Lice pt 2

Question 1

What should you do if first line therapy is ineffective in treating lice?

Answer 1

Can try another first line agent, and if it still doesn’t work, then refer

Question 2

What are alternative head lice rx therapies (2)?

Answer 2

Oral ivermectin: not to be used in children <15kg

5% permethrin: officially indicated for scabies

Question 3

How do we treat pubic lice?

Answer 3

Same as head lice,
Permethrin 1% or
Pyretherins with piperonyl butoxide

Question 4

How can we treat ocular pubic lice?

Answer 4

Remove nits and lice with tweezers

Apply an occlusive nonmedicated eye ointment BID F10D

Question 5

How can we treat itching caused by pubic lice?

Answer 5

Oral antihistamine or low-potency topical corticosteroid

Question 6

How an we treat body lice?

Answer 6

No need for pediculides unless they’re adherent to body hairs
Employ simple hygienic measures

Question 7

When should you follow up regarding lice infestations?

Answer 7

Within 10 days