11 RISK FACTORS Not related to cleanliness!! Common transmission head-to-headHomeSchoolElsewhere (camp, sports, playground etc.)
12 RISK FACTORS Uncommon transmission Sharing clothing, hair ribbons Using infested combs, brushes, towelsLying on a bed, couch etc. recently in contact with infested person
13 DIAGNOSIS Misdiagnosis – VERY common Look for live insects Nits not always reliableEasily confused with dandruff, hair spray etc.Nits >1/4 inch from scalp – old
14 TREATMENT ONLY FOR ACTIVE INFESTATION! Check household members & contactsTreat all at same timeSupplemental measures
15 TREATMENT Over-the-counter medication FDA approved Pyrethrins or permethrinsREAD LABELDo not re-wash hair for 1-2 daysCheck 8-12 hrs after txSlower moving, comb deadNo dead – call healthcare provider
16 SUPPLEMENTAL Bedding, towels & clothing With in 2 day periodLaunder in hot water & dryPlace in plastic bag for 2 weeksVacuum furniture and floors of infested hair
17 CDC RECOMENDATIONS Students remain in school if Dx during day Children return to school after treatmentNits still present?O.K. as long as no crawling/ live insectsBurdensome absenteeismNits not easily transferredMisdiagnosis common if not by health provider
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