Head Lice Flashcards

1
Q

How many eggs do female head lice lay, and how long does it take to hatch?

A

• Females lay 5-6 eggs/day (up to 300 eggs in a lifetime).
• Eggs hatch after 7-10 days.

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2
Q

What is the life cycle of head lice?

A

• Takes 10 days for newly hatched lice to reach adult form.
• Lice live for 1-2 months.

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3
Q

What are nits, and do they indicate a current infection?

A

Nits are empty white egg shells that stick strongly to the hair. They are not a sign of a current infection and are not removed by treatment.

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4
Q

Do many people experience symptoms of lice infestation?

A

Many people do not have symptoms of lice infestation.

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5
Q

What causes the itchy scalp in lice infestations?

A

Itchy scalp is caused by an allergic response to the saliva of lice, not by the biting of the scalp

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6
Q

How long does it often take for itching to develop after lice infestation?

A

It often takes three months for itching to develop.

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7
Q

Can itching persist after lice are eradicated?

A

Yes, the itch can persist even after eradication.

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8
Q

Where might someone experience an itchy rash in a lice infestation?

A

An itchy rash may appear on the back of the neck and behind the ears.

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9
Q

Which age group is most affected by head lice?

A

Children aged 4-11 years old, especially girls, are most affected.

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10
Q

How are head lice transmitted?

A

Head lice are transmitted by head-to-head contact (they do not jump).

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11
Q

Can head lice on pillows or other objects infect a person?

A

No, head lice on pillows or objects are thought to be incapable of infecting a person and die within 24 hours.

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12
Q

What is the best method for detecting and removing head lice?

A

The wet hair method is the best option.

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13
Q

What are the steps in the wet hair method for lice removal? (5)

A

1.Wash hair as normal.
2.Apply lots of conditioner.
3.Comb out tangles.
4.Use a detection comb from the roots to tips, checking for lice after each stroke.
5.Rinse out conditioner and repeat

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14
Q

How is the dry hair method different from the wet hair mthod? (3)

A

1.Comb out tangles with a regular comb.
2.Use a detection comb to comb each section 3-4 times.
3.Trap lice with your thumb to prevent them from being repelled by static electricity.
Continue until the whole head is covered.

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15
Q

What are some examples of physical insecticides for head lice? (5)

A

. Dimeticone 4% (Hedrin®) lotion/gel/spray

. Dimeticone 92% (NYDA®) spray

. Dimeticone >95% (Linicin®) lotion

. Isopropyl myristate and cyclomethicone (Full Marks Solution®)

. Isopropyl myristate and isopropyl alcohol aerosol (Vamousse®)

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16
Q

What is an example of a chemical insecticide for head lice?

A

Malathion 0.5% aqueous liquid (Derbac-M®)

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17
Q

What is an alternative method for treating head lice?

A

Wet combing using a Bug Busting comb and method or other combs.

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18
Q

How long should lice treatment be left on the hair?

A

The product should be left on for the time recommended by the manufacturer, typically 8-12 hours (or overnight).

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19
Q

Why is it recommended to apply insecticides twice?

A

Insecticides should be applied twice, at least 7 days apart, to treat lice hatching from eggs before they can lay more eggs.

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20
Q

What precautions should be taken when using dimeticone-containing products?

A

Hair should be kept away from naked flames, cigarettes, and other ignition sources, as dimeticone is not water-based and may not prevent hair from burning.

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21
Q

What should be done after treatment to ensure success?

A

After treatment, detection combing should be done to check if the treatment was successful.

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22
Q

In what forms is Derbac-M® (Malathion) available?

A

Derbac-M® is available as a liquid, lotion, or shampoo

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23
Q

Is Derbac-M® safe to use during pregnancy and breastfeeding?

A

Yes, Derbac-M® is licensed for use during pregnancy and breastfeeding.

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24
Q

What is the reported cure rate for Derbac-M® in trials?

