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