Patient treatment algorithm for pediculosis

Head lice belong to the small blood-sucking parasites, which, depending on the type, are localized in the hair of the head, intimate areas, on clothing. Due to their tiny size, it is impossible to identify bloodsuckers at the initial stage of the disease. At first, when the population size is small, a person sometimes does not realize that there are lice. Because of what is often found pediculosis in hospitals or emergency hospitalization at the primary admission.How do the staff of medical institutions act in such cases, how is the treatment carried out for pediculosis, and whether the patient's consent is necessary for the procedure.

When is the treatment carried out?

Revealing pediculosis usually occurs in the emergency department at the sanitary inspection room. If managed to detect adult lice and nits in hairAn additional examination of personal hygiene items of the patient. The patient is transferred to a closed room and examined on the couch. The procedure for the disposal of lice is carried out in the inpatient unit. Disinfection measures include comprehensive measures to destroy parasites in the hair, on the body, and on clothing.

Pediculosis

Contraindications for treatment may be:

• children up to 3 years;
• pregnancy, lactation;
• serious condition of the patient;
• a large number of purulent wounds on the skin.

When lice are detected, it is necessary to fill in the appropriate papers in which the patient gives his permission to conduct the procedure. Lice Drugs allocated either from the medical fund, or purchased at the expense of the patient. Nurse actions in pediculosis are reduced to the preparation and conduct of sanitation,filling in the log, the data in which are displayed in a table, the notification of the patient’s relatives.

In cases of detection lice in children The health care provider reports to preschool or school. According to new sanpin for pediculosis prevention, in class, the group is carried out an unscheduled inspection, undertaken preventive measurespreventing the spread of lice.

How is the processing

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

• cover the couch with a cloth material and sit or lay the patient on it, first putting pearl on it and burning it around the hairline;
• explain to the patient the process of the upcoming manipulation;
• the medical officer performing the procedure must put on an additional dressing gown, gloves, mask and prepare all the necessary equipment: an anti-pediculosis remedy, scissors for cutting hair, a basin in 2 copies,bags for recycling and subsequent disinfection, comb, vinegar.

Pediculosis treatment

Treatment algorithm for pediculosis:

1. Prepare a solution for the destruction of parasites in accordance with the instructions.
2. Consistently process the hair from lice, preventing the ingestion of funds on the mucous membranes, face. Each strand should be treated separately.
3. If the hair is long, collect it in a bun and cover it with a polyethylene scarf.
4. To maintain exposure, according to the recommendations of the manufacturer of the drug.
5. After the specified time has elapsed, rinse off with warm water, after removing the remnants of the preparation, wash the hair with a washing shampoo and rinse acetic solution.
6. After applying a solution of vinegar to tie the hair with a plastic scarf, leave them in this condition for 15-20 minutes.
7. Rinse the hair again with warm water and dry it with a towel.
8. Plant the patient on a chair, lay out the paper on the floor, so that later it is easier to dispose of insects. Sure to comb out dead insects and nits with a comb with frequent teeth.
9. Periodically remove sticking parasites from the comb using 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, re-treatment of hair is prescribed for lice.

Final stage

Completion of the procedure:

• burn the paper that was brushed;
• take off the patient's clothes and underwear in an oil-bag; carry out the same procedures with the clothes of the nurse who was engaged in the treatment;
• send bags to the disinfecting chamber;
• comb treated with alcohol;
• treat the premises with an insecticidal preparation.

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

In cases of detection of lice are assigned hygienic procedures, and all things the patient must be heat treated. It is recommended to hold sanitary treatment of the apartment. After removing the parasites, the medical worker conducts explanatory conversations so that the patient cannot get sick with pediculosis again.

Means for processing

In offices fight with head lice is carried out mainly by the preparation Karbofos, which is produced in the form of a powder and then diluted with water. Treatment of children is carried out by means of:

• Medyfox;
• Nittifor;
• Paranit;
• Here;
• Pair Plus;
• Nix;
• Veda;
• Benzyl benzoate;
• Dikrezil emulsion.