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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).
First-line therapy: 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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Alternative treatment options
Management of pediculosis ciliaris
Management of sexual partners
Pregnant patients: consider using permethrin in pregnant patients, given its evidence for safety in this population.
3.Follow-up and surveillance
Follow-up: arrange a follow-up visit 1 week after completion of treatment to verify its efficacy by searching for lice or nits.