What are head lice?
Head lice are parasitic insects that live in the hair and scalp of
humans. The scientific name for head louse is Pediculus humanus
capitis. Another name for infestation with head lice is
pediculosis.
Head lice develop in three forms: nits, nymphs, and adults.
Nits: Nits are head lice eggs. They are hard to see and are often
mistaken for dandruff or droplets of hairspray. Nits are found
firmly attached to the hair shaft. They are oval and usually
yellow to white. Nits take about 1 week to hatch.
Nymphs: Nits hatch into nymphs. Nymphs are immature adult head
lice. Nymphs mature into adults about 7 days after hatching. To
live, nymphs must feed on blood.
Adults: An adult louse is about the size of a sesame seed, has six
legs, and is tan to greyish- white. In persons with dark hair,
adult lice will look darker. Adult lice can live up to 30 days on
a person's head. To live, adult lice need to feed on blood. If a
louse falls off a person, it dies within 2 days.
How are head lice spread?
Head lice are spread easily from person to person by direct
contact. People can get head lice by:
Coming into close contact with an already infested person. In
children, contact is common during play, while riding the school
bus, and during classroom activities in which children sit in
groups close to each other.
Wearing infested clothing, such as hats, scarves, coats, sports
uniforms, or hair ribbons
Using infested combs, brushes, or towels
Lying on a bed, couch, pillow, carpet, or stuffed animal that has
been contaminated
Lice do not jump or fly. Lice are not spread to humans from pets
or other animals.
What is the treatment
for head lice infestation?
Getting rid of head lice requires treating the individual, the
family, and the household.
Treat the individual and the family -- This requires using an
over-the-counter or prescription lice- killing medicine. Treat
only persons who are infested. Remember that all lice-killing
products are pesticides. Follow these treatment steps:
Remove all clothing.
Apply lice-killing medicine,
also called pediculicide [peh-DICK-you-luh-side], according to
label instructions. If the affected person has extra-long hair,
you may need to use a second bottle.
WARNING: Do not use a creme
rinse or combination shampoo/conditioner before using
lice-killing medicine. Do not re-wash hair for 1-2 days after
treatment.
Have the affected person put
on clean clothing after treatment.
If some live lice are still
found but are moving more slowly than before treatment, do not
re-treat. Comb dead and remaining live lice out of the hair. The
medicine sometimes takes longer than the time recommended on the
package to kill the lice.
After treatment, if no dead
lice are found and lice seem as active as before, the medicine
may not be working. See your health-care provider for a
different medicine. Follow treatment instructions.
Remove nits and lice from the
hair shaft using a nit comb, often found in lice-killing
medicine packages. Flea combs used for cats and dogs can also be
used.
After treatment, check, comb,
and remove nits and lice from the hair every 2-3 days.
Re-treat in 7-10 days.
Check all treated persons for
2-3 weeks until you are sure all lice and nits are gone.
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