Pediculosis Pubis

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This is infestation of lice, mostly confined to pubic and peri-anal areas. It is a common sexually transmitted disease caused by Phthirus pubis

• Papules at the site of bites
• Intense itching in the pubic area
• Small blood stains may be seen on underwear

Evaluation/Investigations

• Physical examination of pubic hair for lice
• Dermascopic examination

Treatment objectives

• Eradicate the lice infestation

Non-pharmacological treatment

• Remove lice from the pubic area using forceps
• Cut infested hair with a shaving machine

Pharmacological treatment

Benzyl benzoate 25% lotion Apply lotion  OR Permethrin lotion 1% Apply lotion and wash off after 10 minutes Repeat after 7-10 days

Prevention

• Frequent changing of underwear - twice a day

Referral

• If infection persists refer for specialist care