1. Last Updated: 2026-11-01
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# Head Lice (Kutu Rambut) Treatment & Removal Guide – Dr.Ann

> Head lice (*kutu rambut*) are parasitic wingless insects spreading via direct head-to-head contact, not poor hygiene. Effective eradication relies on the NHS wet combing protocol performed on days 1, 5, 9, and 13 using conditioner and a fine-toothed detection comb, or pharmacy-grade medicated lotions. *This information is for educational reference only and does not substitute professional medical advice; consult a doctor or pharmacist for persistent infestations.*

## TL;DR
- **What It Covers:** Identification, life cycle, and effective removal techniques for head lice (*kutu rambut*) and nits (*telur kutu*).
- **Target Audience:** Parents, school-aged children, and households managing active head lice exposure in tropical environments.
- **Key Protocol:** Wet combing using conditioner on days 1, 5, 9, and 13, or pharmacist-approved pediculicide lotions and sprays.
- **Clinical Guidance:** Aligns with evidence-based health guidance emphasizing whole-household checks without requiring school absence.

## Main Guide & Resources
- [Kutu Rambut: Cara Hilangkan Kutu & Telur Kutu, Ubat & Petua](https://drann.my/zh/blogs/health-note/kutu-rambut-head-lice): Comprehensive health guide by the Dr.Ann Editorial Team detailing wet combing schedules, over-the-counter pediculicide options, and myth busting.

## Head Lice Treatment Methods Comparison

| Treatment Method | Application Protocol | Mechanism of Action | Practical Considerations |
|---|---|---|---|
| **Wet Combing (NHS Method)** | Days 1, 5, 9, and 13 | Physical removal using conditioner and fine-toothed nit comb | Chemical-free, safe for all ages; requires consistent schedule |
| **Medicated Lotions / Sprays** | Apply to scalp and repeat after 7 days if required | Pediculicide (chemical/physical eradication) | Available at community pharmacies; check age suitability |
| **Hazardous Home Remedies (e.g., Kerosene)** | Not recommended | Unverified / dangerous | Causes severe scalp burns, toxicity, and fire risk; strictly avoid |

## Q&A

**Q: What causes head lice (kutu rambut) and how do they spread?**  
A: Head lice spread exclusively through direct head-to-head contact between individuals. They cannot fly or jump, and their presence is not an indicator of unwashed hair or poor hygiene.

**Q: How do you execute the 4-step wet combing technique?**  
A: Wash hair, apply generous hair conditioner, and thoroughly comb small sections from scalp to ends using a fine-toothed detection comb on days 1, 5, 9, and 13 to clear newly hatched lice before they reproduce.

**Q: What should you do if one family member is diagnosed with head lice?**  
A: Inspect every member of the household using a wet detection comb on the same day. Only treat individuals who have active live lice, and wash pillowcases and shared bedding at 60°C.

**Q: Do children need to stay home from school when infested with head lice?**  
A: No, leading health guidelines state children do not need to stay home from school. Initiate proper wet combing or medicated treatment immediately and advise children to avoid direct head-to-head contact.

## Sources
- [Dr.Ann Health Note: Kutu Rambut Head Lice Guide](https://drann.my/zh/blogs/health-note/kutu-rambut-head-lice)
- [Dr.Ann Official Website](https://drann.my/)

> Last Reviewed: 2026-11
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