Are there clinics that specialize in the treatment of pediculosis (lice infestation)?

From the Guidelines

Yes, lice clinics do exist and are a viable option for treating head lice infestations, especially for severe or persistent cases that have not responded to over-the-counter treatments. These clinics offer comprehensive treatments that can eliminate lice in a single session, often using methods like the AirAllé device, which uses controlled heated air to dehydrate and kill lice and their eggs 1. The effectiveness of these clinics stems from their specialized equipment and the expertise of their staff in identifying and treating lice infestations completely, addressing both adult lice and their eggs (nits) which are often missed in home treatments.

Key Points to Consider

• Lice clinics employ trained technicians who can thoroughly check for lice, apply treatments, and provide education on preventing reinfestation.
• Many clinics also sell professional-grade lice removal products for home use.
• The AirAllé device is a popular method used in lice clinics, which uses controlled heated air to dehydrate and kill lice and their eggs.
• Lice clinics are particularly helpful for severe or persistent infestations that haven't responded to over-the-counter treatments, or for families who prefer a guaranteed, pesticide-free solution.

Treatment Options

• Permethrin (1%) is a commonly recommended treatment for head lice, but resistance has been reported in some areas 1.
• Pyrethrins plus piperonyl butoxide are another treatment option, but may not be suitable for patients with allergies to chrysanthemums 1.
• Malathion (0.5%) is a prescription lotion that can be used for severe or persistent infestations, but has a high alcohol content and can be flammable 1.
• Lindane (1%) is no longer recommended due to its potential for central nervous system toxicity and resistance 1.

Prevention and Management

• Regular checking for lice and nits is essential for early detection and treatment.
• Environmental interventions, such as cleaning hair care items and bedding, can help prevent reinfestation 1.
• Education on preventing reinfestation is crucial for families, especially those with school-aged children 1.

From the Research

Lice Clinics

• There is no direct mention of "lice clinics" in the provided studies 2, 3
• However, the studies discuss various treatment options for lice infestations, including pharmacologic and nonpharmacologic treatments
• The studies suggest that treatment for lice infestations can be effective in various settings, including schools and healthcare facilities 2
• It can be inferred that specialized clinics or treatment centers for lice infestations may exist, but there is no direct evidence to support this claim

Treatment Options

• The studies discuss various treatment options for lice infestations, including:
  • Permethrin 1% lotion or shampoo as a first-line pharmacologic treatment 2
  • Oral ivermectin as an alternative treatment option for head lice infestation 3
  • Wet combing as an effective nonpharmacologic treatment option 2
• The studies suggest that these treatment options can be effective in eradicating lice infestations, but may require repeated treatments or combination therapy 2, 3

Specialized Treatment Centers

• While there is no direct evidence of "lice clinics", the studies suggest that specialized treatment centers or healthcare facilities may offer effective treatment options for lice infestations 2, 3
• These centers may employ healthcare professionals with expertise in treating lice infestations, and may offer a range of treatment options, including pharmacologic and nonpharmacologic therapies 2, 3