Study on Efficacy of 1% Permethrin Shampoo and Some Traditional Physical Treatment for Head Lice Infestation
Abstract
Background: There is an increase in the prevalence of head lice among urban communities with high density in recent years. This study was aimed to determine the efficacy of 1% permethrin shampoo and some traditional physical treatment for head lice infestation in Qom Province, central Iran.
Methods: This analytical cross‑sectional study was carried out on all 11,223 cases in six categories that were referred to Qom health care system from 2016 to March of 2017. The infested people were treated with 1% permethrin shampoo, twice at a 1‑week interval and other recommended therapeutic categories, such as the use of physical treatments such as wooden fine‑toothed combs impregnated with a mixture of water and white vinegar on infested hair for 30 min and secondly, carrier oils such as olive oil, bitter almond on infested hair over a therapeutic period. After completing the course of treatment, treatment success was checked by questionnaires.
Results: A total of 11,223 cases with head lice infestation were confirmed and were enrolled for study. Out of six categories, three therapeutic categories were utilized as follows: (a) 1% permethrin shampoo and the use of physical treatments; (b) 1% permethrin shampoo and the use of carrier oils; (c) the above‑mentioned therapeutic categories combined had high treatment success. It was estimated to be 82.00%, 87.31%, and 94.33%, respectively.
Conclusions: According to the findings, in addition to the application of 1% permethrin shampoo, the use of physical treatments and carrier oils such as olive oil, bitter almond can increase the treatment success of head lice infestation.
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Bonilla DL, Durden LA, Eremeeva ME, Dasch GA. The
biology and taxonomy of head and body lice—implications for
louse‑borne disease prevention. PLoS Pathog 2013;9:e1003724.
Boutellis A, Abi‑Rached L, Raoult D. The origin and distribution
of human lice in the world. Infect Genet Evol 2014;23:209‑17.
Sangaré AK, Doumbo OK, Raoult D. Management and treatment
of human lice. Bio Med Res Inter 2016;2016:8962685. doi:
1155/2016/8962685.
Saghafipour A, Nejati J, Zahraei Ramazani A, Vatandoost H,
Mozaffari E, Rezaei F. Prevalence and risk factors associated
with head louse (Pediculus humanus capitis) in Central Iran. Int
J Pediatr 2017;5:5245‑54.
Nejati J, Keyhani A, Tavakoli Kareshk A, Mahmoudvand H,
Saghafipour A, Khoraminasab M, et al. Prevalence and risk
factors of pediculosis in primary school children in South West
of Iran. Iran J Public Health 2018;47:1923‑9.
Firoozfar F, Moosa‑Kazemi SH, Bahrami A, Ahmed Yusuf M,
Saghafipour A, Armoon Z, et al. Head lice infestation (Pediculus
humanus capitis) prevalence and its associated factors, among
the Kormanj tribes in North Khorasan province. Shiraz E Med J
;20:e80292.
Shahraki, GH. Fararooie M, Karimi AA. Controlling head lice in
Iranian primary schools for girls. Asian Biomed 2013;7:281‑5.
Soleimani‑Ahmadi M, Jaberhashemi SA, Zare M,
Sanei‑Dehkordi A. Prevalence of head lice infestation and
pediculicidal effect of permethrine shampoo in primary school
girls in a low‑income area in southeast of Iran. BMC Dermatol
;17:10.
Heukelbach J, Pilger D, Oliveira FA, Khakban A, Ariza L,
Feldmeier H. A highly efficacious pediculicide based on
dimeticone: Randomized observer blinded comparative trial.
BMC Infect Dis 2008;8:115.
Munirathinam A, Sunish, IP, Rajendran R, Tyagi BK. Impact
of ivermectin drug combinations on Pediculus humanus capitis
infestation in primary schoolchildren of south Indian rural
villages. Int J Dermatol 2009;48:1201‑5.
Verma P, Namdeo C. Treatment of Pediculosis capitis. Indian J
Dermatol 2015;60:238‑47.
Bush SE, Rock AN, Jones SL, Malenke JR, Clayton DH.
Efficacy of the LouseBuster, a new medical device for
treating head lice (Anoplura: Pediculidae). J Med Entomol
;48:67‑72.
Whybrew C. Detection and recommended treatment of head
lice‑Prescriber. J Prescr Med Manag 2017;28:32‑6.
Farzinnia B, Saghafipour A, Abai M. Malaria situation and
anopheline mosquitoes in Qom province, central Iran. Iran J
Arthropod‑Borne Dis 2010;4:61‑7.
Amirkhani MA, Aminaei T, Ardalan G, Dashti M, Islami M,
Jamali M. Guideline to Prevention and Treatment of Lice
Infestation. 1st ed. Iran: Seda Publishing Center; 2009. p. 23‑4.
Flinders DC, De Schweinitz P. Pediculosis and scabies. Am Fam
Physician 2004;69:341‑8.
Stough D, Shellabarger S, Quiring J, Gabrielsen AA. Efficacy
and safety of spinosad and permethrin creme rinses for
pediculosis capitis (head lice). Pediatrics 2009;124:389‑95.
Moemenbellah‑Fard MD, Nasiri Z, Azizi K, Fakoorziba MR.
Head lice treatment with two interventions: Pediculosis capitis
profile in female schoolchildren of a rural setting in the south of
Iran. Ann Trop Med Public Health 2016;9:245‑50.
Canyon DV, Speare R, Muller R. Spatial and kinetic factors
for the transfer of head lice (Pediculus capitis) between hairs. J Invest Dermatol 2002;119:629‑31.
Alempour‑Salemi J, Shayeghi N, Zeraati H, Ebrahimi B. Some
aspects of head lice infestation in Iranshahr area (southeast of
Iran). Iran J Public Health 2003;32:60-3.
Goates BM, Atkin JS, Wilding KG, Birch KG, Cottam MR,
Bush SE, et al. An effective nonchemical treatment for head lice:
A lot of hot air. Pediatrics 2006;118:1962‑70.
Kersten H. Hot air is an effective treatment for head lice.
J Pediatr 2007;150:562‑3.
Rafinejad J, Nourollahi A, Javadian E, Kazemnejad A,
Shemshad K. Epidemiology of head louse infestation and
related factors in school children in the county of Amlash, Gilan
province. Iran J Epidemiol 2006;2:51‑63.
Kassiri H, Kasiri A, Kasiri N, Moeininejad F. Epidemiology
and morbidity of head lice infestation in Khorram‑shahr county,
Iran (2006‑2009). J Health Sci Surveill Sys 2015;3:83‑7.