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Head Lice: A Real Head Scratcher for Parents (page 2)

National Association of School Nurses

How do I prevent head lice?

While preventing head lice entirely can be difficult, parents should discourage their children from sharing personal items such as hats, helmets, brushes or combs to decrease the likelihood of transmission from one child to another. Children should also avoid head-to-head contract at school and on the playground, and avoid sleepovers and slumber parties during lice outbreaks. Parents can also wash in hot water or dry-clean all recently worn clothing, hats, used bedding, and towels used by anyone having lice or thought to be exposed to lice. Personal care items such as combs, brushes, and hair clips should also be washed in hot water.

How can I treat head lice?

Traditional treatments for head lice include nit picking with a fine-tooth comb, over-the-counter and prescription products, and home therapies. Nit picking takes time and patience, while many products contain a pesticide that can be neurotoxic when used inappropriately. These products are safe and effective but like all medical treatments, they must be used as directed and with caution by parents. Also, studies have shown that head lice are learning to outsmart many neurotoxic pesticides and are developing resistance to these products, in much the same way that some bacteria have developed resistance to antibiotics 2, 3. The US Food and Drug Administration (FDA) recently approved the first and only prescription medication that kills head lice by asphyxiation without potential neurotoxic side effects.

If a child is suspected of having head lice, he or she should be examined by a medical professional (such as a school nurse) 4.

Reference

  1. Frankowski, B.L., Weiner, L.B, the Committee on School Health, the Committee on Infectious Disease (September 2002).  American Academy of Pediatric Are: Head Lice. Pediatrics, 110 (3)
  2. Head Lice Control.  Beyond Pesticides/NCAMP fact sheet
  3. Hansen, R.C (September 2004). Overview: The State of Head Lice Management and Control. Am J Manag Care, 10, S250-S263
  4. Pollack, R.J.  The Role of the School in Battling Head Lice. Our Children Magazine
  5. Williams, L., Reichert, A., MacKenzie, W., Hightower, A., & Blake, P. (2001). Lice, Nits, and School Policy. Pediatrics. 107 (5) 1011-1015
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