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Therapeutics
Bug busting (wet combing) was less effective than malathion lotion for eliminating head lice in children

https://doi.org/10.1136/ebm.6.3.93

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    (2000) Lancet 356, 540. Roberts RJ, Casey D, Morgan DA, et al.. Comparison of wet combing with malathion for treatment of head lice in the UK: a pragmatic randomised controlled trial.. Aug 12;. :. –4.
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 QUESTION: Is bug busting (wet combing with a fine toothed comb) as effective as malathion lotion for removing head lice in children?

    Design

    Randomised (allocation not concealed*), blinded (outcome assessors),* controlled trial with follow up at 7 days after completing treatment.

    Setting

    24 randomly selected primary schools in an area previously identified to have lice with intermediate resistance to malathion, in North Wales and the UK.

    Participants

    81 children who were 3–14 years of age and were identified by school nurses as having live, moving head lice; had not used insecticide lotion in the previous 2 weeks; and had no broken skin on the scalp. The sample included children from the participating schools and siblings at home who met …

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