Comparing the efficacy of three methods of permethrin application in pediculosis capitis: A randomized clinical trial

AbstractBackgroundPediculosis capitis, also known as head lice, is a common problem that affects individuals of different socio‐economic backgrounds. Permethrin is generally considered the first‐line treatment option for head lice.AimsThe objective of this study was to evaluate and compare the therapeutic effects of three different methods of permethrin treatment for head lice.MethodA parallel, randomized clinical trial was conducted on 157 patients with head lice. The participants underwent eye examination and dry combing by a trained professional. The subjects were randomly divided into three groups and treated with one of the three methods of permethrin application: permethrin shampoo for 10 min, permethrin shampoo for 1 h, or permethrin cream for 10 min on a weekly basis for 3 weeks.ResultsOf the 157 participants, 154 completed the study. The group treated with permethrin shampoo for 1 h had the shortest average time for eradication of lice at 1.226 ± 0.422 weeks, which was significantly lower than the other two groups. Additionally, the 1‐h permethrin shampoo group had the lowest time for scalp itching of 2.15 ± 0.632 weeks, which was significantly lower than the other two groups. Moreover, the rate of lice eradication in the first week was significantly higher in the 1‐h permethrin shampoo group.ConclusionThe results of this study suggest that the use of 1% permethrin shampoo for 1 h is more effective in eradicating head lice within the first week of treatment and in relieving scalp itching during the second week.