Fachleiter
Description
This looks typical of head lice.
The small white dots adhere to the hair and are more indicative of nits than of ordinary dandruff.
Fachleiter
Symptoms and course
| Common term | Medical term |
|---|---|
| Severe itching of the head | Pruritus capitis |
| Scratching at the back of the head or behind the ears | Excoriations occipital/parietal |
| Small white dots on the hair | Nits |
| Restless sleep | Sleep disturbance due to pruritus |
| Reddened scalp | Scalp erythema |
Fachleiter
Cause
- Infestation with the head louse Pediculus humanus capitis
- Transmission mainly through direct hair-to-hair contact
- Less commonly via brushes, hats or bedding
Fachleiter
Treatment
| Active ingredient (Generic) | Brand name | Form | Application / Dose |
|---|---|---|---|
| Dimeticon | Hedrin®, NYDA® | Solution / spray | Apply to dry hair, cover the entire scalp, leave on according to the manufacturer’s instructions, then wash out; repeat after 8–10 days |
| Permethrin 1 % | InfectoPedicul® | Shampoo / solution | Apply once, leave on for 10 minutes, then rinse; repeat after 8–10 days |
| Pyrethrum + Piperonylbutoxide | Goldgeist forte® | Solution | Use according to the instructions; a second treatment is usually required |
Examine close contacts
Clean bedding, hats and brushes
Second treatment important because of newly hatched lice
Inform school/daycare
Avoid contact with eyes and mucous membranes
Do not apply to open wounds
For infants or pregnancy, follow the package leaflet / consult a doctor
The therapy is considered complete only after a successful follow-up examination