Autumn brings tales of scary delight but none terrifies parents so much as the note home from school that a case of lice has been detected. "While the make-believe vampires are prowling for candy, head lice are looking for a real blood meal," says Dr. Andrew Bonwit, a pediatric infectious disease expert at Loyola University Health System. "Lice grip the hair shaft while biting into the scalp to feed on blood."
But Bonwit says the bite will rarely, if ever, be painful. It is more likely to itch. "Lice cause more emotional distress than any real physical harm," he said. "The infestation is usually a nuisance and almost never a serious problem in itself."
According to the Centers for Disease Control and Prevention (CDC), an estimated 6 to 12 million infestations occur each year in the United States among children 3 to 11 years of age.
"Parents and school staff may become understandably upset by outbreaks of head lice, but it is important to remember that if the problem occurs, it is treatable, although repeat applications of medicine are usually needed," says Bonwit, an assistant professor, pediatric infectious disease, Loyola Universitys Stritch School of Medicine.
Bonwits Top Tall Tales About Lice
Myth 1: Lice are caused by being dirty. "Personal hygiene and socioeconomic status have nothing to do with having or transmitting head lice. The head louse is an equal-opportunity pest!"
Myth 2: Pets spread lice. "Animals are not known to carry head lice nor to transmit them to people."
Myth 3: Beware sharing hairbrushes and personal items to avoid lice. "Although it's probably best not to share such items as combs, hairbrushes and hats, these do not seem to transmit the pest. Transmission of lice seems to occur only by direct head-to-head contact from one person to another."
Myth 4: Kids with lice should be sent home from school immediately. "The American Academy of Pediatrics does not endorse "no-nit" policies that exclude children from school because nits are present. In fact, even the presence of mature head lice is not considered a valid reason to exclude children, only a cause for prompt referral to the physician for treatment."
Myth 5: Lice carry disease. "Head lice do not transmit serious infectious disease."
The Truth About Lice
"Lice are very small, about the length of George Washingtons nose on a quarter," says Bonwit. "The lice produce eggs, called nits, which become strongly cemented to the hosts shair shafts." When an infestation occurs, live, crawling lice may be visible and the nits may be visible as tiny, dark dots on the side of the hair shafts. "Sometimes the victim has been so itchy that he or she scratches the scalp to the point of minor skin infections and even causing some enlarged lymph nodes on the back of the neck or behind the ears," says Bonwit. While these changes may alarm parents, they arent directly harmful." A childs physician can instruct and or prescribe remedies to clear up those secondary problems.
Getting Rid Of Lice
The most common treatment is over-the-counter or prescription insecticidal shampoos or lotions applied to the scalp, left on for a specified time and rinsed off. Use of a fine-toothed comb to remove as many "nits" or eggs, helps prevent further infestation. "The life cycle is about seven days from the laying of the eggs to the hatching, so a second insecticide treatment is recommended, after the first application," says Bonwit. "If the treatments are used as directed, problems other than scalp irritation are unlikely to occur."
Dear Helpdesk: Working in a Toxic Health Care Environment
March 28th 2024Dear Helpdesk is your steadfast companion, offering life coaching and workplace advice from 2 seasoned IPs for some of your most challenging real-life situations. Let us help you navigate the intersection between work and life, guiding you to navigate the dynamic world of infection prevention with confidence and grace. This article is on handling a toxic health care environment.
Product Locator: Spring and Early Mother's Day Gift Guide for Infection Prevention Personnel
March 27th 2024Whether it's a spring holiday, birthdays, or no reason at all, infection prevention personnel love to give and receive gifts that help at the end of a stressful day. Infection Control Today® offers some gift ideas for infection prevention personnel and their families.
Catching Up With Vangie Dennis, AORN 2022-2023 President at AORN 2024
March 26th 2024Infection Control Today (ICT) had the privilege of catching up with Vangie Dennis, MSN, RN, CNOR, CMLSO, at the Association of periOperative Registered Nurses' (AORN’s) International Surgical Conference & Expo 2024. As the former president of AORN and an esteemed figure in perioperative services, Vangie Dennis shared insights into her recent endeavors and the exciting new chapter she's embarked upon.
How To Optimize Your Time Management Strategies for the Busy Infection Preventionist
March 25th 2024Is your calendar resembling a chaotic masterpiece of overlapping tasks? Join the club of infection preventionists striving to balance responsibilities. Dive into proven strategies from a fellow infection preventionist to reclaim control of your time, streamline tasks, and boost productivity effectively. This is an IP Lifeline article.