Materiały źródłowe

• #1 Pediculosis and Pthiriasis (Lice Infestation): Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/225013-overview

  Pediculosis (ie, louse infestation) dates back to prehistory. The oldest known fossils of louse eggs (ie, nits) are approximately 10,000 years old. Lice have been so ubiquitous that related terms and phrases such as „lousy,” „nit-picking,” and „going over things with a fine-tooth comb” are part of everyday vocabulary. […] Louse infestation remains a major problem throughout the world, making the diagnosis and treatment of louse infestation a common task in general medical practice. All socioeconomic groups can be affected. Pediculosis capitis results in significant psychological stress in children and adults and missed schooldays in children, particularly in areas with a no-nit policy. […] A mature female head louse lays 3-6 eggs, also called nits, per day. Nits are white and less than 1 mm long. Nymphs (immature lice) hatch from the nits after 8-9 days, reach maturity in 9-12 days, and live as adults for about 30 days.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3261

  Head lice are tiny bugs that can live in your hair and on your head. Live lice are tan to greyish white. They’re about the size of a sesame seed. It may be easiest to find them on the back of the neck at the hairline or behind the ears. When you have lice, all people living in your home need to be carefully checked and then treated if they have it. […] Lice eggs (nits) may be easier to see than live lice. They look like tiny yellow or white dots attached to the hair, close to the scalp. Nits can look like dandruff. But you can’t pick them off with your fingernail or brush them away. […] You can treat lice and their eggs with over-the-counter medicines. After treatment, your skin may still itch for a week or more. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems.

• #1 What’s New

  https://www.cdph.ca.gov/Programs/CID/DCDC/pages/headlice.aspx

  Head lice spread from head-to-head (or hair-to-hair) contact with someone who actively has head lice. Head lice can also spread from sharing personal items that come in contact with a person’s head. […] Head lice are common among school-aged children, but anyone can get head lice. Head lice are more likely to spread at home, daycare, or at a friend’s house than at school. […] Over-the-counter and prescription medications are used to treat head lice. Combing hair to remove nits is also an important way to get rid of head lice. […] To prevent getting head lice, avoid head-to-head contact with someone who has head lice, and do not share hats, scarves, coats, and other personal items. Also, do not lie down on beds, pillows, carpets, or stuffed animals that have recently been in contact with someone who has head lice.

• #1 Interventions for treating head lice

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6494540/

  Infestation with head lice (Pediculus humanus capitis) is widespread and is common in children, but also affects adults, in all countries of the world, including high, middle and low-income countries. […] Head lice infestation is diagnosed by the presence of live lice on the scalp (Teale 2008). […] Once a person has contracted head lice, the infestation develops steadily if left unchecked. […] The highest prevalence of head lice infestation occurs in children between the ages of 3 and 11 (Jones 2003, Meinking 1999). […] Many patients do not have symptoms (Mumcuoglu 1991). […] As well as itching, other symptoms can be associated with head lice infestation. […] In Western societies, parents generally react with shock and revulsion when they discover that their children have head lice.

• #1 What’s New

  https://www.cdph.ca.gov/Programs/CID/DCDC/pages/headlice.aspx

  Head lice are small insects that live in people’s hair and feed on human blood. Lice glue their eggs (also called „nits”) at the base of hairs on the head, close to the scalp. […] The most common symptoms of head lice include: A „tickling” feeling of something moving in the hair, An itchy head or scalp, Irritability, frequent scratching, or trouble sleeping, as head lice are most active at night. […] Over-the-counter products and medications prescribed by a healthcare provider are available for the treatment of head lice. […] It is important to follow the instructions on the product label or directions given by a healthcare provider to treat head lice. […] Nit combing is also important if using medication that does not kill nits. […] Clothes, bedding, and towels used by a person with head lice two days before treatment should be washed in hot water and dried on the hot cycle to kill any lice. […] The best way to prevent getting head lice is to not touch heads with someone that has head lice, including during play or other activities at home, school, or other places.

• #1 Head lice – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/head-lice/diagnosis-treatment/drc-20356186

  According to the American Academy of Pediatrics guidelines, the gold standard for diagnosing head lice is to identify a live nymph or adult louse. […] Your health care provider will also look for nits in your child’s hair. To find nits, your child’s provider may use a specialized light called a Wood’s light, which causes nits to appear bluish. But the identification of nits does not necessarily confirm the diagnosis of live lice. […] Your health care provider will likely recommend a medication available without a prescription that kills lice and some of the nits. These medications may not kill recently laid eggs. Therefore, an appropriately timed second treatment is usually necessary to kill nymphs after they hatch but before they become adult lice. […] If the correct use of a nonprescription treatment has failed, your health care provider may recommend a prescription treatment.

• #1 Head Lice – General Nursing Support

  https://allnurses.com/head-lice-t328235/

  I have seen Mayo used in my hospital for head lice. We get the great big jars from the kitchen and it seems to work! […] Usually it’s Crisco or something like that that people use. The idea behind the mayo and similar substances is the product covers the critters and seals off their breathing ability. What many people do is cover with Crisco or whatever and then wrap their head with plastic wrap. […] Having dealt with lice, I can see how it could be helpful but you’d still need to be very meticulous picking out all the nits. […] I hate to tell you but the only way to ever get rid of lice regardless of treatment type, is to have someone section the hair and meticulously go thru strand by strand in very good light,(pure daylight is best) even then, with a flashlight to pick out all the nits.

• #1 Providing Care for Individuals with Head Lice | Lice | CDC

  https://www.cdc.gov/lice/caring-head/index.html

  You can examine a person or child’s head for head lice infestation. […] Either prescription or over-the-counter medications can treat head lice infestation. […] If a child has head lice, they do not need to leave school early. Once they start treatment at home, they can return to school. […] If your child has symptoms of head lice infestation, examine their head, especially behind the ears and at the nape of the neck, for crawling lice and nits. […] Treat anyone with live (crawling) lice or nits within inch or less of the scalp. […] Students with lice can go home at the end of the day, be treated, and return to class after beginning appropriate treatment. Nits may stay in hair after treatment, but successful treatment will kill crawling lice. […] Follow and complete all treatment instructions and steps to successfully eliminate head lice.

• #1 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Provide education on preventive strategies, including avoiding head-to-head contact, not sharing personal items, and using lice repellents if necessary. […] Schedule follow-up appointments to assess treatment effectiveness and check for any signs of reinfestation. […] Treatment must be reapplied within 7-10 days to ensure that all newly hatched lice and nymphs have been removed.

• #1 Providing Care for Individuals with Head Lice | Lice | CDC

  https://www.cdc.gov/lice/caring-head/index.html

  CDC does not make recommendations on a specific product or products to use to treat individuals with lice. Both over-the-counter and prescription products are available. […] Most health departments do not require reporting of head lice infestation. However, it is useful to share information with school nurses, teachers, parents of classmates, and others about contact with head lice to limit spread.

• #1 Lice – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/lice/diagnosis-treatment/drc-20374404

  A health care provider may diagnose head lice after finding a live young or adult louse in the person’s hair or on the scalp, or after seeing one or more nits on hair shafts found within 1/4 inch (6 millimeters) of the scalp. […] Head lice treatment may involve: […] Nonprescription products. Shampoos containing permethrin (Nix) are usually the first option used to combat lice. Permethrin is toxic to lice. Follow the directions closely when using this product. […] A lotion containing ivermectin (Sklice) also is available without a prescription. Ivermectin is toxic to lice. […] If nonprescription treatments don’t work, your health care provider can prescribe shampoos or lotions that contain different ingredients. […] Pubic lice can be treated with many of the same nonprescription and prescription treatments used for head lice.

• #1 Head Lice | Wisconsin Department of Health Services

  https://www.dhs.wisconsin.gov/disease/head-lice.htm

  Permethrin: Shampoos or creme rinses that contain 1% permethrin are the most effective at killing adults and nits. […] Pyrethrin: Shampoos with pyrethrin kill adult lice quickly, but the effects do not last, so it does not continue to kill nits after the first application. […] There are several prescription medications approved to treat head lice. […] Take the following steps to prevent becoming infested with head lice: Avoid head-to-head contact at home and school, or during activities such as sports, camp, or slumber parties. […] Do not share items such as hats, scarves, coats, uniforms, brushes, combs, or hair ribbons. […] Clothing, linen, or cloth toys that an infested person has used should be washed in hot water and machine dried at the hottest setting for 20 minutes. […] Combs and brushes used by an infested person should be soaked in hot water, rubbing alcohol, or a lice-killing chemical for one hour.

• #1 Head Lice (Pediculosis) | Mass.gov

  https://www.mass.gov/info-details/head-lice-pediculosis

  Children should be checked regularly and treated when head lice are found. […] Treatment for head lice usually consists of shampooing the hair with a medicated shampoo or cream rinse containing one of the following ingredients: permethrin, pyrethrin, malathion, benzyl alcohol, Spinosad, or ivermectin. […] As safety is a concern, these products should be used with care, under the supervision of a health care provider and in accordance with the label instructions. […] Household and other close contacts should be examined and treated if head lice are found. […] Many school departments and child care sites require that children be free of nits before returning to school and parents should be familiar with their own school or daycare’s head lice policy.

• #1 Head lice prevention, diagnosis and treatment | Nursing in Practice

  https://www.nursinginpractice.com/clinical/head-lice-prevention-diagnosis-and-treatment/

  If a live head louse is found, treat with one of the following: A physical insecticide these silicone or fatty acid ester-based products kill the lice by physically coating their surfaces and suffocating them, therefore resistance is unlikely to develop. […] It is important to be aware that wet combing or dimeticone 4% lotion is recommended first line for pregnant or breastfeeding women, young children aged six months to two years, and patients with asthma or eczema. […] In general, all affected family members should be treated on the same day to avoid reinfection. […] Advise that after treatment, detection combing should be done to check that the treatment has been successful. […] Key advice to offer parents and patients: Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (eg sports activities and in the playground).

• #1 Head lice | Caring for kids

  https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/head_lice

  Pyrethrin and permethrin are safe when used on humans over 2 months old. You do not need a prescription. Over time, head lice have become resistant to some of the chemicals used to kill them, so some products may be less effective than they used to be. But they are still worth trying. […] These treatments can sometimes make the scalp itchy or can leave a mild burning feeling. If your child is scratching after treatment, it does not necessarily mean the lice are back. […] Isopropyl myristate/cyclomethicone (Resultz) is approved for use in Canada, but it should only be used in children 4 years of age and older. It dehydrates the lice and they die. Apply to a dry scalp and rinse with warm water after 10 minutes. Repeat after 1 week. […] Silicone oil dimeticone (NYDA) is effective against live lice, nymphs and nits. It is not recommended for children under 2 years old. A second treatment is recommended after 8 to 10 days.

