parasitic insect that can be found on the head, eyebrows, and eyelashes of people. Head lice feed on human blood several time a day and live close to the human scalp. Head lice are not known to spread disease.
They are typically 1/6-1/8 inches long, brownish in color with darker margins. The claws on the end of each of their legs are well adapted to grasping a hair strand.
LIFECYCLE OF A LOUSE
Adult females lay 3- 10 nits (eggs) a day and as many as 60-100 in their 30 day lifetime. Nits are attached to a hair with fixative cement secreted by the louse that makes them difficult to remove.
Nits hatch in 7-10 days. Nits cannot hatch at temperatures less than 82oF, but may remain viable and hatch if returned to an optimum temperature between 82o- 95oF. Therefore, cold does not kill nits.
Once hatched, the baby louse, called a nymph, goes through three stages before becoming an adult capable of reproducing. This takes 7-12 days. Lice need a blood meal within 5 hours of hatching or they die. After that they can survive 6-48 hours away from a host.
Who is at risk for getting head lice?
Head lice move by crawling; they cannot hop or fly. Head lice are spread by direct contact with the hair of an infested person. Anyone who comes in head-to- head contact with someone who already has head lice is at greatest risk. Spread by contact with clothing (such as hats, scarves, coats) or other personal items (such as combs, brushes, or towels) used by an infested person is uncommon. Personal hygiene or cleanliness in the home or school has nothing to do with getting head lice. What are the signs and symptoms of head lice infestation? Tickling feeling of something moving in the hair. Itching, caused by an allergic reaction to the bites of the head louse. Irritability and difficulty sleeping; head lice are most active in the dark. Sores on the head caused by scratching. These sores can sometimes become infected with bacteria found on the person's skin. How are head lice infestation diagnosed?
The diagnosis of a head lice infestation is best made by finding a live nymph or adult louse on the scalp or hair of a person. Because nymphs and adult lice are very small, move quickly, and avoid light, they can be difficult to find. Use of a magnifying lens and a fine- toothed comb may be helpful to find live lice. If crawling lice are not seen, finding nits firmly attached within a inch of base of the hair shafts strongly suggests, but does not confirm, that a person is infested and should be treated. Nits that are attached more than inch from the base of the hair shaft are almost always dead or already hatched. Nits are often confused with other things found in the hair such as dandruff, hair spray droplets, and dirt particles. If no live nymphs or adult lice are seen, and the only nits found are more than -inch from the scalp, the infestation is probably old and no longer active and does not need to be treated.
TREATMENT
Treatment for head lice infestation involves three things: Killing and/or removing the live lice Removing all the nits Cleaning the environment (bedding, furniture, clothes, toys, etc.)
There are several over-the-counter lice treatments andtwo prescription medications to treat lice (pediculides).
Directions should be carefully followed when using any lice treatment. Minor variations in how they are applied can result in treatment failure. Some lice treatments are ineffective if a creme rinse is on the hair before treatment.
PREVENTION
Head lice infestations are bothersome and can take a lotof time to clear up. So, prevention is important. Teach your children not to share combs, brushes, hair ornaments and hats. This includes trying on hats in the department store! Have your children place their hats inside their jacket sleeve. Most importantly, do regular head check on your children. That way you are likely to catch an infestation before it gets too far or spreads to other family members.
Share a toy, share a slide, share the feelings deep inside, but never share a hat or comb or lice could make your head their home!
by: Jovy J. Setiar BS Laboratory Science III
Pediculushumanuscapitis (Head Lice)
What are pubic lice?
Pthirus pubis(Pubic lice)also called crab lice or "crabs," pubic lice are parasitic insects found primarily in the pubic or genital area of humans. Pubic lice infestation is found worldwide and occurs in all races, ethnic groups, and levels of society.
Adult pubic lice are 1.11.8 mm in length. Pubic lice typically are found attached to hair in the pubic area but sometimes are found on coarse hair elsewhere on the body (for example, eyebrows, eyelashes, beard, mustache, chest, armpits, etc.).
LIFECYCLE OF A LOUSE
Adult females lay 3-10 nits (eggs) a day and as many as 60-100 in their 30 day lifetime. Nits are attached to a hair with fixative cement secreted by the louse that makes them difficult to remove.
Nits hatch in 7- 10 days. Nits cannot hatch at temperatures less than 82oF, but may remain viable and hatch if returned to an optimum temperature between 82o-95oF. Therefore, cold does not kill nits. Once hatched, the baby louse, called a nymph, goes through three stages before becoming an adult capable of reproducing. This takes 7-12 days. Lice need a blood meal within 5 hours of hatching or they die. After that they can survive 6-48 hours away from a host.
Who is at risk for getting pubic lice?
Pubic ("crab") lice infestation is found worldwide and occurs in all races and ethnic groups and in all levels of society. Pubic lice usually are spread through sexual contact and are most common in adults. Occasionally pubic lice may be spread by close personal contact or contact with articles such as clothing, bed linens, and towels that have been used by an infested person. Pubic lice found on the head or eyelashes of children may be an indication of sexual exposure or abuse. Pubic lice do not transmit disease; however, secondary bacterial infection can occur from scratching of the skin. What are the signs and symptoms of pubic lice infestation? Itching in the genital area Visible nits (lice eggs) or crawling lice Tiny blue bumps on the skin called macula caerulea How is pubic lice infestation diagnosed? A pubic lice infestation is diagnosed by finding a "crab" louse or egg (nit) on hair in the pubic region or, less commonly, elsewhere on the body (eyebrows, eyelashes, beard, mustache, armpit, perianal area, groin, trunk, scalp). Pubic lice may be difficult to find because there may be only a few. Pubic lice often attach themselves to more than one hair and generally do not crawl as quickly as head and body lice. If crawling lice are not seen, finding nits in the pubic area strongly suggests that a person is infested and should be treated. If you are unsure about infestation or if treatment is not successful, see a health care provider for a diagnosis. Persons infested with pubic lice should be investigated for the presence of other sexually transmitted diseases. Although pubic lice and nits can be large enough to be seen with the naked eye, a magnifying lens may be necessary to find lice or eggs.
TREATMENT Malathion (Ovide). You apply this prescription lotion to the affected area and wash it off after eight to 12 hours. Ivermectin (Stromectol). This medication is taken as a single dose of two pills, with an option to take another dose in 10 days if the treatment isn't initially successful. Lindane. Because of its toxicity, lindane is usually prescribed only when other treatments fail. You apply lindane to the affected area and wash it off after four minutes. It's not recommend for women who are pregnant or breast-feeding, or for children younger than age 2. Eye treatments. If pubic lice are found in eyelashes, you can treat them by applying petroleum jelly to your eyelid and lashes three times a day for several days. In addition, or as an alternative, the lice and nits can be gently removed from eyelashes using tweezers, a nit comb or your fingernails. Your doctor may also prescribe a medicine to apply to the eyelids.
PREVENTION
To prevent pubic lice infestation, avoid having sexual contact or sharing bedding or clothing with anyone who has an infestation. If you are being treated for pubic lice, all sexual partners must also be treated.