Vacuuming: While a vacuum is a good tool for cleaning up the ground after manual lice removal with a comb, it is not a wise idea to attempt to vacuum lice out of someone's hair. This is an uncomfortable and ineffective solution as lice have special claws to hold onto hair.
To remove lice and nits by hand, use a fine-tooth comb on wet, conditioned hair every 3–4 days for 3 weeks after the last live louse was seen. Go through small sections of hair at a time. Wetting the hair temporarily stops the lice from moving, and the conditioner makes it easier to get a comb through the hair.
Combing wet hair with a fine-toothed nit comb may remove lice and some nits. Studies show that wet-combing results vary. Start by wetting the hair and lubricating it with hair conditioner or olive oil. Comb the entire head from the scalp to the end of the hair at least twice during a session.
Heat Method:
There are recent studies that show that treatment of lice with heat can be quite effective in killing head lice. Products such as Lousebuster are very effective but even a home hairdryer can successfully treat lice.
Removing the dead nits is not essential or urgent. However, it prevents others from thinking your child still has untreated lice. Nits can be removed by backcombing with a special nit comb. You can also pull them out one at a time.
Can someone have nits but no lice? It may be possible to have nits but no lice. If a person cannot find any nymphs or adult lice in the scalp and the nits are more than a quarter of an inch from the scalp, these may be dead and from an old infestation. However, the lice could be in hiding.
Lice and nits can't survive the high heat. It's true that lice and nits can't survive temperatures above 113°F (45°C). This makes them susceptible to any heat source, such as a hairdryer or the plates of a hair straightener.
Permethrin lotion 1% is approved by the FDA for the treatment of head lice. Permethrin is safe and effective when used as directed. Permethrin kills live lice but not unhatched eggs.
Left untreated, head lice can lead to secondary infections, which can be serious. Bacterial infections, such as impetigo, can occur when scratched bites become infected; this can have serious consequences if not treated properly.
Washing, soaking, or drying items at a temperature greater than 130°F can kill both head lice and nits. Dry cleaning also kills head lice and nits. Only items that have been in contact with the head of the infested person in the 48 hours before treatment should be considered for cleaning.
Simply washing the items in hot water and drying them at a high temperature should get rid of the critters. The head louse (Pediculus humanus capitis) is easily killed by temperatures above 122 degrees Fahrenheit, and the typical residential hot water temperature is about 130 degrees.
Shaving the head does not cure lice. The itching should go away within a few days, but the medicated treatment will need to be repeated in 5 to 7 days to kill any new lice that may have hatched since the first treatment.
Remove all head lice and nits from hair:
Use your fingernails to pull off the nits from the hair or use a head lice comb (metal ones work better than plastic). Repeat daily until there are no nits. Separate hair into sections then pick up a few strands at a time to remove nits.
Not everyone feels lice moving around on their scalp, but some people do. Dr. Garcia says that most of her patients say they “don't feel anything,” but others may get a creepy, tickling sensation as lice move around their head.
It is not usually possible to get rid of lice in one day, as an infestation needs to be treated. However, there are treatments that can help get rid of lice and symptoms caused by lice more quickly. Lice infestations must first be treated by improving the hygiene of the infected person.
Nix Cream Rinse® (permethrin based product) This medicine is put on hair that has been shampooed and towel dried. After 10 minutes, the medicine is rinsed off. Nix Creme Rinse® kills lice, but not the nits. It is the favored medicine because it may continue to kill newly hatched lice for a few days after treatment.
Pyrethrin (Rid)
Rid kills living lice and is “safe and effective when used as directed,” according to Dr. Kanthula. She says there's no residual lice-killing activity after the product is rinsed off, so it also requires a second treatment.
A preventative shampoo and spray can break the life cycle. A shampoo that kills lice before they can lay eggs is critical for closing the “bridge” from one head to another. Ladibugs experts recommend parents seek effective, pesticide-free options.
Tea tree oil appears to be able to kill some live lice (at least when used in conjunction with lavender oil), however we know that over-the-counter lice treatments are far more effective at killing live lice and getting rid of the eggs once an infestation has occurred.
Adult head lice can survive for 2 days and nits for around 1 week on a hairbrush. Soaking combs or hairbrushes in hot water of at least 130°F (54.4°C) for 5–10 minutes will kill any lice and nits.
You Have to Treat Them
Head lice will not go away on their own. If you think your child has an infestation, there are several steps you should take right away. Call your doctor to confirm the diagnosis. Notify your child's day care or school so other students can be checked.
If you do not comb out all the remaining nits, they will hatch and restart the cycle in 7-10 days from that point. That's why we recommend 3 treatments over a 12-day period of time. This stops the life cycle of lice. These are nits at different stages and a louse.
Eggs that still contain a louse embryo are brownish in color, while the empty egg shells are white to grey. As the hair grow approximately 1cm a month, eggs that are about 1cm from the scalp are more than likely to have already hatched or to contain a dead embryo.