• #1

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3261

  Use an over-the-counter medicine to kill lice. Your doctor or pharmacist can help you choose a medicine that is safe. […] Follow the directions that come with the medicine carefully. Some medicines should only be used once. Others require a second treatment 7 to 9 days after the first treatment. Don’t use more medicine than you should or two medicines at the same time. […] Check your scalp for live, active lice 12 hours after treatment. If you find some, talk to your doctor. You may need a different type of treatment. […] Try wet-combing, which may help remove lice and nits. Use a comb with teeth that are close together. A flea comb that’s made for dogs and cats will also work. Wet the hair. Comb all of the hair very carefully. Combing needs to be done over and over. […] Scratching can cause sores on the scalp, which can lead to an infection. It may help to use an over-the-counter anti-itch cream to calm the itching. If the itching is really bad, ask the doctor about an over-the-counter antihistamine. Read and follow all instructions on the label.

• #1 Head lice and nits

  https://www.nhs.uk/conditions/head-lice-and-nits/

  Head lice and nits are very common in young children and their families. They are not caused by dirty hair and are picked up by head-to-head contact. […] Head lice can make your head feel itchy. The only way to be sure someone has head lice is by finding live lice. You can do this by combing their hair with a special fine-toothed comb (detection comb). You can buy these online or at pharmacies. […] Treat head lice as soon as you spot them. You can treat head lice without seeing a GP. Check everyone you live with, or have close contact with, and start treating anyone who has head lice on the same day. […] Lice and nits can be removed by wet combing. You can buy a special fine-toothed comb (detection comb) online or from pharmacies to remove head lice and nits. […] If wet combing has not worked or is not suitable, you could try a medicated lotion or spray. These kill head lice in all types of hair, and you can buy them from pharmacies, supermarkets or online. […] There’s nothing you can do to prevent head lice. You can help stop them spreading by wet combing regularly, using a detection comb, to catch them early.

• #1 Head lice & nits: children & teens | Raising Children Network

  https://raisingchildren.net.au/guides/a-z-health-reference/head-lice

  It’s important to check that the lice are dead after using an anti-lice product. If they aren’t dead, try using a product with a different active ingredient, because lice are sometimes resistant to active ingredients. […] You’ll need to treat your child again about one week after the first lice treatment, to kill any eggs that have hatched and become mature lice since the first treatment. […] Wet-combing treatment This head lice treatment involves combing wet hair with a special fine-toothed, metal lice comb and hair conditioner. […] Repeated wet-combing is a very good head lice treatment. Comb every 2-3 days for 2 weeks, until a full combing doesn’t show any eggs or lice on the entire scalp. […] If your child has head lice, you should treat all family members at the same time. […] Treatment doesn’t always work, especially the first time you do it.

• #1 Interventions for treating head lice

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6494540/

  An almost inexhaustible list could be made of interventions that have been tried to treat head lice. […] The most common interventions are discussed below and are shown in Table 1. […] Historically louse control was achieved by physical means such as combing, picking out lice by hand or by shaving the hair. […] This method requires the hair to be wet combed for 30 minutes every third or fourth day using a special comb. […] Before the advent of modern insecticides, chemical treatments were either of botanical origin unique to each geographical region or based on inorganic poisons and petroleum-based organics (Burgess 1995a). […] The current recommendation (Teale 2008) is to use a mosaic model, that is, the same product is used for a course of treatment (two applications spaced 7 days apart) and, if the first insecticide fails, a different insecticide from another substance class is used for a course of treatment.

• #1 Patient education: Head lice (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/head-lice-beyond-the-basics

  There are several options for getting rid of head lice, including creams and liquids, combing, and oral medicine (pills). It is important to follow directions carefully to be sure that the treatment works. […] A topical insecticide (pediculicide) is a substance, usually a lotion or gel, that is applied to the scalp to kill lice. […] Use of a nit comb to remove lice and nits after treatment may help to decrease risk for reinfestation. […] Adults and children who live with a person diagnosed with lice should be examined for lice and treated if needed. […] Clothing, bedding, and towels used within 48 hours before treatment should be washed in hot water and dried in an electric dryer on the hot setting. […] Your healthcare provider is the best source of information for questions and concerns related to your medical problem.

• #1 Head lice (nits) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/head-lice-nits

  No topical insecticide treatment kills 100% of the eggs, so treatment must involve 2 applications, 7 days apart. […] If you choose not to use an insecticide, the comb and conditioner method described above can be used every second day until no live lice have been found for 10 days. […] Insecticide resistance is common, so you need to check that the lice you comb out are dead. […] If the initial treatments have failed and live lice are still being removed with the conditioner and comb treatment, see your doctor for a referral to a dermatologist for specialist treatment. […] A dermatologist may prescribe ivermectin. […] According to the Public Health and Wellbeing Regulations 2019, children with untreated head lice are not permitted to attend school or children’s service centres. […] However, once treatment has started, they may attend, even if there are still some eggs present. […] There is no product available that prevents head lice. However, tying long hair back and checking weekly for lice, using the conditioner and comb method, can help prevent the spread.

• #1 Head lice | Pediculosis | MedlinePlus

  https://medlineplus.gov/headlice.html

  All household members and other close contacts should be checked and treated if necessary. If an over-the-counter treatment does not work for you, you can ask your health care provider for a prescription product. […] There are steps you can take to prevent the spread of lice. If you already have lice, besides treatment, you should: Wash your clothes, bedding, and towels with hot water, and dry them using the hot cycle of the dryer. Soak your combs and brushes in hot water for 5-10 minutes. Vacuum the floor and furniture, particularly where you sat or lay. If there are items that you cannot wash, seal them in a plastic bag for two weeks. […] To prevent your children from spreading lice: Teach children to avoid head-to-head contact during play and other activities. Teach children not to share clothing and other items that they put on their head, such as headphones, hair ties, and helmets. If your child has lice, be sure to check the policies at school and/or daycare. Your child may not be able to go back until the lice have been completely treated.

• #1 Head lice – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/head-lice/diagnosis-treatment/drc-20356186

  If you prefer not to use a medication for treating head lice, you may consider a home treatment. However, there’s little to no clinical evidence that home treatments are effective. […] Combing wet hair with a fine-toothed nit comb may remove lice and some nits. […] A number of household products are used to treat head lice. These products are thought to deprive the lice of air when generous amounts are applied to the hair, covered with a shower cap and left on overnight. […] Lice usually don’t live past one day without feeding from a human scalp. And eggs can’t survive without the temperature near the scalp. Therefore, the chance of lice surviving on household items is small. […] See your family’s health care provider or pediatrician if you suspect that your child has head lice. The provider will examine your child’s scalp and look for a live nymph or adult louse to determine if he or she has head lice.

• #1 Lice: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/lice/?srsltid=AfmBOoqqW8E-FU0nEaGMUYRtFJtT7RNklXWmW-3HW4Y9AzH3IHpeQgvJ

  Lice infestations are diagnosed through visual examination of the hair, scalp, or body. Key diagnostic steps include: […] The primary goal of treatment is to eradicate lice and nits, prevent reinfestation, and relieve symptoms of itching and irritation. […] Nurses must provide education about lice transmission, treatment, and prevention. Reducing the stigma associated with lice infestations is essential, particularly in children. […] Assess for signs of scratching, inflammation, or secondary infections from excessive itching. […] Education: Provide instructions on proper use of lice treatment medications, emphasizing the importance of following treatment guidelines and repeating treatments if necessary. […] Lice and nits will be effectively eradicated following treatment. […] The patient or caregiver will demonstrate an understanding of lice prevention and treatment methods. […] Advise regular hair inspection in high-risk environments, especially in children attending daycare or school.

• #1 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Note any signs of allergic reactions such as redness, swelling, or rash. […] Check personal items such as combs, brushes, and hats for the presence of lice or nits. […] Administer prescribed or over-the-counter medicated shampoos, creams, or lotions containing pediculicides as directed. […] Instruct the patient and family on the correct application and timing of the treatment. […] Advise thorough cleaning and vacuuming of the home, especially areas where the affected individual spends time. […] Provide education on preventive strategies, including avoiding head-to-head contact, not sharing personal items, and using lice repellents if necessary. […] Instruct the patient or caregiver to use a fine-toothed comb to remove dead lice and nits from the hair. […] Schedule follow-up appointments to assess treatment effectiveness and check for any signs of reinfestation.

• #1 Pediculosis and Pthiriasis (Lice Infestation): Background, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/225013-overview

  Noncompliance is a common cause of treatment failure in all 3 types of lice infestations. Therefore, time is well-spent providing patients with detailed instructions regarding the application and timing of medications used in the treatment of lice. […] In the case of body lice, infested clothing and towels need to be washed in hot water and with a hot dryer; pediculicides usually are not needed. The infested individual should be counseled on proper hygiene, changing clothing at least once a week, and proper laundering of clothing.

• #1 Head Lice (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/head-lice.html

  To do this, run a fine-tooth comb through your child’s wet hair one section at a time. […] There’s no need to buy electronic combs that claim to kill lice or make nits easier to remove. […] Head lice spread quickly from person to person, especially in group settings like schools, childcare centers, slumber parties, sports activities, and camps. […] In the past, kids with head lice were kept home from school. But now doctors don’t recommend these „no-nit” policies. […] To get rid of head lice and their eggs, and to help prevent them from coming back: Wash all bed linens, stuffed animals, and clothing used during the 2 days before treatment. […] Because lice easily pass from person to person in the same house, check all family members. Treat everyone who has lice so they won’t pass it back and forth. […] If your child has lice 2 weeks after you started treatment or if your child’s scalp looks infected, call your doctor. […] Having head lice is not a sign of dirtiness or poor hygiene. The pesky little bugs can be a problem no matter how often kids do or don’t wash their hair or bathe.

• #1 Head lice | Caring for kids

  https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/head_lice

  Some people suggest home remedies such as mayonnaise, petroleum jelly, olive oil, vinegar or margarine. Although these products may make it hard for lice to breathe, they probably wont kill them. […] Because head lice dont live long off the scalp, there is no need for extra cleaning. […] Children with head lice should be treated and then attend school or child care as usual. No-nit policies that keep children with head lice or nits after treatment away from school are not necessary because: […] Head lice dont spread disease. They are a nuisance and unpleasant, but they are not dangerous. […] Teach your child to avoid head-to-head contact. Children should not share combs, hairbrushes, tuques, hats or hair accessories.

• #1 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Assess the effectiveness of the implemented treatment measures by determining whether the patient is free from live head lice. […] Examine the hair shafts closely to ensure the absence of nits (lice eggs). […] Evaluate whether the patient has experienced a reduction or resolution of symptoms associated with head lice infestation, such as itching, redness, or irritation of the scalp. […] Assess the patients understanding of pediculosis capitis, including its transmission, prevention strategies, and the importance of proper hygiene practices. […] Evaluate the patients adherence to the prescribed treatment plan, including the application of medicated shampoos or lotions, as well as any recommended environmental cleaning measures.

