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Pediculosis pubis

Guidelines

Key sources

The following summarized guidelines for the management of pediculosis pubis are prepared by our editorial team based on guidelines from the International Union Against Sexually Transmitted Infections (IUSTI 2017).
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Medical management

First-line therapy: as per IUSTI 2017 guidelines, use one of the following medications as first-line therapy:
permethrin 1% cream applied to the affected areas and washed off after 10 min
pyrethrins with piperonyl butoxide applied to the affected areas and washed off after 10 min.
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More topics in this section

  • Second-line therapy

  • Alternative treatment options

  • Management of pediculosis ciliaris

  • Management of sexual partners

Specific circumstances

Pregnant patients: as per IUSTI 2017 guidelines, consider using permethrin in pregnant patients, given its evidence for safety in this population.
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Follow-up and surveillance

Follow-up: as per IUSTI 2017 guidelines, arrange a follow-up visit 1 week after completion of treatment to verify its efficacy by searching for lice or nits.
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