Examination of the patient for pediculosis in the department

Depending on the type of lice distinguish head, clothes and pubic lice. Like all diseases, the disease needs treatment. After all, parasites deliver severe discomfort, the appearance of itching, which provokes scratching of the affected areas, which in turn leads to infection in the wounds. Mostly the course of procedures performed in the outpatient, that is, home.However, it is not uncommon for lice to find themselves at the initial examination when a person is hospitalized. How to conduct an examination for pediculosis patients in the hospital, who is engaged in treatment, will tell this article.

Detection of pediculosis

Upon admission for treatment in a hospital, a preliminary examination is conducted for detection lice. This happens at the sanitary inspection room in the clinic. Examination of pediculosis in the department is carried out by medical staff. A nurse should use a magnifying glass and a special comb to examine the occipital, temporal part of the head. In that case, when adult lice and nits were found, patient's clothes were examined. Things are checked with special care if they are found on the body. body lice bites.

Lice detection

Each recorded case is recorded in a journal, a corresponding note is made on the patient's card. Depending on the condition of the patient, a plan of therapeutic measures is developed and first aid is provided.

On a note!

Treatment of pediculosis in the hospital of children whose age has not reached 5 years, pregnant women is discussed directly with the attending physician.

Upon detection head lice the patient’s medical officer notifies the relatives of the patient, and also notifies the preschool or educational institution if pediculosis was identified in a child. In this case, in classes, groups conduct an unscheduled examination, which should be organized by the medical staff of this institution.

The patient signs a document in which he gives his consent to conduct treatment in the inpatient unit. Depending on the financial condition of the clinic, the presence or absence of an insurance certificate for a patient lice preparations taken either in the fund institutions, or purchased independently.

Sanitization

The procedure is performed in a well-ventilated isolated area. The nurse explains to the patient all the nuances of the upcoming event and prepares the necessary equipment:

• scissors;
• capacity for disinfecting hair;
• rubber gloves;
• oilcloth drape;
• polyethylene cap;
• comb with fine pitch;
• pediculicide agent;
• packages;
• cotton swabs;
• vinegar 9%;
• alcohol.

Pediculosis treatment

The processing algorithm is as follows:

1. The patient is seated on the couch.A knit braid is tied around the scalp. On the shoulders put on the oilcloth cape.
2. The person conducting the treatment, puts on an extra robe, kerchief, rubber gloves.
3. Evenly apply anti-parasitic solution on the strands, avoiding getting the funds on the face, mucous membranes. Light massage movements rubbed into the scalp.
4. Put on the patient a cap or kerchief.
5. Stand exposure from 20 to 40 minutes, depending on the means used and the recommendations indicated in the instructions.
6. Rinse hair with warm water.
7. Rinse acetic solution.
8. Spread light paper and comb out dead insects and nits.
9. Check for any remaining lice.

Upon completion of the procedure, the linen, the patient's clothes are packed in a bag. In the second package folded robe, scarf. Packed things are sent to the disinfecting chamber. The paper, which was carried out combing lice, burned. Indoors carry out disinfectant work. If the condition of the patient allows, he is subjected to hygienic procedures.

Re-examination for pediculosis is carried out after 7 days. If necessary, the procedure should be repeated.If the patient is discharged earlier than the specified time, further examinations are carried out in the clinic. Pre-patient give recommendations on lice preventionwhich will help prevent the occurrence of lice later on.

The frequency of examination of the patient is determined by the type of lice and the degree of infection, but at least once every ten days.

Measures for removing lice

Upon detection body lice, larvae, eggs, a complex of measures is being carried out aimed at the destruction of insects both on the human body and on its things:

• the patient is subjected to a hygienic procedure using detergent and washcloth;
• bedding, clothes are boiled in a solution of soda ash or treated with karbofos disinfectants, neopin dust, special attention is paid to folds, seams, pockets, where parasites like to dwell;
• the processed things are ironed from two sides with a hot sole of the iron.

Prevention in an infectious diseases hospital is reduced to the timely detection of lice in incoming patients. The infected patient is determined in an isolated ward, in which it is located, until it is implemented. pediculosis treatment. In cases of mass foci of infection, a quarantine regime is introduced.