• #1 Interventions for treating head lice

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6494540/

  It is believed that time spent curing an individual is wasted unless infested contacts are also traced and treated. […] When a school has such a policy, it means that children who are identified as having nits in their hair are excluded from the school until they are free of them. […] Resistance to permethrin is present worldwide, for example, in the USA (Yoon 2003), Denmark (Kristensen 2006), and Argentina (Vassena 2003). […] The overall aim of this review is to assess the comparative effectiveness of treatments for head lice. […] The (supposed) working mechanisms of different treatment options are discussed here. […] The effect of physical methods relies on the physical removal or destruction of the lice and eggs. […] A range of interventions aiming at restricting the spread of lice and reinfestation is available, including education and cleaning measures, like washing teddy bears. […] Given the high prevalence of head lice infestation and the extensive supply of therapies, it is essential for clinicians and public health workers to have a reliable overview of these therapies, in order to make a well-considered choice.

• #1

  https://www.nasn.org/nasn-resources/professional-practice-documents/position-statements/ps-head-lice

  It is the position of the National Association of School Nurses (NASN) that the management of head lice (Pediculus humanus capitis) infestations in school settings should not disrupt the educational process, including but not limited to the elimination of classroom screening, forced absences from school for nits and/or live lice and broad notification that a case of head lice has been found. […] School nurses should advocate for evidence-based prevention measures that include assisting parents with identification of lice/nits and teaching students, parents, staff and community effective prevention measures. […] NASN recommends school nurses take an active role in the education of parents, students, providers, and school communities to promote proper evidence-based practices in the treatment and management of head lice. These actions include clarifying misinformation about how head lice are transmitted and advocating for a more supportive, less exclusionary approach to head lice management that does not disrupt the educational environment and promotes student attendance and academic success.

• #1 Head lice | Pediculosis | MedlinePlus

  https://medlineplus.gov/headlice.html

  Head lice are tiny insects that live on people’s heads. Adult lice are about the size of sesame seeds. The eggs, called nits, are even smaller – about the size of a dandruff flake. Lice and nits are found on or near the scalp, most often at the neckline and behind the ears. […] Treatments for head lice include both over-the-counter and prescription shampoos, creams, and lotions. If you want to use an over-the-counter treatment and you aren’t sure which one to use or how to use one, ask your health care provider or pharmacist. You should also check with your health care provider first if you are pregnant or nursing, or if you want to use a treatment on a young child. […] Follow these steps when using a head lice treatment: Apply the product according to the instructions. Only apply it to the scalp and the hair attached to the scalp. You should not use it on other body hair. Use only one product at a time, unless your health care provider tells you to use two different kinds at once. Pay attention to what the instructions say about how long you should leave the medicine on the hair and on how you should rinse it out. After rinsing, use a fine-toothed comb or special „nit comb” to remove dead lice and nits. After each treatment, check your hair for lice and nits. You should comb your hair to remove nits and lice every 2-3 days. Do this for 2-3 weeks to be sure that all lice and nits are gone.

• #1 Head Lice: Signs, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/10824-head-lice

  Call your childs healthcare provider if treatments arent working or if your child has signs of an infection. These include: Fever, Sores that wont heal or are pus-filled, Pain or tenderness on their head, Redness or swelling on their scalp. […] You and your child can prevent spreading lice by: Avoiding head-to-head contact with others, Not sharing combs, brushes, hats or pillows with others, Checking others in your household for lice and treating them if necessary to prevent further spread, Washing clothes and bed linens and vacuuming your home thoroughly if someone in the household has had lice. […] With effective treatment, head lice can go away after two to three weeks. Sometimes, you might have to try a different kind of treatment if the first doesnt work. […] Kids usually dont have to stay home from school if they have head lice. But its important to tell their school, daycare or babysitter about it. Remind your child to avoid making head-to-head contact with other kids during playtime. The school may let other parents know so that they can check and treat their kids.

• #1 Head Lice (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/head-lice.html

  To remove lice and nits by hand, use a fine-tooth comb on wet, conditioned hair every 3-4 days for 3 weeks after the last live louse was seen. […] If you choose to get rid of lice without using medicine, you’ll need to remove lice and nits carefully each week, for at least 3 weeks in a row. […] Scratching a lot can lead to a scalp infection. Call your doctor as soon as possible if: the skin on your scalp is red and tender, your scalp has crusting and oozing, you have swollen lymph glands. […] Your doctor may want to treat an infection with antibiotics. […] A few important things to NOT do: Don’t use a hairdryer after applying scalp treatments. […] Don’t use pesticide sprays or hire a pest control company to try to get rid of the lice; these can be harmful. […] Don’t use essential oils (such as ylang ylang oil or tea tree oil) to treat lice on the scalp.

• #1 Head Lice (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/head-lice.html

  Head lice are tiny wingless insects. They live among human hairs and feed on blood from the scalp. […] Head lice are a common problem, especially for little kids. But teens can get them too. They spread easily from person to person, and sometimes are tough to get rid of. Their bites can make the scalp itchy and irritated, and scratching can lead to infection. […] It’s best to treat head lice right away to prevent them from spreading. […] The two main ways to treat lice are: medicine and removing by hand. […] If you think you have lice, call your doctor. Your doctor can recommend a medicated shampoo, cream rinse, or lotion to kill the lice. […] Lice can be hard to get rid of. If you still have lice 2 weeks after you started treatment, let your doctor know. […] Your doctor may want to recommend wet combing in addition to (or as an alternative to) chemical treatments.

• #1 Treatment of Head Lice | Lice | CDC

  https://www.cdc.gov/lice/treatment/index.html

  If your medication kills both lice and eggs, then retreatment may not be necessary. […] You should treat again only if there are live (crawling) lice several days after treatment. […] Treat again after all eggs (nits) have hatched but before new eggs are produced. […] If your medication kills lice but does not kill eggs, treat again about a week after the first treatment (7-9 days depending on the drug). […] Use nit combs to remove nits and lice from the hair shaft. […] After each treatment, check hair and remove nits and lice every 2-3 days for the next 2-3 weeks. […] You do not need to remove nits when treating with spinosad topical suspension. […] Follow your medication’s instructions for retreatment. […] The following reasons may cause treatment for head lice to fail: Misdiagnosis, Recent application of combination shampoo/conditioner or conditioner to hair, Not following treatment instructions, Head lice resisting the medication, Reinfestation after successful treatment. […] The CDC does not have scientific evidence that suffocating head lice with mayonnaise, olive oil, margarine, butter, or similar substances is an effective form of treatment.

• #1 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice

  Understanding of Pediculosis Capitis: […] Identification: Develop knowledge and skills to identify the signs and symptoms of head lice infestation, including inspection of the scalp and hair. […] Transmission Routes: Understand the various ways head lice can be transmitted to effectively educate patients and caregivers on prevention. […] Treatment Modalities: […] Topical Treatments: Gain knowledge about topical treatments for head lice, including the appropriate use of pediculicides and their application. […] Combing Techniques: Learn effective combing techniques to remove lice and nits from the hair, promoting successful treatment. […] Preventive Measures: […] Education on Prevention: Provide education on preventive measures, including personal hygiene practices, avoiding shared items, and routine head checks to reduce the risk of reinfestation.

• #2 Head lice | Nursing Times

  https://www.nursingtimes.net/archive/head-lice-19-02-2009/

  Head lice (Pediculus capitis) affect only humans, and cannot be passed on to, or caught from, animals. Infestation with head lice is also known as pediculosis. […] Head lice are tiny (pin-head sized) grey-brown, wingless insects that live by sucking blood from the scalp. Their eggs, which look like tiny white specks, are known as nits and are laid glued to the base of hairs. […] Infestation often causes itching of the scalp, but may also go unnoticed. If you suspect head lice, check the base of hairs for eggs and comb the hair over a piece of white paper to see if you can spot any dark mature lice. […] Head lice are transferred by close hair-to-hair contact. They cannot jump, fly or swim, but walk from one hair to another. It is a misconception that head lice infestation is as a result of dirty hair and poor hygiene.

• #2 Head lice & nits: children & teens | Raising Children Network

  https://raisingchildren.net.au/guides/a-z-health-reference/head-lice

  Head lice are tiny, wingless insects that live in human hair and feed on blood in the scalp. […] Nits are the eggs of head lice. Brown-black nits are eggs that haven’t hatched into lice yet. White nits are eggs that have already hatched. […] Head lice can’t jump or fly, so they spread only when people are in close contact for example, when heads are close together, when you wear an affected person’s hat or scarf, or when you use an affected person’s comb or hairbrush. […] It’s very common for children to get head lice. Some children get head lice several times a year. […] If your child has head lice, you might notice your child scratching, especially around the back of their neck and behind their ears. Scratching can make the scalp look scaly or cause crusty spots on the scalp. […] When you look closely at your child’s hair, you might see small, oval-shaped, white or brown-black nits attached to the root of the hair, near the scalp.

• #2

  https://dph.illinois.gov/topics-services/diseases-and-conditions/diseases-a-z-list/diseases/head-lice.html

  The life span of an adult louse on a host ranges up to 30 days. During this time, the female head louse can deposit about 90 eggs. After incubating for seven to 10 days, the nits hatch and, after another 10 days, mature into adult head lice and the cycle begins again. Off the host, adult head lice can live about two to four days at 74 degrees Fahrenheit (F) and one to two days at 86 degrees. Nits will remain alive off the host for up to 10 days; they will not hatch at or below room temperature (68 degrees F). […] Both prescription and over-the-counter remedies are effective in treating head lice. But it is important that pregnant women and infants be treated under the direction of a physician because of concerns about potentially adverse effects. Be careful not to use topical preparations more frequently and over longer periods of time than directed. Overuse of these preparations may cause dermatitis or result in absorption of potentially toxic quantities of the drug. Since agents that kill lice may not kill nits completely even when used according to directions the U. S. Centers for Disease Control and Prevention (CDC) recommends that infested patients be treated twice. The interval between treatments should approximate the incubation period for nits (seven to 10 days) so the second application will kill any newly hatched parasites. Waiting longer than 10 days to apply a second treatment may allow some parasites to mature and lay more eggs. All persons who have head lice in a household should be treated. To treat an infested person–

• #2 Head Lice (Pediculosis) | California Childcare Health Program

  https://cchp.ucsf.edu/resources/illness-sheets/head-lice-pediculosis

  The major symptom of head lice is itching caused by the bite of the louse. Persistent scratching of the head and back of the neck should be viewed with suspicion. Occasionally, red bite marks and scratch marks can be seen on the scalp and neck. In cases of severe infestation, a secondary bacterial infection can occur causing oozing or crusting. Swollen neck glands can also result. […] Most children with head lice will be treated with a medicated shampoo, rinse or lotion developed specifically for head lice. These treatments are insecticides and may be toxic if not used as recommended. Do not treat unless there is a clear diagnosis of head lice. Effective treatment includes removal of all nits and environmental cleaning. […] Head lice are not a sign of unclean people or homes. They can occur regardless of age, gender, race or socioeconomic status. Anyone who has close contact with an infested person or shares personal items can become infested. Lice are spread only by crawling from person to person (head-to-head contact) or onto shared personal items such as combs, brushes, head coverings, clothing, bedding, towels, etc.