A

The cure rate reported in trials is between 33-75%

25
Are there any concerns with using Derbac-M®?
A: There have been reports of resistance, reluctance to use traditional chemical insecticides, and an unpleasant smell.
26
What are the common adverse drug reactions (ADRs) for Derbac-M®?
ADRs include irritation and erythema (redness) of the scalp and hands.
27
How does Hedrin® (Dimeticone) work as a physical insecticide?
It blocks the tubes lice use to breathe and pass out water.
28
Why is Hedrin® less likely to cause resistance?
A: It is a physical insecticide, making resistance less likely.
29
What is the fragrance of Hedrin®?
Hedrin® is odourless or has a faint fragrance.
30
How should Hedrin® be applied and for how long?
Apply to dry hair and leave overnight (at least 8 hours). There is also now a 1-hour preparation option.
31
What is the reported cure rate of Hedrin® in UK trials?
Cure rates of 70% have been reported in UK trials.
32
What forms does Hedrin® come in? (3)
Hedrin® is available in lotions, liquid, and spray gel forms.
33
How does Full Marks Solution® kill lice?
It dissolves the wax coating on the louse exoskeleton, causing dehydration and death.
34
How should Full Marks Solution® be applied and for how long?
Apply to dry hair, leave for 5-10 minutes, then comb out lice.
35
What should you do after using Full Marks Solution®?
Wash hair with shampoo to remove the solution.
36
Is Full Marks Solution® safe for asthmatics?
Yes, it is suitable for asthmatics.
37
What are the tree key beneficial characteristics of Full Marks Solution®?
It is odourless, suitable for use in individuals over 2 years old, and unlikely to develop resistance.
38
What are the cure rates and potential side effects of Full Marks Solution®?
Cure rates in trials range from 52-82%, with common side effects including skin irritation. Ovicidal activity is unknown.
39
What is a key concern with Vamousse® (Isopropyl myristate & isopropyl alcohol)?
There is a lack of trial data on its use.
40
Can Vamousse® be used by people with asthma?
No, Vamousse® contains alcohol and should not be used by people with asthma.
41
What is the recommended age for using Vamousse®?
Vamousse® is suitable for individuals aged 2 years and older.
42
How long should Vamousse® be applied to the hair?
It should be applied to dry hair for 15 minutes.
43
Does Vamousse® need to be reapplied?
No, there is no need to reapply Vamousse®.
44
What is the resistance profile of Vamousse®?
Vamousse® is unlikely to develop resistance.
45
What is the method used in the Bug Buster® Kit?
The Bug Buster® Kit removes head lice without using chemicals, relying on combing.
46
What are the benefits of using the Bug Buster® Kit?
It is inexpensive, reusable, and has no chemicals, so no resistance develops. There are no contraindications or side effects.
47
How is the Bug Buster® Kit method similar to wet combing?
The method is similar to wet detection combing, needing repetition and application to every family member.
48
How long does it take to use the Bug Buster® Kit properly?
It takes 30 minutes to 2 hours, depending on hair length and texture.
49
How often should the Bug Buster® Kit be used?
Use it every 3 or 4 days for 2-3 weeks, or until no lice are found on 3 consecutive sessions (or four sessions spaced over 2 weeks).
50
What is the cure rate for the Bug Buster® Kit?
The cure rate is around 50%, primarily due to a lack of consistent use.
51
Why are shampoos not recommended for head lice treatment?
Shampoos have too little contact time and are often diluted, making them less effective.
52
What types of products are generally recommended for head lice treatment?
Lotions and liquids are recommended for better efficacy.
53
Why may physical insecticides with short contact times still be effective?
Physical insecticides may have a longer-lasting effect even with a shorter contact time if applied correctly, due to their mode of action.
54
Are alcoholic preparations suitable for everyone?
No, alcoholic preparations are not suitable for people with asthma or eczema.
55
What are the first-line recommendations for head lice treatment in certain groups?
Wet combing or dimeticone 4% lotion is recommended first-line for pregnant/breastfeeding women, children aged 6 months to 2 years, and patients with asthma or eczema.
56
What are common causes of treatment failure for head lice? (6)
Poor technique, inadequate insecticide quantity, no repeat application, resistance, short contact time, and re-infection.
57
How much insecticide should be used based on hair length?
1 small bottle for short/shoulder-length hair, 1 large or 2 small bottles for longer, thicker hair.
58
How does re-infection happen during lice treatment?
Re-infection can occur through close contact with an infected person
59