HANDI Interventions

Wet combing: head lice

        1. Wet combing: head lice


Manual (condition and comb or wet comb) removal using the Bug Buster® kit, Quit Nits Combing Solution® or other head lice comb.


Half of the people infested with lice do not scratch; all people in contact with an affected person should be manually checked for lice.

Figure 1.

Figure 1.

Head lice (Pediculosis capitis)



Suitable for insecticide resistant infestations.

Suitable for pregnant and breast feeding women, babies, people with allergies or open scalp wounds and asthma.

Good alternative for people who are reluctant to use insecticides.


Figure 2.

Figure 2.

Nit comb

Nit combs are available from pharmacies and some supermarkets.

The teeth of the comb should be just wider than the hair. More than one comb may be necessary, starting with a wide-tooth comb and then moving to smaller and smaller combs.

The Bug Buster kit can be purchased online (from the UK) for £6.30 + P&P. It contains four different sized combs, step-by-step illustrated instructions, an explanatory booklet, waterproof cape and stickers.

The Quit Nits Combing Solution can be purchased from most supermarkets and pharmacies. The kit contains two combs and a low irritant formula.

The Victorian Government’s Better Health Channel provides easy-to-read advice on head lice.

The Quit Nits website has information about wet combing in general and much more detail about their Quit Nits Combing Solution.

The NSH head lice instructions are available for print.

  1. Hill N, Moor G, Cameron M, Butlin A, Williamson M, Bass, C. Single blind, randomised, comparative study of the Bug Buster kit and over the counter pediculicide treatments against head lice in the United Kingdom. BMJ 2006: doi:10.1136/bmj.38537.468623.E0
  2. Tebruegge M, Runnacles J. Is wet combing effective in children with pediculosis capitis infestation? Arch Dis Child 2007; 92: 818–820.