Pediculosis treatment algorithm for a patient

Lice belong to small blood-sucking parasites, which, depending on the species, are localized in the hair of the head, intimate areas, on clothing. Due to its tiny size, it is impossible to identify bloodsuckers at the initial stage of the disease. At first, when the population was small, a person sometimes does not know about the presence of lice. Because of this, pediculosis is often found in hospitals or during emergency hospitalization at the initial appointment. How do employees of medical institutions act in such cases, how is the treatment for pediculosis carried out, and is the patient's consent to the procedure necessary.

In what cases is processing

Identification head lice usually occurs in the emergency room at the sanitary inspection room. If you managed to find adult lice and nits in hair, an additional examination of personal hygiene items, patient things. The patient is transferred to a closed room and examined on a couch. The procedure for the disposal of lice is carried out in a stationary unit. Disinsection measures include comprehensive measures to eliminate parasites in the hair, body, and clothing.

Contraindications for treatment may include:

• children under 3 years old;
• pregnancy, lactation;
• severe condition of the patient;
• a large number of purulent wounds on the skin.

If pediculosis is detected, it is necessary to fill out the appropriate papers in which the patient gives his permission to conduct the procedure. Lice Products allocated either from the medical fund, or purchased at the expense of the patient. The actions of a nurse in pediculosis come down to preparing and conducting sanitation, filling out a journal, the data in which are displayed in a table, and notifying the patient's relatives.

In cases of detection lice in children a health worker reports to a preschool or school institution. According to new Sanpin for the prevention of pediculosis, in the classroom, group an unscheduled inspection is carried out, preventative measurespreventing the spread of lice.

How is processing

Sanitary treatment is carried out in a separate room. It should be well ventilated. The tactics of a nurse when performing disinfestation is determined by the degree of infection of the patient, in connection with which a treatment scheme for the patient is prescribed. Preparatory work involves a number of activities:

• to cover the couch with oilcloth material and to seat or lay the patient on it, after having put on it a hawser and a tourniquet around the hairline;
• explain to the patient the process of the upcoming manipulation;
• the medical worker conducting the procedure should put on an extra gown, gloves, mask and prepare all the necessary equipment: anti-pediculant, scissors for cutting hair, a basin in 2 copies, bags for disposal and subsequent disinfection, comb, vinegar.

Processing algorithm for pediculosis:

1. Prepare a solution for the destruction of parasites in accordance with the instructions.
2. Sequentially treat hair from lice, preventing the product from getting on the mucous membranes of the face. Each strand should be processed separately.
3. If the hair is long, collect it in a bun and cover it with a plastic scarf.
4. To withstand exposure, according to the manufacturer's recommendations.
5. After the specified time, rinse with warm water, after removing the remnants of the drug, wash your hair with washing shampoo and rinse vinegar solution.
6. After applying the vinegar solution, tie the hair with a plastic scarf, leave them in this state for 15-20 minutes.
7. Rinse hair again with warm water and dry with a towel.
8. Put the patient on a chair, lay out paper on the floor, so that later it is easier to dispose of insects. Required comb out dead insects and nits by means of a comb with frequent teeth.
9. Periodically remove adhering parasites from the crest with a cotton swab dipped in alcohol.
10. At the end of the procedure, re-examine the patient and make sure that there are no lice and nits.
11. If necessary, a second hair treatment is prescribed for pediculosis.

Final stage

Completion of the procedure:

• burn the paper over which was combed out;
• remove clothes and patient's linen and put them in an oilcloth bag, carry out the same manipulations with the clothes of the nurse who was involved in the processing;
• send bags to the disinfection chamber;
• treat the comb with alcohol;
• treat the premises with an insecticidal preparation.

At the end of the procedure, the nurse must fill out a pediculosis examination log, make an appropriate note in the patient's outpatient card. Re-inspection is carried out after 7 days, if necessary, additional processing is performed.

In cases of detection of body lice, hygiene procedures are prescribed, and all things of the patient are subject to heat treatment. Recommended apartment sanitation. After removing the parasites, the medical worker conducts explanatory talks so that the patient can not get pediculosis again.

Processing Tools

In branches pediculosis control carried out mainly by the drug Karbofos, which is available in powder form and then diluted with water. The treatment of children is carried out by means of:

• Medifox;
• Nittifor;
• Paranit;
• Here;
• Couple plus;
• Nyx;
• Veda;
• Benzyl benzoate;
• emulsion of dicresyl.