What should you do if you can't get rid of a daughter's lice?

What should you do if you can't get rid of a daughter's lice? - briefly

Use a prescription‑strength lice treatment approved by a healthcare professional, repeat the application according to the product directions, and simultaneously wash bedding, clothing, and personal items in hot water while vacuuming the living area. If infestation continues after two treatment cycles, seek medical advice for alternative therapies.

What should you do if you can't get rid of a daughter's lice? - in detail

Persistent head‑lice infestation in a child requires a systematic approach. First, verify the presence of live insects by examining the scalp under bright light, using a fine‑toothed comb to separate hair sections. If nits are found close to the scalp, the infestation is active.

The next phase involves treatment selection. Over‑the‑counter pediculicides containing 1 % permethrin or 0.5 % pyrethrins with piperonyl‑butoxide are effective when applied according to the product instructions. Apply the lotion or shampoo to dry hair, leave it on for the recommended time, then rinse thoroughly. For resistant cases, a prescription‑only 0.5 % malathion solution or a 0.1 % ivermectin lotion may be used under medical supervision.

After the initial application, repeat the treatment after 7–10 days to eliminate newly hatched nits. During this interval, employ a fine‑toothed nit comb daily to remove residual eggs and dead insects. Comb the hair over a white surface to see captured debris, cleaning the comb after each pass.

Environmental decontamination reduces re‑infestation risk. Wash all clothing, bedding, and towels used within the previous 48 hours in hot water (≥ 60 °C) and dry on high heat. Items that cannot be laundered should be sealed in plastic bags for two weeks or placed in a freezer at –20 °C for at least 24 hours. Vacuum carpets, upholstered furniture, and car seats; discard the vacuum bag afterward.

If lice persist after two complete treatment cycles, seek professional medical advice. A physician may prescribe oral ivermectin or recommend alternative topical agents. Laboratory confirmation of lice species can guide appropriate therapy.

Preventive measures include educating caregivers about avoiding head‑to‑head contact, discouraging the sharing of combs, hats, or hair accessories, and conducting routine scalp inspections in settings where children interact closely.

Key actions

  • Confirm infestation with visual inspection and combing.
  • Apply an appropriate pediculicide following label directions.
  • Repeat treatment after 7–10 days; comb daily to remove nits.
  • Launder or isolate personal items; vacuum living areas.
  • Consult a healthcare professional if infestation remains after two cycles.
  • Implement ongoing prevention through hygiene education and regular checks.