lice in adults

Specialties Public/Community

Published

If an adult has recurrent lice infestations, what can be done other that the routine talk about how to get rid of them, and the referral to a physician for prescription tx? She thinks this is an issue as far as her health, and she wants somebody to eradicate them!:eek:

This is just my opinion and I am by no means an expert. If counseling and prescriptions do not eliminate the problem, the patient should evaluate her living conditions which could be the breeding ground for the lice...

Cheers!

I presume patient complience with 'Community Health Authorised' px treatment, has been observed and is ok. Or she has used it so often and become immune; Or forgot to bycott the swimming pool & hair-dryer following 'lotion' application.

Headlice (crawlies) reinfestation usually occurs if a second treatment is not applied within 7-10 days, as All the shells (nits/eggs) may not have been hatched at first application.

We know that unclean environments has nothing to do with the problem, lice like to bite on healthy clean skin. She may have to look to her nearest and dearest for an answer,

as well as groom with a tight toothed comb, EG Break their legs and they can't lay eggs.: :chuckle

They are missing something in the clean-up! Make sure that the pt is using the lice product and cleaning the enviroment all in the same day. It doesn't do any good if they wash their hair and don't change the sheets on the beds.

Vaccuming is one of the best ways to get rid of the nits and lice. Heat is another way to kill the lice. A hot dryer really works well!

Also everyone in the household is to be treated!!!!! If anyone in the family goes to another household to stay, then they need to be treated! I've seen this when kids go between divorced parents!

The car is one area people miss, make sure you vaccum it out! I tell people with stuffed animals to keep them bagged (if they cannot be washed or put in the dryer) for at least a month.

It's a lot of work and hard to get everything done at once. One thing that may help is to bag everything up until you can get to it!

The most important thing is to PICK NITS!!!! The nit combs will miss them. You need to literally pull them off yourself!!!! Check everyone everyday and pick nits until the next treatment which is usually about 10 days later.

Good luck!

Human headlice do not survive outside the human scalp environment. Neither do they 'jump' from head to head, they crawl like snails, in 'long enough' close contact with another lousy head. :kiss

Specializes in ICU.

There was a thread about this a while back and there are some good alternative medicines out there. One of course is to use conditioner and then comb. The conditioner "stuns" the lice so you can get rid of them easier. Here is the link.

https://allnurses.com/forums/showthread.php?s=&threadid=40511&highlight=nits

In the UK the 'conditioner' method information has been withdrawn due to lack of proven evidence.:eek:

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