What should be done if lice are on the head at home?

What should be done if lice are on the head at home? - briefly

Apply a medicated shampoo or lotion approved for lice, then comb the hair with a fine‑toothed nit comb while wet, repeating the process every 2–3 days for two weeks. Wash all bedding, clothing, and personal items in hot water or seal them in a plastic bag for 48 hours to eliminate any remaining insects.

What should be done if lice are on the head at home? - in detail

Head lice infestations require immediate, systematic action to eliminate parasites and prevent re‑infestation. The following steps outline a comprehensive approach.

  1. Confirm the presence of lice
    • Examine the scalp and hair under bright light.
    • Use a fine‑toothed lice comb, moving from the scalp outward.
    • Look for live insects, nymphs, or eggs (nits) attached to hair shafts within 1 cm of the scalp.

  2. Apply an approved pediculicide
    • Choose a product containing 1 % permethrin, 0.5 % pyrethrin, or dimethicone, following label instructions precisely.
    • Apply to dry hair, saturating the scalp and strands.
    • Leave the treatment on for the specified duration, then rinse thoroughly.
    • Repeat the application after 7–10 days to target newly hatched lice.

  3. Remove nits mechanically
    • After chemical treatment, comb the hair with a fine lice comb while the hair is still damp.
    • Divide hair into sections, pulling the comb from scalp to tip to dislodge eggs.
    • Clean the comb after each pass with hot, soapy water.

  4. Treat personal items and environment
    • Wash clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 60 °C) and dry on high heat.
    • Seal non‑washable items in a sealed plastic bag for two weeks.
    Vacuum carpets, upholstery, and car seats; discard vacuum bags immediately.
    • Avoid fumigation or insecticide sprays in the home, as they are ineffective against lice.

  5. Monitor and prevent recurrence
    • Conduct weekly scalp inspections for at least four weeks.
    • Instruct all household members to avoid sharing combs, hats, hair accessories, or pillows.
    • Encourage regular use of a fine comb to detect any resurgence early.

By following these measures, the infestation can be eradicated efficiently, minimizing discomfort and reducing the risk of spread.