What should you do if a child has lice in long hair? - briefly
Apply a medicated lice treatment, then use a fine-tooth comb to remove nits while the hair is damp, working from the scalp outward in sections. Wash the child’s clothing, bedding, and personal items in hot water and vacuum the environment to prevent reinfestation.
What should you do if a child has lice in long hair? - in detail
When nits are discovered in a child’s long hair, begin by isolating the individual to prevent immediate spread. Use a fine‑toothed lice comb on dry hair, starting at the scalp and working toward the ends. Separate the hair into small sections, securing each with a clip or elastic band, then comb each strand methodically, wiping the comb on a white tissue after each pass to detect live insects.
Apply an approved pediculicide according to the product label. Typical regimens involve a first application, a repeat dose after 7–10 days to eliminate any newly hatched lice, and a final treatment 14 days after the initial application to ensure all nits are dead. Follow the recommended exposure time; do not exceed it, as overuse can cause scalp irritation.
After treatment, rinse the hair thoroughly with warm water, then repeat the combing process daily for a week. Use a fine comb to remove residual nits; each pass should be documented to confirm progress. Wash all clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 130 °F/54 °C) and dry on high heat. Items that cannot be laundered should be sealed in a plastic bag for two weeks or placed in a freezer at –4 °F (–20 °C) for 24 hours.
Vacuum carpets, upholstered furniture, and car seats to capture fallen lice and nits. Empty the vacuum bag or clean the canister immediately. Disinfect combs, brushes, and hair accessories by soaking them in hot, soapy water for at least 10 minutes, then rinsing and drying.
Educate caregivers and classmates about avoiding head-to-head contact and sharing personal items such as hats, hairbrushes, or headphones. Encourage regular self‑checks, especially after school or group activities, to detect reinfestation early.
Maintain a log of treatment dates, combing sessions, and environmental cleaning to track compliance and verify that the infestation has been eradicated. If live lice persist after two treatment cycles, consult a healthcare professional for alternative therapies or prescription options.