• #2 Head lice prevention, diagnosis and treatment | Nursing in Practice

  https://www.nursinginpractice.com/clinical/head-lice-prevention-diagnosis-and-treatment/

  Head lice (Pediculus humanus capitis) are parasites that cause an infestation of the human head and feed on blood from the scalp of their host. They are not thought to be a vector of disease. […] Treatment is recommended for people who have an active infestation of head lice. All household members and other close contacts should be checked and treated if necessary. It is important to treat everyone at the same time. […] Personal hygiene has nothing to do with getting head lice. Many infestations are totally asymptomatic. Presentation to a healthcare professional is usually the result of adult lice or nits being seen, while other patients will present with frequent itching, often described as a tickling feeling in the hair sometimes associated with sores from scratching. […] Misdiagnosis of head lice infestation is common. The diagnosis is best made by finding a live nymph or adult louse on the scalp or hair.

• #2 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Provide education on preventive strategies, including avoiding head-to-head contact, not sharing personal items, and using lice repellents if necessary. […] Schedule follow-up appointments to assess treatment effectiveness and check for any signs of reinfestation. […] Treatment must be reapplied within 7-10 days to ensure that all newly hatched lice and nymphs have been removed.

• #2 Head lice: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/head-lice-treatment

  If you are concerned that someone has head lice, you can usually diagnose this at home. You will need two common items: Bright light and Fine-tooth comb or lice comb. […] You are looking for adult lice and their eggs (called nits). Youre more likely to see nits than adults because nits are firmly attached to the hair and do not move. […] There are several products that you can buy at your local drug or grocery store to get rid of head lice and their nits. These are available without a prescription. Dermatologists offer the following tips for using these products: […] Using a lice comb can improve the effectiveness of treatment. It also is important to use a lice comb when school policy requires that a child be nit free before returning to school. […] If the at-home treatment does not work or this seems more than you can handle, you should see a dermatologist for treatment. Your dermatologist may recommend a product that you can buy without a prescription or a prescription medicine.

• #2 Patient education: Head lice (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/head-lice-beyond-the-basics

  There are three types of lice that infest humans (figure 1): The head louse, The body louse, The pubic louse or „crab”. Head lice are usually spread from one person to another through casual contact. Although head lice can be unpleasant, there are effective treatment options available. It is important to find and treat lice quickly to avoid spreading them to others. […] Head lice are diagnosed by examination of the scalp and hair (picture 1). Special „nit combs” can be used to assist with the diagnosis. […] Finding head lice can be upsetting to children and parents, but it is important to keep the following in mind: Head lice are not a sign of being dirty or sick. You can get rid of head lice with proper treatment. There are no serious or long-term health problems associated with head lice.

• #2 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Inquire about recent exposure to individuals with head lice and any previous attempts at treatment. […] Perform a thorough assessment of family members, as head lice can spread easily within households. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Determine the patients and familys knowledge about head lice, transmission, and preventive measures.

• #2 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  The primary goal is to completely eliminate the presence of adult lice, nymphs, and eggs (nits) from the infested individuals scalp and hair. […] A successful outcome involves preventing secondary bacterial infections that can occur due to excessive scratching and open sores on the scalp. […] The scalp should return to a healthy state, free from irritation, inflammation, and discomfort caused by the presence of head lice and their bites. […] Individuals and their families should be educated on effective preventive measures to reduce the risk of future head lice infestations. […] A positive outcome includes addressing any psychosocial impact on the affected individual, especially children who may experience embarrassment or social stigma. […] Successful treatment contributes to improved self-esteem and overall well-being.

• #2 Head lice | Pediculosis | MedlinePlus

  https://medlineplus.gov/headlice.html

  Head lice are tiny insects that live on people’s heads. Adult lice are about the size of sesame seeds. The eggs, called nits, are even smaller – about the size of a dandruff flake. Lice and nits are found on or near the scalp, most often at the neckline and behind the ears. […] Treatments for head lice include both over-the-counter and prescription shampoos, creams, and lotions. If you want to use an over-the-counter treatment and you aren’t sure which one to use or how to use one, ask your health care provider or pharmacist. You should also check with your health care provider first if you are pregnant or nursing, or if you want to use a treatment on a young child. […] Follow these steps when using a head lice treatment: Apply the product according to the instructions. Only apply it to the scalp and the hair attached to the scalp. You should not use it on other body hair. Use only one product at a time, unless your health care provider tells you to use two different kinds at once. Pay attention to what the instructions say about how long you should leave the medicine on the hair and on how you should rinse it out. After rinsing, use a fine-toothed comb or special „nit comb” to remove dead lice and nits. After each treatment, check your hair for lice and nits. You should comb your hair to remove nits and lice every 2-3 days. Do this for 2-3 weeks to be sure that all lice and nits are gone.

• #2 Head Lice | Wisconsin Department of Health Services

  https://www.dhs.wisconsin.gov/disease/head-lice.htm

  Permethrin: Shampoos or creme rinses that contain 1% permethrin are the most effective at killing adults and nits. […] Pyrethrin: Shampoos with pyrethrin kill adult lice quickly, but the effects do not last, so it does not continue to kill nits after the first application. […] There are several prescription medications approved to treat head lice. […] Take the following steps to prevent becoming infested with head lice: Avoid head-to-head contact at home and school, or during activities such as sports, camp, or slumber parties. […] Do not share items such as hats, scarves, coats, uniforms, brushes, combs, or hair ribbons. […] Clothing, linen, or cloth toys that an infested person has used should be washed in hot water and machine dried at the hottest setting for 20 minutes. […] Combs and brushes used by an infested person should be soaked in hot water, rubbing alcohol, or a lice-killing chemical for one hour.

• #2 Head Lice (Pediculosis) | Mass.gov

  https://www.mass.gov/info-details/head-lice-pediculosis

  Children should be checked regularly and treated when head lice are found. […] Treatment for head lice usually consists of shampooing the hair with a medicated shampoo or cream rinse containing one of the following ingredients: permethrin, pyrethrin, malathion, benzyl alcohol, Spinosad, or ivermectin. […] As safety is a concern, these products should be used with care, under the supervision of a health care provider and in accordance with the label instructions. […] Household and other close contacts should be examined and treated if head lice are found. […] Many school departments and child care sites require that children be free of nits before returning to school and parents should be familiar with their own school or daycare’s head lice policy.

• #2 Head lice | Caring for kids

  https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/head_lice

  Pyrethrin and permethrin are safe when used on humans over 2 months old. You do not need a prescription. Over time, head lice have become resistant to some of the chemicals used to kill them, so some products may be less effective than they used to be. But they are still worth trying. […] These treatments can sometimes make the scalp itchy or can leave a mild burning feeling. If your child is scratching after treatment, it does not necessarily mean the lice are back. […] Isopropyl myristate/cyclomethicone (Resultz) is approved for use in Canada, but it should only be used in children 4 years of age and older. It dehydrates the lice and they die. Apply to a dry scalp and rinse with warm water after 10 minutes. Repeat after 1 week. […] Silicone oil dimeticone (NYDA) is effective against live lice, nymphs and nits. It is not recommended for children under 2 years old. A second treatment is recommended after 8 to 10 days.

• #2 Treatment of Head Lice | Lice | CDC

  https://www.cdc.gov/lice/treatment/index.html

  If your medication kills both lice and eggs, then retreatment may not be necessary. […] You should treat again only if there are live (crawling) lice several days after treatment. […] Treat again after all eggs (nits) have hatched but before new eggs are produced. […] If your medication kills lice but does not kill eggs, treat again about a week after the first treatment (7-9 days depending on the drug). […] Use nit combs to remove nits and lice from the hair shaft. […] After each treatment, check hair and remove nits and lice every 2-3 days for the next 2-3 weeks. […] You do not need to remove nits when treating with spinosad topical suspension. […] Follow your medication’s instructions for retreatment. […] The following reasons may cause treatment for head lice to fail: Misdiagnosis, Recent application of combination shampoo/conditioner or conditioner to hair, Not following treatment instructions, Head lice resisting the medication, Reinfestation after successful treatment. […] The CDC does not have scientific evidence that suffocating head lice with mayonnaise, olive oil, margarine, butter, or similar substances is an effective form of treatment.

• #2 Head lice – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/head-lice/diagnosis-treatment/drc-20356186

  If you prefer not to use a medication for treating head lice, you may consider a home treatment. However, there’s little to no clinical evidence that home treatments are effective. […] Combing wet hair with a fine-toothed nit comb may remove lice and some nits. […] A number of household products are used to treat head lice. These products are thought to deprive the lice of air when generous amounts are applied to the hair, covered with a shower cap and left on overnight. […] Lice usually don’t live past one day without feeding from a human scalp. And eggs can’t survive without the temperature near the scalp. Therefore, the chance of lice surviving on household items is small. […] See your family’s health care provider or pediatrician if you suspect that your child has head lice. The provider will examine your child’s scalp and look for a live nymph or adult louse to determine if he or she has head lice.

• #2

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3261

  Use an over-the-counter medicine to kill lice. Your doctor or pharmacist can help you choose a medicine that is safe. […] Follow the directions that come with the medicine carefully. Some medicines should only be used once. Others require a second treatment 7 to 9 days after the first treatment. Don’t use more medicine than you should or two medicines at the same time. […] Check your scalp for live, active lice 12 hours after treatment. If you find some, talk to your doctor. You may need a different type of treatment. […] Try wet-combing, which may help remove lice and nits. Use a comb with teeth that are close together. A flea comb that’s made for dogs and cats will also work. Wet the hair. Comb all of the hair very carefully. Combing needs to be done over and over. […] Scratching can cause sores on the scalp, which can lead to an infection. It may help to use an over-the-counter anti-itch cream to calm the itching. If the itching is really bad, ask the doctor about an over-the-counter antihistamine. Read and follow all instructions on the label.

• #2

• #2 Head lice | Pediculosis | MedlinePlus

  https://medlineplus.gov/headlice.html

  All household members and other close contacts should be checked and treated if necessary. If an over-the-counter treatment does not work for you, you can ask your health care provider for a prescription product. […] There are steps you can take to prevent the spread of lice. If you already have lice, besides treatment, you should: Wash your clothes, bedding, and towels with hot water, and dry them using the hot cycle of the dryer. Soak your combs and brushes in hot water for 5-10 minutes. Vacuum the floor and furniture, particularly where you sat or lay. If there are items that you cannot wash, seal them in a plastic bag for two weeks. […] To prevent your children from spreading lice: Teach children to avoid head-to-head contact during play and other activities. Teach children not to share clothing and other items that they put on their head, such as headphones, hair ties, and helmets. If your child has lice, be sure to check the policies at school and/or daycare. Your child may not be able to go back until the lice have been completely treated.

