Ex Vivo Development of Eggs from Head Lice (Pediculus humanus capitis)~!2010-05-06~!2010-05-18~!2010-07-14~!

Abstract

Background: Data on ovicidal activity of pediculicides are essential to determine the efficacy of commercial products, and to define application schemes. We present an adaptation of historical methods for rearing head lice, and describe their development ex vivo. Methods: Adult head lice were collected and fed on volunteers to obtain fertile eggs of known age. Two methods of feeding were applied: interval feeding (performed every 8-12 hours), and continuous feeding (placing lice in a round Plexiglas receptacle, closed with gauze attached to the skin). Eggs were incubated at 25-28,6°C and 51,8%-69,3% relative humidity. The following outcome measures were used: appearance of eye spot; presence of embryonic structures; presence of embryonic movements; and hatching. A total of 340 eggs were obtained by continuous feeding. Of these, 205 were examined daily. The remaining 135 eggs and those obtained by interval feeding (n=159) were observed once, to confirm hatching status. Results: Eye spots of the embryos started to appear 6 days after oviposition (median = 7 days), and embryonic movements were first seen 9 days after oviposition (median =11 days). Interval feeding of head lice revealed a hatch rate of 10,7% (17/159), as compared to a hatch rate of 80,9% (275/340) achieved with continuous feeding. Hatching started 9 days after oviposition (median = 12 days). Skin irritation (papular rash; moderate to severe itching) appeared after continuous feeding of adult lice on volunteers. Conclusions: Continuous feeding of head lice on a human host is a suitable approach to obtain head lice eggs for ovicidal testing. The method is simple and cheap, offers conditions similar to the natural habitat, and hatch rates are high. However, side effects on volunteers are considerable.

An ex vivo, assessor blind, randomised, parallel group, comparative efficacy trial of the ovicidal activity of three pediculicides after a single application - melaleuca oil and lavender oil, eucalyptus oil and lemon tea tree oil, and a "suffocation" pediculicide

“…However, as Sonnberg et al pointed out, the age of the eggs on the head at time of the test are not known and rearing conditions are not standardized [6]. It will be interesting to see whether or not the ovicidal efficacy differs between tests where the eggs are treated on the scalp [our study, 3,4,5,7 & 8] compared to tests where the eggs were grown ex vivo off the scalp by the continuous feeding method (ie in a Plexiglas receptacle attached to the wrist of volunteers) [6,9]. "League tables" of clinical efficacy for each country/region might be generated by these approaches.…”