When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Pediculosis capitis

Última revisión: 27 Nov 2025
Última actualización: 23 Apr 2025

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • scalp pruritus
  • live nymphal or adult louse
  • eggs visible on hair shaft within 1 cm of scalp
Todos los datos

Otros factores de diagnóstico

  • small red papules under hairline at nape of neck
  • lymphadenopathy
  • erythema with honey-colored crust on scalp
Todos los datos

Factores de riesgo

  • 3 to 12 years of age
  • female sex
  • close contact with an infested individual
  • overcrowding or close living conditions
  • low socioeconomic status
  • poor hygiene
  • contact with contaminated clothes, hair care items, bedding
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • no tests required
Todos los datos

Algoritmo de tratamiento

Agudo

children <2 months of age

children ≥2 months and <2 years of age

children ≥2 years of age and adults

Colaboradores

Autores

Aicha Salhi, MD

Professor of Dermatology

Faculty of Medicine

University of Algiers

Algeria

Divulgaciones

AS declares that she has no competing interests.

Agradecimientos

Professor Aicha Salhi would like to gratefully acknowledge Professor Hermann Feldmeier and Professor Barbara L. Frankowski, previous contributors to this topic.

Divulgaciones

HF has received consultant and lecture fees from Pohl-Boskamp GmbH, and Co KG, Hohenlockstedt, Germany, and Almirall Hermal GmbH, Reinbek, Germany; both companies produce various anti-head louse compounds. He is also an author of several references cited in this topic. BLF is an author of a reference cited in this topic.

Revisores por pares

Richard J. Pollack, PhD

Research Associate

Laboratory of Public Health Entomology

Department of Immunology and Infectious Diseases

Harvard School of Public Health

Boston

MA

Divulgaciones

RJP has received a research donation by Taro Pharmaceuticals (manufacturer of Ovide) and has been compensated as an independent consultant for scientific review services by Topaz Pharmaceuticals, Hatchtech, and ParaPro, each developing products for the US market. RJP holds no financial interest in any of these companies or their products. RJP is an author of several references cited in this topic.

Ian F. Burgess, MSc, MPhil

Professor

Director

Medical Entomology Centre

University of Cambridge

Cambridge

UK

Divulgaciones

IFB has been a consultant to various manufacturers of pharmaceutical products, alternative therapies, and combs for treating louse infections. IFB is an author of a number of references cited in this topic.

Kosta Y. Mumcuoglu, PhD

Professor

Department of Parasitology

Hebrew University-Hadassah Medical School

Jerusalem

Israel

Divulgaciones

KYM is an author of several references cited in this topic.

Agradecimiento de los revisores por pares

Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.

Divulgaciones

Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

American Academy of Pediatrics, Nolt D, Moore S, et al. Head Lice. Pediatrics. 2022 Oct 1;150(4):e2022059282.Texto completo  Resumen

Cummings C, Finlay JC, MacDonald NE et al. Head lice infestations: a clinical update. Paediatr Child Health. 2024 Jan 11;23(1):e18-24.Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.

El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad