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PJ Online homeThe Pharmaceutical Journal
Vol 275 No 7362 p184
13 August 2005

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Bug busting more effective than insecticides

Head lice

Head lice infestation was eliminated less often with aqueous insecticides

Use of the Bug Buster kit is four times more effective at eliminating head lice than use of two over-the-counter insecticides, a study has found (BMJ Online First, 5 August).

The single-blind, randomised trial recruited 133 children with head lice infestation, aged two to 15 years, from four counties in England and one in Scotland: 62 were assigned to the Bug Buster method, using a fine-toothed comb on wet conditioned hair, and 71 to insecticide treatment. The cure rate using the Bug Buster kit was 57 per cent, compared with 13 per cent for insecticide treatment.

Two different insecticide treatments (aqueous malathion and aqueous permethrin) were used, since accessibility to these treatments varies. The cure rate was 17 per cent for malathion and 10 per cent for permethrin. The only previous randomised controlled trial of the Bug Buster kit found that it was half as effective as malathion treatment. The authors suggest that the difference in results is likely to be because of design improvements to the fine-toothed comb.

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