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Tests and diagnosis
By Mayo Clinic staffLice cement their eggs very firmly onto the base of hair shafts, very close to the scalp. According to experts with the Centers for Disease Control and Prevention, nits found more than a quarter inch (6.5 millimeters) away from the scalp have either already hatched or aren't going to hatch. So simply finding nits isn't proof of an active infestation. The clearest sign is finding a living, moving louse. Combing wet hair with a fine-toothed comb is the best way to find this evidence.
- Goldstein AO, et al. Pediculosis. http://www.uptodate.com/home/index.html. Accessed March 27, 2009.
- Head lice: Fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/head/factsheet.html. Accessed March 27, 2009.
- Head lice: Treatment. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/head/treatment.html. Accessed March 27, 2009.
- Ectoparasites. In: Rakel RE, et al. Textbook of Family Medicine. 7th ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/128370895-3/822018529/1481/307.html#4-u1.0-B978-1-4160-2467-5..50029-4--cesec39_1386. Accessed March 27, 2009.
- Schlossberg D. Arthropods and leeches. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/128370895-5/822078666/1492/1286.html#4-u1.0-B978-1-4160-2805-5..50385-2--cesec27_16133. Accessed March 27, 2009.
- Burkhart CN, et al. Fomite transmission in head lice. Journal of the American Academy of Dermatology. 2007;56:1044.
- FDA approves benzyl alcohol lotion for the treatment of head lice. U.S. Food and Drug Administration. U.S. Food and Drug Administration. http://www.fda.gov/bbs/topics/NEWS/2009/NEW01993.html. Accessed April 15, 2009.
- Head lice: Prevention and control. Centers for Disease Control and Prevention. http://www.cdc.gov/lice/prevent.html. Accessed March 27, 2009.
