HEADLICE How to detect and treat head lice and nits.

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    31-Mar-2015

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HEADLICE How to detect and treat head lice and nits Slide 2 What you need to know What are head lice How head lice spread Methods to detect head lice Products to treat head lice How to prevent re-infestation 2 Slide 3 What are head lice? Small, wingless insects Feed on the scalp, often found behind ears and near base of neck Females lay up to 8 eggs (nits) per day Not dangerous do not carry disease are not caught from pets 3 Slide 4 Life cycle of a louse Nit (egg) Nymph (newly hatched) Louse (Adult) 4 Slide 5 Who gets head lice? Can occur in people of all ages, genders, race and backgrounds Not a sign of poor hygiene Most common in primary school aged children (5 -11 years) More common in girls than boys 5 Slide 6 How do head lice spread? 6 Do NOT fly or jump Crawl from head to head by direct contact Can be transferred on objects i.e. Hairbrushes, hats, scarfs May infest bedding, clothing etc. Slide 7 Symptoms of infestation 7 Itchy scalp Sensation of something moving in hair Red sores on the scalp cause by scratching Slide 8 Detecting head lice 8 Detection of a live louse is best way to confirm infestation Check dry hair first Live adult lice most commonly found at crown of head Conditioner and comb method Presence of eggs or nits on hair shaft can also indicate infestation Eggs most commonly found a nape of neck and behind ears Eggs found within 6mm of scalp likely to indicate active infestation Egg found more than 1cm from scalp are hatched or dead Slide 9 Conditioner and Comb method Apply conditioner to dry, brushed hair Divide hair into 3-4 cm sections, and comb each section using a fine tooth nit comb After each stroke wipe comb with tissue or paper towel, and look for live lice and eggs on the comb and towel Comb each section several times until no further lice or eggs are found 9 Slide 10 Head lice treatments Only treat if sign of active infestation are found Several treatment methods available Insecticide treatments Herbal products Physical methods 10 Slide 11 Insecticide treatments Several products available Pyrethrin (Banlice Mousse, Pyrenel Foam, Orange Medic Plus) Permethrin (Pyrifoam Lice Breaker, Quellada) Maldison (KP 24 Lotion and Shampoo, HL 7) Recommended contact time 10-30 minutes for shampoos and foams Overnight for lotions Adverse effects include contact dermatitis and anaphylaxis Refer children 60C) for 30 seconds Keep long hair tied back Avoid sharing hats, hats, hairbrushes and accessories, towels or pillows Carry out regular head checks using conditioner and comb method Weekly on regular basis After sleep overs Daily during outbreaks at school 20 Slide 21 Case Study Mrs Smith, a regular customer, comes into the pharmacy to purchase two bottles of KP 24 shampoo. When asked, she tells you that her 7 year old daughter Sarah has come home from school with nits. This is the third time this year Sarah has had nits, and Mrs Smith is very upset and embarrassed. She also plans to treat her 1 year old son James to be sure that she gets rid of the problem once and for all. How should you respond to Mrs Smith request for KP 24? What concerns might you have about the frequency of Sarahs head lice? What advice can you give Mrs Smith about preventing reinfestation? 21 Slide 22 Summary Head lice is a common condition, especially in school aged children, and is not a sign of poor hygiene Customers requesting head lice products should be advised to confirm infestation before treating WHAT STOP GO or CARER protocols can be used to respond to treatment requests All insecticide treatments need to be repeated after 7- 10 days Recurrence is common, especially if measures to prevent reinfestation are not taken Severe or recurrent cases or treatment of children

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