Lice - Pediculosis (Pediatrics - PEDS)

Very low urgency
Common-

It is the presence of small parasites called lice or their eggs (nits) in areas populated by hair, such as the head, eyelashes, etc. They spread easily regardless of the hygiene conditions of the affected person.

The main cause of infection is contact with infected individuals, their clothing or shared objects.

They cause itching, tingling sensation and/or eczema by scratching. To confirm the presence of lice, a correct inspection is sufficient.

The treatment is based on creams or lotions and brushed with a special comb to remove the nits. You may need to perform the treatment more than once to permanently remove them. Clothes and towels that have been in contact with the affected person should be washed and cleaned thoroughly. With current treatments, cutting or shaving the hair is not necessary.

Bibliographic references
  1. L. Peramiquel, E. Roé, J. Dalmau, L. Puig. Pediculosis. Farm Prof. 19(9):64-67
  2. J. Guerrero, J.A. Ruiz, J.J Menéndez, A. Barrios. Manual de Diagnóstico y Terapéutica en Pediatría. Pediculosis. Publimed. Quinta edición. 508-510.
  3. M. A. Quiroz, K. L. Reyes, N. P. Sánchez, U. Reyes, S. Hernández, et al. Pediculosis. Bol Clin Hosp Infant Edo Son. 2015; 32(1): 22-25.
  4. MedlinePlus. Rockville. 2017. Piojos de la cabeza; [citado el 27 de junio de 2017]. Disponible en: https://medlineplus.gov/spanish/headlice.html 
  5. UpToDate [Internet]. Waltham. 2017. Pediculosis capitis; [citado el 27 de junio de 2017]. Disponible en: http://www.uptodate.com/contents/pediculosis-capitis?source=search_result&search=pediculosis&selectedTitle=1~54
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Symptoms

    Small white speckles near the root of each hair, which are difficult to remove


    Head scratching


    Scalp with scratch lesions


    Itchy head


    Irritability

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
History of immunodeficiency (HIV, Diabetes Mellitus, oncological disorders, long-term corticosteroid consumption).

Self-care

Use a shampoo with permethrin.
Wash clothes and bedding in hot water.
Vacuum floors and furniture.