• #2 Head Lice: Overview, Treatment Options and Prevention | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/head-lice

  The comb-out method lets you check for nits and lice or remove them after treatment. This method alone may not get rid of lice. Head lice medicine is also needed. […] After each medicine treatment, use the comb-out method every 2 to 3 days for 2 to 3 weeks to remove nits and eggs. […] Clean any items your child used within 2 days before the head lice was found. Clean every 2 to 3 days after starting treatment until lice are gone. […] Do not use insecticides or hire a pest control company to treat your home. It is not needed. The strong chemicals may harm your child. […] Check your childs hair often during the school year. Check more often when theres a lice outbreak at school. […] Call your childs doctor or health care provider if they have: Been treated, but the lice are still active.

• #2

  https://www.nasn.org/nasn-resources/professional-practice-documents/position-statements/ps-head-lice

  It is the position of the National Association of School Nurses (NASN) that the management of head lice (Pediculus humanus capitis) infestations in school settings should not disrupt the educational process, including but not limited to the elimination of classroom screening, forced absences from school for nits and/or live lice and broad notification that a case of head lice has been found. […] School nurses should advocate for evidence-based prevention measures that include assisting parents with identification of lice/nits and teaching students, parents, staff and community effective prevention measures. […] NASN recommends school nurses take an active role in the education of parents, students, providers, and school communities to promote proper evidence-based practices in the treatment and management of head lice. These actions include clarifying misinformation about how head lice are transmitted and advocating for a more supportive, less exclusionary approach to head lice management that does not disrupt the educational environment and promotes student attendance and academic success.

• #2 Head Lice (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/head-lice.html

  Lice can be tricky to get rid of because nits can remain unhatched on your head or you might pick up lice that are still on bedding or other items. […] Here’s what to do if you’ve had lice or someone in your family has: Wash bed linens and clothing that anyone with lice has used recently. […] Because lice can move easily from person to person in the same house, family members should be checked for lice. Anyone who has them needs treatment. […] Try to avoid head-to-head contact, like in gym or during sports. […] Don’t share combs, brushes, hats, scarves, bandanas, ribbons, barrettes, hair ties or bands, towels, helmets, or other personal care items with anyone else.

• #2 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Assess the effectiveness of the implemented treatment measures by determining whether the patient is free from live head lice. […] Examine the hair shafts closely to ensure the absence of nits (lice eggs). […] Evaluate whether the patient has experienced a reduction or resolution of symptoms associated with head lice infestation, such as itching, redness, or irritation of the scalp. […] Assess the patients understanding of pediculosis capitis, including its transmission, prevention strategies, and the importance of proper hygiene practices. […] Evaluate the patients adherence to the prescribed treatment plan, including the application of medicated shampoos or lotions, as well as any recommended environmental cleaning measures.

• #2 Head Lice (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/head-lice.html

  Head lice are tiny wingless insects. They live among human hairs and feed on blood from the scalp. […] Head lice are a common problem, especially for little kids. But teens can get them too. They spread easily from person to person, and sometimes are tough to get rid of. Their bites can make the scalp itchy and irritated, and scratching can lead to infection. […] It’s best to treat head lice right away to prevent them from spreading. […] The two main ways to treat lice are: medicine and removing by hand. […] If you think you have lice, call your doctor. Your doctor can recommend a medicated shampoo, cream rinse, or lotion to kill the lice. […] Lice can be hard to get rid of. If you still have lice 2 weeks after you started treatment, let your doctor know. […] Your doctor may want to recommend wet combing in addition to (or as an alternative to) chemical treatments.

• #2 Managing Head Lice in School Settings and at Home | Texas DSHS

  https://www.dshs.texas.gov/texas-school-health/skilled-procedures-texas-school-health/managing-head-lice-school

  The following fact sheets (English and Spanish) are copyright free and can be downloaded. They can be printed in black and white or in color to distribute to parents, caregivers and school staff to inform them about head lice. All are PDF documents. […] According to a head lice research article published by the American Academy of Pediatrics (AAP) in 2015, „No healthy child should be excluded from or allowed to miss school time because of head lice or nits. Pediatricians may educate school communities that no-nit policies for return to school should be abandoned.” You can find information for schools at the end of the research article. […] A no-nit policy excludes students from school based on the presence of lice eggs, whether or not live lice are present. DSHS does not recommend a no-nit policy. DSHS does recognize that school districts may adopt one as a local option.

• #2 Head Lice (‘Ukus) | Disease Outbreak Control Division

  https://health.hawaii.gov/docd/disease_listing/head-lice-ukus/

  Reduce the risk of catching head lice by avoiding both direct head-to-head contact and sharing of clothing or items such as hats, hair ribbons, brushes, towels, etc. […] Students with live head lice do not need to be sent home early from school. No-nit policies that require a child to be free of nits before they can return to school should be discontinued. Instead, a student should finish the school day, receive appropriate treatment, and then return to school. No healthy child should be excluded from or allowed to miss school time because of head lice.

• #2 Head Lice: Common Childhood Condition – Seattle Children’s

  https://www.seattlechildrens.org/conditions/head-lice/

  Head lice are a problem that has been around for a long time. You and your child may be upset and embarrassed about having lice. While lice can be hard to deal with, they do not cause any medical harm to you or your child. […] Treating lice right away and careful checking are the best ways to take care of lice. […] If you find that your child has head lice, check all household members for lice. […] Lice can be treated using chemicals or with nonchemical methods. You can treat lice yourself, or, in some areas, there are lice removal services. […] If your child is under 2 or you are pregnant or breastfeeding/chestfeeding, talk with your child’s healthcare provider before using any chemical product to treat lice. […] You can remove lice with the wet combing method and/or using a product that suffocates the lice, like a special gel.

• #2 Head Lice | HeadStart.gov

  https://headstart.gov/physical-health/article/head-lice

  The discovery of head lice can be alarming for families, teachers, and caregivers, but lice can be addressed with very little disruption to a childs routine. […] Head lice spread from direct head-to-head contact. They are not usually passed to others by sharing hats, helmets, towels, or bedding. […] Head Start and other early childhood programs should inform a childs family when they see symptoms of head lice. The program should not send the child home early or exclude the child because of head lice. […] Treatments for head lice are available at many grocery stores and pharmacies. Generally, they are safe and effective when used as directed. […] Tell caregivers to rinse all topical lice medication from a childs hair over a sink using warm water, rather than while the child is in the shower or bath.

• #2 Head lice prevention, diagnosis and treatment | Nursing in Practice

  https://www.nursinginpractice.com/clinical/head-lice-prevention-diagnosis-and-treatment/

  If a live head louse is found, treat with one of the following: A physical insecticide these silicone or fatty acid ester-based products kill the lice by physically coating their surfaces and suffocating them, therefore resistance is unlikely to develop. […] It is important to be aware that wet combing or dimeticone 4% lotion is recommended first line for pregnant or breastfeeding women, young children aged six months to two years, and patients with asthma or eczema. […] In general, all affected family members should be treated on the same day to avoid reinfection. […] Advise that after treatment, detection combing should be done to check that the treatment has been successful. […] Key advice to offer parents and patients: Avoid head-to-head (hair-to-hair) contact during play and other activities at home, school, and elsewhere (eg sports activities and in the playground).

• #2 Head Lice: Signs, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/10824-head-lice

  Call your childs healthcare provider if treatments arent working or if your child has signs of an infection. These include: Fever, Sores that wont heal or are pus-filled, Pain or tenderness on their head, Redness or swelling on their scalp. […] You and your child can prevent spreading lice by: Avoiding head-to-head contact with others, Not sharing combs, brushes, hats or pillows with others, Checking others in your household for lice and treating them if necessary to prevent further spread, Washing clothes and bed linens and vacuuming your home thoroughly if someone in the household has had lice. […] With effective treatment, head lice can go away after two to three weeks. Sometimes, you might have to try a different kind of treatment if the first doesnt work. […] Kids usually dont have to stay home from school if they have head lice. But its important to tell their school, daycare or babysitter about it. Remind your child to avoid making head-to-head contact with other kids during playtime. The school may let other parents know so that they can check and treat their kids.

• #2 Head Lice: Common Childhood Condition – Seattle Children’s

  https://www.seattlechildrens.org/conditions/head-lice/

  To keep lice from spreading to others or coming back: Wash all clothing, bedding and towels used in the last 3 days by anyone with lice. […] Teach your child to avoid head-to-head contact at school, during sports, on the playground and when playing with other children. […] Lice are not a health hazard, but some schools still have policies keeping kids home until they have no nits (eggs) left in the hair at all. […] Call your child’s healthcare provider if your child still has lice after 2 weeks of treatment, if their scalp is infected or if you have questions.

• #3 Head lice: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/head-lice-treatment

  If you are concerned that someone has head lice, you can usually diagnose this at home. You will need two common items: Bright light and Fine-tooth comb or lice comb. […] You are looking for adult lice and their eggs (called nits). Youre more likely to see nits than adults because nits are firmly attached to the hair and do not move. […] There are several products that you can buy at your local drug or grocery store to get rid of head lice and their nits. These are available without a prescription. Dermatologists offer the following tips for using these products: […] Using a lice comb can improve the effectiveness of treatment. It also is important to use a lice comb when school policy requires that a child be nit free before returning to school. […] If the at-home treatment does not work or this seems more than you can handle, you should see a dermatologist for treatment. Your dermatologist may recommend a product that you can buy without a prescription or a prescription medicine.

• #3 Head lice (nits) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/head-lice-nits

  Head lice have been around for thousands of years. […] Anyone can catch head lice. […] Using the conditioner and comb method once each week will help your family control head lice. […] Head lice do not generally carry disease. […] Head lice are small, wingless insects that live, breed and feed on the human scalp. They do not generally carry or transmit disease. […] Direct contact is required for transmission from person to person. Lice will crawl from head to head without discrimination. […] A female louse lays 3 to 8 eggs (nits) per day. The eggs are firmly attached to the hair fibres, within 1.5 cm of the scalp, and rely on warmth from the head to hatch. […] People catch head lice from direct head-to-head contact with another person who has head lice. […] If your family has head lice, tell anyone who has had head-to-head contact with them, so that they can check and treat their family if needed.

