. Repeat the combing process for at least three consecutive days.
  4. Launder personal items

    • Wash clothing, bedding, and towels used within the previous 48 hours in water ≥ 60 °C or use a high‑heat dryer cycle.
    • Seal non‑washable items (e.g., stuffed toys) in a sealed plastic bag for two weeks to starve any surviving lice.
  5. Prevent re‑infestation

    • Advise all household members to inspect their hair and treat if necessary.
    • Restrict close head‑to‑head contact and sharing of combs, hats, or hair accessories for two weeks after the final treatment.
  6. Monitor and repeat if needed

    • Re‑examine the child’s scalp 7–10 days after the first application.
    • If live lice are still present, repeat the treatment according to the product’s instructions; do not exceed the recommended number of applications.
  7. Seek professional guidance

    • Contact a pediatrician or dermatologist if the infestation persists after two treatment cycles, if the child experiences an allergic reaction, or if there is uncertainty about the correct product.

By adhering to these steps—accurate identification, targeted medication, meticulous nit removal, thorough environmental cleaning, and vigilant follow‑up—the infestation can be eliminated efficiently while minimizing discomfort for the child.