What should you do if lice are found on a child's head?

What should you do if lice are found on a child's head? - briefly

Apply an approved lice treatment—medicated shampoo, lotion, or cream—and comb the hair with a fine‑toothed nit comb to eliminate eggs. Wash all clothing, bedding, and personal items in hot water and clean the living area to stop re‑infestation.

What should you do if lice are found on a child's head? - in detail

If an infestation is detected, verify it by examining the hair near the scalp with a fine-toothed comb. Look for live insects, nits attached within ¼ inch of the scalp, or brown‑ish shells. A second adult should confirm the finding to avoid unnecessary treatment.

Immediately separate the child from classmates and close contacts for the duration of the treatment. Inform the school or daycare so they can take appropriate precautions and notify other parents.

Apply an approved topical pediculicide according to the product label. Options include permethrin 1 % lotion, pyrethrin‑based sprays, or dimethicone‑based creams. Follow these rules:

  1. Apply to dry hair, saturating the scalp and shafts.
  2. Leave the medication on for the specified time (usually 10 minutes).
  3. Rinse thoroughly with warm water.
  4. Wait the recommended interval (usually 7–10 days) before a second application to kill newly hatched nits.

After chemical treatment, comb the hair with a fine‑toothed nit comb while it is still damp. Remove all visible lice and nits, wiping the comb on a white towel after each pass. Repeat the combing process daily for three consecutive days.

Clean personal items and the environment to prevent re‑infestation:

  • Wash clothing, bedding, and towels used in the previous 48 hours in hot water (≥130 °F) and dry on high heat.
  • Seal non‑washable items (hats, hair accessories) in a sealed plastic bag for two weeks.
  • Vacuum carpets, upholstery, and vehicle seats; discard the vacuum bag or clean the canister afterward.
  • Soak combs, brushes, and hair accessories in hot water for 10 minutes.

Monitor the child’s scalp for at least two weeks. If live insects or new nits appear after the second treatment, repeat the entire regimen. Persistent cases may require prescription‑strength medication or consultation with a healthcare professional.

Document the dates of treatment, products used, and any follow‑up actions. Share this record with the school’s health office to ensure coordinated response and to avoid further spread.