• #3 Head Lice (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/head-lice.html

  To do this, run a fine-tooth comb through your child’s wet hair one section at a time. […] There’s no need to buy electronic combs that claim to kill lice or make nits easier to remove. […] Head lice spread quickly from person to person, especially in group settings like schools, childcare centers, slumber parties, sports activities, and camps. […] In the past, kids with head lice were kept home from school. But now doctors don’t recommend these „no-nit” policies. […] To get rid of head lice and their eggs, and to help prevent them from coming back: Wash all bed linens, stuffed animals, and clothing used during the 2 days before treatment. […] Because lice easily pass from person to person in the same house, check all family members. Treat everyone who has lice so they won’t pass it back and forth. […] If your child has lice 2 weeks after you started treatment or if your child’s scalp looks infected, call your doctor. […] Having head lice is not a sign of dirtiness or poor hygiene. The pesky little bugs can be a problem no matter how often kids do or don’t wash their hair or bathe.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3261

  Head lice are tiny bugs that can live in your hair and on your head. Live lice are tan to greyish white. They’re about the size of a sesame seed. It may be easiest to find them on the back of the neck at the hairline or behind the ears. When you have lice, all people living in your home need to be carefully checked and then treated if they have it. […] Lice eggs (nits) may be easier to see than live lice. They look like tiny yellow or white dots attached to the hair, close to the scalp. Nits can look like dandruff. But you can’t pick them off with your fingernail or brush them away. […] You can treat lice and their eggs with over-the-counter medicines. After treatment, your skin may still itch for a week or more. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems.

• #3 Head lice prevention, diagnosis and treatment | Nursing in Practice

  https://www.nursinginpractice.com/clinical/head-lice-prevention-diagnosis-and-treatment/

  Head lice (Pediculus humanus capitis) are parasites that cause an infestation of the human head and feed on blood from the scalp of their host. They are not thought to be a vector of disease. […] Treatment is recommended for people who have an active infestation of head lice. All household members and other close contacts should be checked and treated if necessary. It is important to treat everyone at the same time. […] Personal hygiene has nothing to do with getting head lice. Many infestations are totally asymptomatic. Presentation to a healthcare professional is usually the result of adult lice or nits being seen, while other patients will present with frequent itching, often described as a tickling feeling in the hair sometimes associated with sores from scratching. […] Misdiagnosis of head lice infestation is common. The diagnosis is best made by finding a live nymph or adult louse on the scalp or hair.

• #3 Pediculosis (Head Lice Infestation) – Epidemiology

  https://www.vdh.virginia.gov/epidemiology/epidemiology-fact-sheets/pediculosis-head-lice-infestation/

  The head louse (Pediculus humanus capitis) is one of three types of lice that can infest people. These insects are about the size of a sesame seed (23 mm long) and live in human hair where they feed on tiny amounts of human blood. Head lice are hard to see because they are very small, avoid light, and move fast. It is easier to see the eggs (called nits), which attach to the base of the hair, close to the scalp. […] Head lice infestation is diagnosed by finding a live, crawling louse on the scalp or hair of a person. A fine-tooth comb and magnifying glass may help you find lice. If you do not see crawling lice, look for nits attached firmly within inch of the base of hair shafts. […] Persons diagnosed with head lice infestation should be treated with a medicine that is effective against lice (called a pediculicide). Treatment should be considered for anyone sharing a bed with a person with lice.

• #3 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Inquire about recent exposure to individuals with head lice and any previous attempts at treatment. […] Perform a thorough assessment of family members, as head lice can spread easily within households. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Determine the patients and familys knowledge about head lice, transmission, and preventive measures.

• #3 Head lice | Nursing Times

  https://www.nursingtimes.net/archive/head-lice-19-02-2009/

  Always ask for advice before using medicated lotions on young babies (under six months), pregnant women or people with asthma, or allergies, and always read the instructions carefully. […] There is no prevention for head lice infestation other than normal hair care and checking yours and your family’s hair and scalp periodically. […] Regular combing of hair using the bug-busting method (see treatment section) can help with early detection as well as treatment.

• #3 Treatment of Head Lice | Lice | CDC

  https://www.cdc.gov/lice/treatment/index.html

  You can treat lice with either over-the-counter or prescription medications. […] Follow all provided instructions when using lice medication. […] Treat head lice if you have an active infestation. […] Check all household members and other close contacts for head lice. […] Treat all infested persons (household members and close contacts) and people they share a bed with at the same time. […] You can treat head lice with medications (pediculicides) that are either over-the-counter or by prescription. […] Some medicines kill lice and eggs; retreatment is usually not required for these. […] Other medicines kill lice but are not effective at killing eggs and so retreatment is recommended. […] Medications are generally safe and effective when used correctly. […] Consult your healthcare provider before treating young children.

• #3 Head Lice: Overview, Treatment Options and Prevention | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/head-lice

  Lice are tiny bugs that can live on your head. Head lice is very common – anyone can get it. It may cause some itching, but is usually easy to treat. […] Lice lay eggs (nits) on pieces of hair, close to the scalp. […] To treat your childs lice, they may need: Over-the-counter (OTC) or prescription lice medicine. […] Remove nits with a nit comb or by hand. […] Do not use mayonnaise, olive oil, tea oils, petroleum jelly, margarine, or butter on your childs hair. These products do not get rid of lice and may be hard to wash out. […] Your childs doctor or health care provider can recommend a shampoo, rinse, or lotion to kill lice or help with itching. […] After using the medicine, check for lice again in 8 to 12 hours. Use a nit comb to remove dead lice and nits. […] Keep checking hair and using the nit comb every 2 to 3 days for 2 to 3 weeks. Do this until there are no more lice or nits in the hair.

• #3 Head lice | Caring for kids

  https://caringforkids.cps.ca/handouts/health-conditions-and-treatments/head_lice

  Some people suggest home remedies such as mayonnaise, petroleum jelly, olive oil, vinegar or margarine. Although these products may make it hard for lice to breathe, they probably wont kill them. […] Because head lice dont live long off the scalp, there is no need for extra cleaning. […] Children with head lice should be treated and then attend school or child care as usual. No-nit policies that keep children with head lice or nits after treatment away from school are not necessary because: […] Head lice dont spread disease. They are a nuisance and unpleasant, but they are not dangerous. […] Teach your child to avoid head-to-head contact. Children should not share combs, hairbrushes, tuques, hats or hair accessories.

• #3 Head Lice (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/head-lice.html

  Lice can be tricky to get rid of because nits can remain unhatched on your head or you might pick up lice that are still on bedding or other items. […] Here’s what to do if you’ve had lice or someone in your family has: Wash bed linens and clothing that anyone with lice has used recently. […] Because lice can move easily from person to person in the same house, family members should be checked for lice. Anyone who has them needs treatment. […] Try to avoid head-to-head contact, like in gym or during sports. […] Don’t share combs, brushes, hats, scarves, bandanas, ribbons, barrettes, hair ties or bands, towels, helmets, or other personal care items with anyone else.

• #3 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Community Awareness: Promote awareness within communities, schools, and families about the importance of early detection and prevention of head lice. […] Psychosocial Support: […] Addressing Stigma: Understand the psychosocial impact of head lice and develop strategies to address stigma and misconceptions associated with infestations. […] Communication Skills: Enhance communication skills to effectively educate and support individuals and families dealing with head lice. […] Monitoring and Follow-Up: […] Post-Treatment Assessment: Learn to conduct post-treatment assessments to ensure the effectiveness of interventions and address any residual concerns. […] Follow-Up Education: Provide ongoing education for patients and caregivers on maintaining a lice-free environment and recognizing potential signs of re-infestation.

• #3 Head lice (nits) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/head-lice-nits

  Concentrate on treating the affected persons head. […] There is no evidence to suggest that you need to clean the house or the classroom. […] Itchiness may not disappear immediately after treatment. […] The easiest and most effective way to find head lice is to use the conditioner and comb treatment weekly. […] The 2 preferred treatment options available for initially treating head lice are the conditioner and comb method, and the use of an insecticide. […] Any head lice treatment product you choose should carry an Australian Registered (AUST R) or Australian Listed (AUST L) number on the outer packaging. […] Head lice live in the hair and go to the scalp to feed. Therefore, head lice products must be applied to all parts of the hair. […] Once the treatment has been done according to the instructions on the packet, comb through the hair again with the fine tooth head lice comb.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh4021

  Call your doctor or nurse advice line now or seek immediate medical care if your child has a sore on their scalp and you think it might be infected. […] Watch closely for changes in your child’s health, and be sure to contact your doctor or nurse advice line if you see live lice or new nits after you have followed the directions for your medicine.

• #3 Head lice (nits) | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/head-lice-nits

  No topical insecticide treatment kills 100% of the eggs, so treatment must involve 2 applications, 7 days apart. […] If you choose not to use an insecticide, the comb and conditioner method described above can be used every second day until no live lice have been found for 10 days. […] Insecticide resistance is common, so you need to check that the lice you comb out are dead. […] If the initial treatments have failed and live lice are still being removed with the conditioner and comb treatment, see your doctor for a referral to a dermatologist for specialist treatment. […] A dermatologist may prescribe ivermectin. […] According to the Public Health and Wellbeing Regulations 2019, children with untreated head lice are not permitted to attend school or children’s service centres. […] However, once treatment has started, they may attend, even if there are still some eggs present. […] There is no product available that prevents head lice. However, tying long hair back and checking weekly for lice, using the conditioner and comb method, can help prevent the spread.

• #3 Head Lice – Pediatrician in {Cincinnati}, {OH} | {West Side Pediatrics}

  https://westsidepedscincy.com/head-lice

  Is this your child’s symptom? A scalp infection with tiny gray bugs called lice. Lice lay many white eggs (nits) in the hair. Symptoms of Head Lice: The eggs are easier to see than the lice. Nits (eggs) are tiny white specks attached to hairs. Unlike dandruff or sand, nits can’t be shaken off the hair shafts. Itching of the scalp is the main symptom. A scalp rash may be present. The back of the neck is the favorite area. Head lice can be treated at home. With careful treatment, all lice and nits (lice eggs) are usually killed. There are no lasting problems from having head lice. They do not carry any diseases. They do not make your child feel sick. Here is some care advice that should help. Buy some anti-lice creme rinse (such as Nix) and follow package directions. No prescription is needed. First, wash the hair with a regular shampoo. Then, towel dry it before using the anti-lice creme. Do not use a conditioner or creme rinse after shampooing. Reason: It will interfere with Nix. Pour 2 ounces (full bottle or 60 mL) of Nix into damp hair. People with long hair may need to use 2 bottles. Work the creme into all the hair down to the roots. If needed, add a little warm water to work up a lather. Nix is safe above 2 months old. Leave the shampoo on for a full 10 minutes. If you don’t, it won’t kill all the lice. Then rinse the hair well with water and dry it with a towel. Repeat the anti-lice shampoo in 9 days. Be sure to do this or the lice may come back. Two treatments are always needed. The second treatment will kill any new lice that have hatched from eggs. Nit removal is not necessary. It should not interfere with the return to school. Some schools, however, have a no-nit policy. They will not allow children to return if nits are seen. The American Academy of Pediatrics advise that no-nit policies be no longer used. The National Association of School Nurses also takes this stand. If your child’s school has a no-nit policy, call your child’s doctor. Reasoning: Only live lice can spread lice to another child. One treatment with Nix kills all the lice. Nits (lice eggs) do not spread lice. Most treated nits (lice eggs) are dead after the first treatment with Nix. The others will be killed with the 2nd treatment. Removing the dead nits is not essential or urgent. However, it prevents others from thinking your child still has untreated lice. Your child can return to school after 1 treatment with the anti-lice shampoo. A child with nits doesn’t need to miss any school or child care. Nits do not spread to others, nor do they cause lice in others.

