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Lice, Head Lice, Body Lice, Crabs, Pubic Lice, cooties, bed bugs, PediculosisPediculosis is an infestation on the hairy parts of the body or clothing with the eggs, larvae or adults of lice. During the crawling stages, these insects feed on human blood, which results in severe itching. Head lice are usually located upon the scalp, crab lice are usually in the pubic area, and body lice congregate along seams of clothing. These body lice travel to the skin to feed and return back to the clothing.

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Anyone can become louse infested under conditions suitable for exposure. Lice are easily transmitted by direct contact from person to person. Head lice infestations frequently happen in school settings or institutions. Crab lice can be spread among sexually active individuals. Body lice infestations can be found in areas where people live in crowded, unsanitary conditions where clothing is infrequently changed or laundered.Head lice and body lice transmissions can occur during direct contact with an infested individual. Sharing clothing, combs, or brushes also may result in the spread of these insects. While other ways are possible, crab lice are most often transmitted through sexual contact.Often the first signs of lice infestation is itching or scratching in the areas on the body where the lice feed. Frequent scratching on the back of the head or around the ears should lead to an physical inspection for head louse eggs (nits) on the hair. Itching around the genital region should lead to an examination for crab lice or their eggs. Intense scratching can result in secondary bacterial infection in these areas.

It may be as long as two to three weeks or longer for a person to notice the symptom of intense itching associated with live infestation.

As long as lice or the eggs remain alive on the infested person or clothing, Pediculosis can still be spread.

Medicated shampoos and cream rinses that contain pyrethrins are the traditional method for treating people with head lice. These products containing pyrethrins are available over-the-counter, but those products containing lindane are only available through a physician's prescription. Lindane-based shampoos are available but are not recommended for infants, young children and pregnant or lactating women. Retreatment after 7 to 10 days is recommended to assure that no eggs have survived. Nit combs are also available to help remove nits (eggs) from hair. Doses and duration of shampoo treatment should be followed carefully according to each products individual instructions.

To minimize the spread of lice, physical contact with infested individuals and their belongings, especially clothing, headgear and bedding, should be avoided. Education on the life span of lice, proper treatment methods, and the importance of laundering clothes and bedding in hot water or dry cleaning to kill lice and their eggs is extremely important. Also, regular direct inspections of children for head lice, and also when indicated, body lice and clothing, particularly individuals in schools, institutions, nursing homes and summer camps, is very important.

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