Title:	Managing Head Lice in an Era of Increasing Resistance to Insecticides.
Authors:	Downs, Anthony M. R.*
Source:	American Journal of Clinical Dermatology; 2004, Vol. 5 Issue 3, p169-177, 9p, 1 diagram
Subject Terms:	*HAIR *INSECTICIDES *LICE *PEDICULOSIS *PEDICULUS Care & hygiene
Author-Supplied Keywords:	Pediculosis, treatment Antimicrobial resistance Malathion, therapeutic use Carbaril, therapeutic use Lindane, therapeutic use Ivermectin, therapeutic use Crotamiton, therapeutic use
Abstract:	Head lice are present in all age groups, however, the peak age for infestation is 78 years and the incidence varies throughout the year with higher incidence during the winter. Different insecticides have been used over the past 60 years to manage this condition. There is now strong evidence of insecticide resistance established in many countries to such an extent that some of these chemicals have become obsolete. Resistance to some pediculicides can vary from country to country and region to region within a country. The lack of a local monitoring system of resistance patterns means that parents and pupils are hampered in making an informed decision regarding how to treat head lice. One should no longer assume that treatment failure is due to poor treatment compliance or re-infestation. Clear treatment guidelines drawn up by healthcare professionals with an interest in head lice and taking into account regional/national resistance patterns should be implemented. These guidelines should combine chemical and non-chemical approaches to treatment and be coordinated and regularly reviewed by local public health departments. Drug companies should be made to provide up-to-date efficacy of their products. [ABSTRACT FROM AUTHOR]
Author Affiliations:	Department of Dermatology, Royal Devon and Exeter Hospital, Exeter, UK
ISSN:	1175-0561
Accession Number:	13384056
Database:	Academic Search Premier
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