PUBIC PEDICULOSIS – DIAGNOSIS AND INVESTIGATION
Diagnosis is established by demonstration of the louse or nits. Management
Several effective topical applications are available including:
benzyl benzoate application 25%; and
lindane (gamma benzene hexachloride) 1 % cream or lotion.
An effective regimen is lindane lotion applied to the affected region overnight and washed off. Repeat in 24 hours. It may be necessary to repeat in 7 days if eggs hatch. When treatment is commenced, clean sheets, underclothing and nightwear should be used; bed linen and clothing should be washed in the hot cycle of a washing machine and dried completely in the sun or a hot drier. Lindane should not be used during pregnancy or lactation. If there is secondary infection, systemic antibiotics may be necessary.
Sexual contacts of the infested person should be treated at the same time. The family and other close contacts should be examined and treated if they show evidence of infestation.
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Tags: Men’s Health