PEDICULOSIS_
PEDICULOSIS_
DEFINITION
Pediculosis is an infestation of the skin, scalp, or pubic area by lice—small parasitic insects that
feed on human blood and lay eggs (nits) on hair shafts or clothing fibers. The most common
form in children is pediculosis capitis (head lice).
Types
• Pediculosis capitis: Pediculus humanus capitis (head lice) – affect the scalp
• Pediculosis corporis: Pediculus humanus corporis (body lice)- live in clothing and move
to the skin to feed, and pubic lice
• Pediculosis pubis : Phthirus pubis (pubic lice) - infest the genital area, often spreading
through close contact
RISK FACTORS
School-aged children (especially ages 3–11) -
Crowded or close-contact environments (e.g., schools, daycare centers)
Sharing personal items (combs, hats, towels)
Infrequent hair washing Pediculosis pubis
CAUSES
Transmitted via direct contact with an infested person or indirect contact with
contaminated items
COMPLICATIONS
Secondary skin infections (e.g., impetigo)
Lymphadenopathy in severe infestations
MEDICAL MANAGEMENT
Topical pediculicides (e.g., permethrin 1%, pyrethrin-based shampoos)
Re-treatment after 7–10 days if live lice persist
Wash clothing, bedding, and personal items in hot water
Avoid sharing personal items
Diagnosis:
- Risk for impaired skin integrity related to scratching due to lice infestation
Intervention:
- wash hair with shampoo such as lindane (Kwell)
- Manual removal of nits using fine-tooth comb
- Wash bedsheets, recently worn clothes
-vacuum pillows, mattresses, or other items unable to be washed
-teach children not to exchange combs, hair barrettes, or other personal items.
Evaluation:
Absence of lice and nits, resolution of itching, no recurrence after follow-up