• #3 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Note any signs of allergic reactions such as redness, swelling, or rash. […] Check personal items such as combs, brushes, and hats for the presence of lice or nits. […] Administer prescribed or over-the-counter medicated shampoos, creams, or lotions containing pediculicides as directed. […] Instruct the patient and family on the correct application and timing of the treatment. […] Advise thorough cleaning and vacuuming of the home, especially areas where the affected individual spends time. […] Provide education on preventive strategies, including avoiding head-to-head contact, not sharing personal items, and using lice repellents if necessary. […] Instruct the patient or caregiver to use a fine-toothed comb to remove dead lice and nits from the hair. […] Schedule follow-up appointments to assess treatment effectiveness and check for any signs of reinfestation.

• #3 Head Lice: Signs, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/10824-head-lice

  Call your childs healthcare provider if treatments arent working or if your child has signs of an infection. These include: Fever, Sores that wont heal or are pus-filled, Pain or tenderness on their head, Redness or swelling on their scalp. […] You and your child can prevent spreading lice by: Avoiding head-to-head contact with others, Not sharing combs, brushes, hats or pillows with others, Checking others in your household for lice and treating them if necessary to prevent further spread, Washing clothes and bed linens and vacuuming your home thoroughly if someone in the household has had lice. […] With effective treatment, head lice can go away after two to three weeks. Sometimes, you might have to try a different kind of treatment if the first doesnt work. […] Kids usually dont have to stay home from school if they have head lice. But its important to tell their school, daycare or babysitter about it. Remind your child to avoid making head-to-head contact with other kids during playtime. The school may let other parents know so that they can check and treat their kids.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3261

  Check everyone in your home for lice. If your child shares a bed with someone, the other person should be treated too. […] You don’t need to spend a lot of time or money deep cleaning your home. But it’s a good idea to soak hairbrushes, combs, barrettes, and other items for 10 minutes in hot water. […] Machine-wash clothes, bedding, towels, and hats that touched the head in the last 2 days in hot water. Dry them in a hot dryer. If you don’t have access to a washing machine or if items can’t be washed or dried, store these items in a sealed plastic bag for 14 days. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you see live lice or new nits after you have followed the directions for your medicine.

• #3 Treatment of Head Lice | Lice | CDC

  https://www.cdc.gov/lice/treatment/index.html

  If your medication kills both lice and eggs, then retreatment may not be necessary. […] You should treat again only if there are live (crawling) lice several days after treatment. […] Treat again after all eggs (nits) have hatched but before new eggs are produced. […] If your medication kills lice but does not kill eggs, treat again about a week after the first treatment (7-9 days depending on the drug). […] Use nit combs to remove nits and lice from the hair shaft. […] After each treatment, check hair and remove nits and lice every 2-3 days for the next 2-3 weeks. […] You do not need to remove nits when treating with spinosad topical suspension. […] Follow your medication’s instructions for retreatment. […] The following reasons may cause treatment for head lice to fail: Misdiagnosis, Recent application of combination shampoo/conditioner or conditioner to hair, Not following treatment instructions, Head lice resisting the medication, Reinfestation after successful treatment. […] The CDC does not have scientific evidence that suffocating head lice with mayonnaise, olive oil, margarine, butter, or similar substances is an effective form of treatment.

• #3 Head lice – Fraser Health AuthorityHead lice – Fraser Health Authority

  https://www.fraserhealth.ca/health-topics-a-to-z/school-health/illness-and-immunizations/head-lice

  Head lice are parasites that only infect human scalps. They are spread by head to head contact but do not cause disease. They do affect the health of our children through cost to families for treatment, frustration, unnecessary embarrassment and sometimes education time lost. […] Head lice are an ongoing problem but are not a major public health concern as they do not spread disease. They can be a community concern because of the nuisance and discomfort surrounding infestations and spread. […] The primary responsibility for control of head lice rests with the family and community, though trained volunteers can help families by providing routine head lice screening and parent education. Public health nurses can also answer questions about the management of head lice. […] If a child has head lice they can continue to have contact with others for the remainder of the day – children should not be excluded from the community or school due to head lice. If there are problems with the treatment, parents are encouraged to consult a public health nurse for information and resources. To prevent the spread of head lice and ensure that the child has received treatment, information letters should be given to parents and classroom contacts.

• #4 Head lice & nits: children & teens | Raising Children Network

  https://raisingchildren.net.au/guides/a-z-health-reference/head-lice

  You might also see live head lice. Live head lice move fast. To spot live lice, you might have to part your child’s hair very quickly or use the wet-combing treatment described below. […] A bad case of head lice can lead to itchy dermatitis on the scalp, crusted sores, which can become infected by bacteria, and enlarged lymph nodes in the neck. […] You should see your GP if you’ve tried the treatments below and they’re not working. […] You should also see your GP if your child is scratching a lot and it interrupts their sleep, has sores on their scalp, or has been treated 3 or more times in a year. […] There are 2 ways to treat head lice at home anti-lice hair products and wet-combing. […] Anti-lice products You can get anti-lice products from your pharmacy without a prescription. Lotions, liquids and creams are more effective than shampoos.

• #4 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Inquire about recent exposure to individuals with head lice and any previous attempts at treatment. […] Perform a thorough assessment of family members, as head lice can spread easily within households. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Determine the patients and familys knowledge about head lice, transmission, and preventive measures.

• #4 Head lice | Pediculosis | MedlinePlus

  https://medlineplus.gov/headlice.html

  Head lice are tiny insects that live on people’s heads. Adult lice are about the size of sesame seeds. The eggs, called nits, are even smaller – about the size of a dandruff flake. Lice and nits are found on or near the scalp, most often at the neckline and behind the ears. […] Treatments for head lice include both over-the-counter and prescription shampoos, creams, and lotions. If you want to use an over-the-counter treatment and you aren’t sure which one to use or how to use one, ask your health care provider or pharmacist. You should also check with your health care provider first if you are pregnant or nursing, or if you want to use a treatment on a young child. […] Follow these steps when using a head lice treatment: Apply the product according to the instructions. Only apply it to the scalp and the hair attached to the scalp. You should not use it on other body hair. Use only one product at a time, unless your health care provider tells you to use two different kinds at once. Pay attention to what the instructions say about how long you should leave the medicine on the hair and on how you should rinse it out. After rinsing, use a fine-toothed comb or special „nit comb” to remove dead lice and nits. After each treatment, check your hair for lice and nits. You should comb your hair to remove nits and lice every 2-3 days. Do this for 2-3 weeks to be sure that all lice and nits are gone.

• #4 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Note any signs of allergic reactions such as redness, swelling, or rash. […] Check personal items such as combs, brushes, and hats for the presence of lice or nits. […] Administer prescribed or over-the-counter medicated shampoos, creams, or lotions containing pediculicides as directed. […] Instruct the patient and family on the correct application and timing of the treatment. […] Advise thorough cleaning and vacuuming of the home, especially areas where the affected individual spends time. […] Provide education on preventive strategies, including avoiding head-to-head contact, not sharing personal items, and using lice repellents if necessary. […] Instruct the patient or caregiver to use a fine-toothed comb to remove dead lice and nits from the hair. […] Schedule follow-up appointments to assess treatment effectiveness and check for any signs of reinfestation.

• #4 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Community Awareness: Promote awareness within communities, schools, and families about the importance of early detection and prevention of head lice. […] Psychosocial Support: […] Addressing Stigma: Understand the psychosocial impact of head lice and develop strategies to address stigma and misconceptions associated with infestations. […] Communication Skills: Enhance communication skills to effectively educate and support individuals and families dealing with head lice. […] Monitoring and Follow-Up: […] Post-Treatment Assessment: Learn to conduct post-treatment assessments to ensure the effectiveness of interventions and address any residual concerns. […] Follow-Up Education: Provide ongoing education for patients and caregivers on maintaining a lice-free environment and recognizing potential signs of re-infestation.

• #4 Head lice – Fraser Health AuthorityHead lice – Fraser Health Authority

  https://www.fraserhealth.ca/health-topics-a-to-z/school-health/illness-and-immunizations/head-lice

  There are only two acceptable treatment options: Option A: Head lice shampoo – special head lice shampoos or rinses are used because they have been tested and determined to be a safe and effective treatment. […] Option B: Wet-combing – a non-chemical way to find and eliminate head lice. […] After treatment checklist: Wash all bedding, towels and clothes used in the past two to three days in hot water, including those worn during treatment. […] Notify those in contact with child that lice/nits were found, such as school, Brownies, Scouts, sports teams, friends.

• #4 Head Lice – Pediatrician in {Cincinnati}, {OH} | {West Side Pediatrics}

  https://westsidepedscincy.com/head-lice

  Is this your child’s symptom? A scalp infection with tiny gray bugs called lice. Lice lay many white eggs (nits) in the hair. Symptoms of Head Lice: The eggs are easier to see than the lice. Nits (eggs) are tiny white specks attached to hairs. Unlike dandruff or sand, nits can’t be shaken off the hair shafts. Itching of the scalp is the main symptom. A scalp rash may be present. The back of the neck is the favorite area. Head lice can be treated at home. With careful treatment, all lice and nits (lice eggs) are usually killed. There are no lasting problems from having head lice. They do not carry any diseases. They do not make your child feel sick. Here is some care advice that should help. Buy some anti-lice creme rinse (such as Nix) and follow package directions. No prescription is needed. First, wash the hair with a regular shampoo. Then, towel dry it before using the anti-lice creme. Do not use a conditioner or creme rinse after shampooing. Reason: It will interfere with Nix. Pour 2 ounces (full bottle or 60 mL) of Nix into damp hair. People with long hair may need to use 2 bottles. Work the creme into all the hair down to the roots. If needed, add a little warm water to work up a lather. Nix is safe above 2 months old. Leave the shampoo on for a full 10 minutes. If you don’t, it won’t kill all the lice. Then rinse the hair well with water and dry it with a towel. Repeat the anti-lice shampoo in 9 days. Be sure to do this or the lice may come back. Two treatments are always needed. The second treatment will kill any new lice that have hatched from eggs. Nit removal is not necessary. It should not interfere with the return to school. Some schools, however, have a no-nit policy. They will not allow children to return if nits are seen. The American Academy of Pediatrics advise that no-nit policies be no longer used. The National Association of School Nurses also takes this stand. If your child’s school has a no-nit policy, call your child’s doctor. Reasoning: Only live lice can spread lice to another child. One treatment with Nix kills all the lice. Nits (lice eggs) do not spread lice. Most treated nits (lice eggs) are dead after the first treatment with Nix. The others will be killed with the 2nd treatment. Removing the dead nits is not essential or urgent. However, it prevents others from thinking your child still has untreated lice. Your child can return to school after 1 treatment with the anti-lice shampoo. A child with nits doesn’t need to miss any school or child care. Nits do not spread to others, nor do they cause lice in others.

