What should I do if I cannot get rid of lice from my child? - briefly
Seek medical advice for a prescription pediculicide and follow a strict repeat‑treatment schedule, usually 7–10 days after the first application, while laundering clothing, bedding, and personal items in hot water and vacuuming the environment. Also inspect and treat all close contacts to prevent reinfestation.
What should I do if I cannot get rid of lice from my child? - in detail
If lice remain after initial treatment, follow a systematic approach to eliminate the infestation and prevent reinfestation.
First, verify that the product used was applied correctly. Follow the label instructions precisely: apply the medication to dry hair, leave it on for the recommended time, and rinse thoroughly. Use a fine‑toothed comb to remove live nits and adults after each application; repeat the combing every 2–3 days for two weeks.
Second, consider an alternative treatment if the first one failed. Options include:
- A second‑generation pediculicide (e.g., dimethicone‑based lotion) applied according to package directions.
- Prescription‑only agents such as ivermectin or malathion, obtained from a healthcare provider.
- Non‑chemical methods like a heated air device or a high‑temperature hair dryer set to low heat, used under professional supervision.
Third, treat the environment to remove residual eggs and prevent re‑infestation:
- Wash all clothing, bedding, and towels used in the previous 48 hours in hot water (≥130 °F) and dry on high heat.
- Seal items that cannot be washed (e.g., stuffed toys) in a plastic bag for at least two weeks.
- Vacuum carpets, upholstered furniture, and car seats; discard the vacuum bag or clean the canister afterward.
- Avoid sharing combs, brushes, hats, or hair accessories until the problem is resolved.
Fourth, schedule a follow‑up examination with a pediatrician or dermatologist. Professional inspection confirms whether live lice are still present and determines if a prescription medication is necessary. The clinician may also assess for secondary skin irritation or infection.
Finally, educate caregivers and the child about preventive habits:
- Encourage regular head checks, especially after playdates or school activities.
- Keep hair tied back or in braids to reduce the likelihood of egg attachment.
- Limit head‑to‑head contact during group activities.
By adhering to correct application, switching to an effective alternative, sanitizing the surroundings, obtaining medical oversight, and reinforcing preventive measures, persistent lice infestations can be eradicated.