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In the Spotlight

Head Lice - Just Thinking About It Is Enough To Make Your Head Itch

By Lee Phillips M.D.
Personal MD.com

 

When you send your children to school this year the last thing you want them to bring home is head lice. Fortunately, head lice does not cause serious medical illness, but it is distressing to find lice on your child's head.

That your child has head lice does not mean your home is dirty or unsanitary. Every year lice infect millions of school aged children without regards to economic status or geographic location. Head lice are the result of kids being kids.

Head lice are passed by contact with an infected person or from sharing of infested clothing, furniture, and brushes and combs.

Nit: Nits are lice eggs and hatch one week after being laid, and must bite within 1 day of hatching. Nits look like white grains of sand and are firmly attached to the hair shaft with a strong glue. They are hard to see and are often mistaken for dandruff.

Nymph: The nit hatches into a baby louse called a nymph. Nymphs look like the mature adults only smaller, and are fully mature 7 days after hatching.

Adult: The adult louse is a parasite and can be seen with the naked eye. It is tan to grayish white in color and has 6 legs and is about the size of a sesame seed.. Lice live among human hairs on the scalp, behind the ears and near the neckline at the back of the neck. Head lice are rarely found on the body, eyelashes, or eyebrows.

Lice draw blood by biting the scalp. The person bitten may have an allergic reaction to the bite resulting in inflammation and itching. Adult lice can live up to 30 days and lay hundreds of eggs on a persons head. If the louse falls off a person, it dies within 2 days.

 

It is a Lousy Job

Treatment consists of killing the adults, nymphs, and eggs. Washing your child's hair will not be enough to get rid of the lice, because the nits are held on by a gluey substance and lice can not be drowned in water. The most commonly used medications are pyrethrins, permethrin and lindane. Pyrethrins (RID) are natural extracts from the chrysanthemum flower. Though safe and effective, pyrethrins only kill crawling lice, not unhatched nits. A second treatment is recommended in 7-10 days to kill any newly hatched lice.

Permethrins (NIX) are similar to natural pyrethrins. Permethrins are safe and effective and may continue to kill newly hatched eggs for several days after treatment. A second treatment may also be needed in 7-10 days to kill any newly hatched lice. Lindane is falling out of favor as a treatment for head lice. When used as directed, the drug is safe, but misuse, or accidentally swallowing Lindane can be harmful to the brain and nervous system. Unless all nits are removed lice will reappear in 7-10 days.

Afterward treatment you'll need to comb your child's hair with a fine-toothed comb to remove all the nits. If other family members also are infected with lice they should be treated at the same time. Also because lice infestations are very contagious, people in the same house may need to be treated even if there are no symptoms. For children under 2 years old, nits and adult lice should be removed by hand.

Those infected as well as the environment around them must be treated at the same time. Lice can live in clothing, bed linens, combs, carpet, and stuffed toys. Your family's clothing, towels and bed linen will need to washed at 130 degrees. Then dry laundry using the hot cycle for at least 20 minutes this will kill nits and lice.

Medication

Dry clean or store clothing that is not washable, (stuffed animals, etc.) in a plastic bag and seal for 2 weeks.Vacuuming the floor and furniture then throwing away the vacuum bag is enough to treat the household. Soak combs and brushes, barrettes, for 1 hour in rubbing alcohol, or wash with soap and hot (130F) water. Luckily lice do not live on dogs or cats.

With today's effective treatments, a lot of hard work, and a little fortitude (patience) head lice can be successfully treated. And although lice bear significant stigma, the key to curtailing the spread of lice depends on a coordinated approach between the school and parents. If only 1 nit remains you already have the nidus of a continued outbreak.

Copyright © 1999 PersonalMD.com. All rights reserved.

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Copyright © 1999 PersonalMD.com. All rights reserved.


 
     
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