• #4 Managing Head Lice in School Settings and at Home | Texas DSHS

  https://www.dshs.texas.gov/texas-school-health/skilled-procedures-texas-school-health/managing-head-lice-school

  Head lice infestation is a social issue, not a health threat. No-nit policies over-emphasize head lice management rather than real, more important health concerns. This over-emphasis can lead to unproductive use of time by school staff and parents, missed classes, unnecessary absences, and parents missing work. […] When developing a policy, consider the following: Screening procedures staying away from unwarranted mass screenings that disrupt student and teacher class time and take away from the nurses ability to address the needs of children who are sick and those with special healthcare considerations. […] Care in the classroom to prevent the spread of head lice.

• #4 Head Lice: Signs, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/10824-head-lice

  Call your childs healthcare provider if treatments arent working or if your child has signs of an infection. These include: Fever, Sores that wont heal or are pus-filled, Pain or tenderness on their head, Redness or swelling on their scalp. […] You and your child can prevent spreading lice by: Avoiding head-to-head contact with others, Not sharing combs, brushes, hats or pillows with others, Checking others in your household for lice and treating them if necessary to prevent further spread, Washing clothes and bed linens and vacuuming your home thoroughly if someone in the household has had lice. […] With effective treatment, head lice can go away after two to three weeks. Sometimes, you might have to try a different kind of treatment if the first doesnt work. […] Kids usually dont have to stay home from school if they have head lice. But its important to tell their school, daycare or babysitter about it. Remind your child to avoid making head-to-head contact with other kids during playtime. The school may let other parents know so that they can check and treat their kids.

• #4 Head Lice

  https://www.rainbowpediatricpc.com/is-your-child-sick/Head-Lice

  A child with nits doesn’t need to miss any school or child care. […] Lice that are off the body rarely cause infection. […] With 2 treatments, all lice and nits should be killed. […] Call Your Doctor If: New lice or nits are seen in the hair. […] Scalp rash or itch lasts more than 1 week after the anti-lice shampoo.

• #4 Treatment of Head Lice | Lice | CDC

  https://www.cdc.gov/lice/treatment/index.html

  If your medication kills both lice and eggs, then retreatment may not be necessary. […] You should treat again only if there are live (crawling) lice several days after treatment. […] Treat again after all eggs (nits) have hatched but before new eggs are produced. […] If your medication kills lice but does not kill eggs, treat again about a week after the first treatment (7-9 days depending on the drug). […] Use nit combs to remove nits and lice from the hair shaft. […] After each treatment, check hair and remove nits and lice every 2-3 days for the next 2-3 weeks. […] You do not need to remove nits when treating with spinosad topical suspension. […] Follow your medication’s instructions for retreatment. […] The following reasons may cause treatment for head lice to fail: Misdiagnosis, Recent application of combination shampoo/conditioner or conditioner to hair, Not following treatment instructions, Head lice resisting the medication, Reinfestation after successful treatment. […] The CDC does not have scientific evidence that suffocating head lice with mayonnaise, olive oil, margarine, butter, or similar substances is an effective form of treatment.

• #4 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice

  Understanding of Pediculosis Capitis: […] Identification: Develop knowledge and skills to identify the signs and symptoms of head lice infestation, including inspection of the scalp and hair. […] Transmission Routes: Understand the various ways head lice can be transmitted to effectively educate patients and caregivers on prevention. […] Treatment Modalities: […] Topical Treatments: Gain knowledge about topical treatments for head lice, including the appropriate use of pediculicides and their application. […] Combing Techniques: Learn effective combing techniques to remove lice and nits from the hair, promoting successful treatment. […] Preventive Measures: […] Education on Prevention: Provide education on preventive measures, including personal hygiene practices, avoiding shared items, and routine head checks to reduce the risk of reinfestation.

• #4

  https://www.nasn.org/nasn-resources/professional-practice-documents/position-statements/ps-head-lice

  It is the position of the National Association of School Nurses (NASN) that the management of head lice (Pediculus humanus capitis) infestations in school settings should not disrupt the educational process, including but not limited to the elimination of classroom screening, forced absences from school for nits and/or live lice and broad notification that a case of head lice has been found. […] School nurses should advocate for evidence-based prevention measures that include assisting parents with identification of lice/nits and teaching students, parents, staff and community effective prevention measures. […] NASN recommends school nurses take an active role in the education of parents, students, providers, and school communities to promote proper evidence-based practices in the treatment and management of head lice. These actions include clarifying misinformation about how head lice are transmitted and advocating for a more supportive, less exclusionary approach to head lice management that does not disrupt the educational environment and promotes student attendance and academic success.

• #5 Head Lice (for Teens) | Nemours KidsHealth

  https://kidshealth.org/en/teens/head-lice.html

  To remove lice and nits by hand, use a fine-tooth comb on wet, conditioned hair every 3-4 days for 3 weeks after the last live louse was seen. […] If you choose to get rid of lice without using medicine, you’ll need to remove lice and nits carefully each week, for at least 3 weeks in a row. […] Scratching a lot can lead to a scalp infection. Call your doctor as soon as possible if: the skin on your scalp is red and tender, your scalp has crusting and oozing, you have swollen lymph glands. […] Your doctor may want to treat an infection with antibiotics. […] A few important things to NOT do: Don’t use a hairdryer after applying scalp treatments. […] Don’t use pesticide sprays or hire a pest control company to try to get rid of the lice; these can be harmful. […] Don’t use essential oils (such as ylang ylang oil or tea tree oil) to treat lice on the scalp.

• #5 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Inquire about recent exposure to individuals with head lice and any previous attempts at treatment. […] Perform a thorough assessment of family members, as head lice can spread easily within households. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Determine the patients and familys knowledge about head lice, transmission, and preventive measures.

• #5 Head lice & nits: children & teens | Raising Children Network

  https://raisingchildren.net.au/guides/a-z-health-reference/head-lice

  If your child has been treated for head lice more than 3 times in a year, it’s a good idea to talk to your GP about other treatments. […] The best way to stop your child from getting head lice is to stop them from sharing brushes or hats with other children. […] Let your child’s child care service, preschool or school know that your child has lice. Keep your child at home until the day after you’ve treated them.

• #5 Treatment of Head Lice | Lice | CDC

  https://www.cdc.gov/lice/treatment/index.html

  If your medication kills both lice and eggs, then retreatment may not be necessary. […] You should treat again only if there are live (crawling) lice several days after treatment. […] Treat again after all eggs (nits) have hatched but before new eggs are produced. […] If your medication kills lice but does not kill eggs, treat again about a week after the first treatment (7-9 days depending on the drug). […] Use nit combs to remove nits and lice from the hair shaft. […] After each treatment, check hair and remove nits and lice every 2-3 days for the next 2-3 weeks. […] You do not need to remove nits when treating with spinosad topical suspension. […] Follow your medication’s instructions for retreatment. […] The following reasons may cause treatment for head lice to fail: Misdiagnosis, Recent application of combination shampoo/conditioner or conditioner to hair, Not following treatment instructions, Head lice resisting the medication, Reinfestation after successful treatment. […] The CDC does not have scientific evidence that suffocating head lice with mayonnaise, olive oil, margarine, butter, or similar substances is an effective form of treatment.

• #5 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Community Awareness: Promote awareness within communities, schools, and families about the importance of early detection and prevention of head lice. […] Psychosocial Support: […] Addressing Stigma: Understand the psychosocial impact of head lice and develop strategies to address stigma and misconceptions associated with infestations. […] Communication Skills: Enhance communication skills to effectively educate and support individuals and families dealing with head lice. […] Monitoring and Follow-Up: […] Post-Treatment Assessment: Learn to conduct post-treatment assessments to ensure the effectiveness of interventions and address any residual concerns. […] Follow-Up Education: Provide ongoing education for patients and caregivers on maintaining a lice-free environment and recognizing potential signs of re-infestation.

• #6 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Inspect the scalp and hair for the presence of adult lice, nymphs, and nits. Pay attention to areas behind the ears and the nape of the neck. […] Evaluate the scalp for signs of inflammation, redness, and sores caused by scratching. Note any secondary bacterial infections. […] Obtain information about the duration of symptoms, including itching and discomfort. […] Inquire about recent exposure to individuals with head lice and any previous attempts at treatment. […] Perform a thorough assessment of family members, as head lice can spread easily within households. […] Assess the emotional impact of head lice on the affected individual, especially children who may experience embarrassment or distress. […] Determine the patients and familys knowledge about head lice, transmission, and preventive measures.

• #6 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Note any signs of allergic reactions such as redness, swelling, or rash. […] Check personal items such as combs, brushes, and hats for the presence of lice or nits. […] Administer prescribed or over-the-counter medicated shampoos, creams, or lotions containing pediculicides as directed. […] Instruct the patient and family on the correct application and timing of the treatment. […] Advise thorough cleaning and vacuuming of the home, especially areas where the affected individual spends time. […] Provide education on preventive strategies, including avoiding head-to-head contact, not sharing personal items, and using lice repellents if necessary. […] Instruct the patient or caregiver to use a fine-toothed comb to remove dead lice and nits from the hair. […] Schedule follow-up appointments to assess treatment effectiveness and check for any signs of reinfestation.

• #7 Nursing Care Plan (NCP) for Pediculosis Capitis / Head Lice | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-pediculosis-capitis-head-lice?quiz-view=open

  Community Awareness: Promote awareness within communities, schools, and families about the importance of early detection and prevention of head lice. […] Psychosocial Support: […] Addressing Stigma: Understand the psychosocial impact of head lice and develop strategies to address stigma and misconceptions associated with infestations. […] Communication Skills: Enhance communication skills to effectively educate and support individuals and families dealing with head lice. […] Monitoring and Follow-Up: […] Post-Treatment Assessment: Learn to conduct post-treatment assessments to ensure the effectiveness of interventions and address any residual concerns. […] Follow-Up Education: Provide ongoing education for patients and caregivers on maintaining a lice-free environment and recognizing potential signs of re-infestation.

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