Seal contaminated items in plastic bags for 2 weeks . -Vacuum carpets, rugs, furniture -Prevention Avoid contact with infested individuals Avoid sharing combs, brushes, towels, hats -educate that head lice is not a hygiene issue (good to point that out b/c of social stigma) -OTC options Synergized pyrethrins Permethrins -Increasing resistance Overuse, improper use, insufficient contact time Counseling= important! and scale during and after treatment for evidence of lice/nits Adverse effects Follow-up Within 10 days Seek medical attention Significant skin irritation or excessive exposure of eyes/mucous membranes to Pediculides Symptoms of lice infestation persist after the 2 nd treatment applications Head or pubic lice 2 years old and older Permethrin One application Head lice only 2 months and older superior after single application (if 2 applications, no different than pyrethrin) -Comb hair with lice comb -Educate patient to avoid future infestation (Non-pharm) -Reevaluate after the 2 nd treatment -Discontinue if resolved -If symptoms persist then refer -Treatment of other family members -Depends on presence of lice/nits and level of contact with infested individual -Unnecessary treatment is to be avoided- because it can increase resistance (not as much as an issue as it is in Kansas as it is in California or Texas) Synergized Pyrethrins Mechanism Indication Combo with piperonyl butoxide Products available Adverse effect Contraindications Steps (Avoid contact with eyes and mucous membranes)
Causes paralysis and death of lice Treatment of had and pubic lice Inhibits pyrethrin breakdown -RID -Pronto lice killing shampoo Irritation, erythema, itching, swelling -avoid if sensitive to pyrethrins or chrysanthemums -NOT for children <2 years -Effective if applied as a shampoo, foam , solution, or gel 1.Apply sufficient quantity to wet the dry hair and scalp 2. Leave on for 10 minutes 3.Work into a lather, then rinse thoroughly 4.Use a nit comb to remove dead lice/nits 5.repeat in 7-10 days ( regardless- it requires 2 applications ) 6. Max use: twice in 24 hours Synergized Permethrin Mechanism Indication Products available Adverse effect Contraindications Steps (Avoid contact with eyes and mucous membranes) -Causes paralysis and death Treatment of head lice only NIX (1% cream rinse) <2% absorbs when applied topically Transient pruritus, burning, stinging, and irritation -Avoid if sensitive to pyrethrins or chrysanthemums -NOT for children <2 Months 1. Wash hair/scalp with regular shampoo and towel dry hair 2.Apply sufficient quantity to cover/saturate hair 3.Leave on 10 minutes, then rinse and towel dry hair 4.Use a nit comb to remove dead lice/eggs 5.Residual effects in 7-10 days if lice/nits are detected
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- Spring '14
- Head louse, Allergy, Pediculosis, Body louse, Louse