Case report: a new method for treatment of permethrin - resistant head lice

Benzoate Derivatives Toxicity to Musca domestica Results in Severe Muscle Relaxation and Body Distortion

The house fly, Musca domestica (Linnaeus) (Diptera: Muscidae), is a significant threat to human and animal health and is also resistant to a variety of insecticides. Plant-derived benzoates are known to have insecticidal activities against various insects. In this study, the larvicidal, pupicidal, and adulticidal activities of benzoate derivatives (benzyl alcohol BA, benzyl benzoate BB, and methyl benzoate MB) were assessed and investigated for their effects on larval structure and acetylcholinesterase activity. Six concentrations (2.5 to 100 mg/mL) of benzoate derivatives were applied to larvae and pupae through the residual film method and topical application, respectively. Meanwhile, concentrations from 0.625 to 50 mg/L air were applied to adult flies through a fumigation assay. BA and MB achieved promising results against larvae with LC50 values of 10.90 and 11.53 mg/mL, respectively. Moreover, BA killed 100% of the larvae at a concentration of 25 mg/mL, and MB achieved the same effect at a concentration of 50 mg/mL. Regarding the pupicidal activity, MB showed a percentage inhibition rate (PIR) of 100% at a concentration of 100 mg/mL, while the same effect was achieved by BA at a concentration of 50 mg/mL. Meanwhile, BB did not show any effect on the larvae or pupae at any of the tested concentrations. Moreover, the scanning microscopy observations on the treated larvae by BA and MB estimated flaccid and deformity in the larva body with a shrunken cuticle. Additionally, both BA and MB suppress nerve signal transmission by inhibiting acetylcholinesterase. In conclusion, the results of this study indicate that BA and MB may be useful in control housefly populations. These substances cause severe muscular relaxation and deformities in insects.

Physically Acting Treatments for Head Lice—Can We Still Claim They Are ‘Resistance Proof’?

Head lice worldwide have developed resistance to insecticides, prompting the introduction of a range of alternative treatments including plant extracts and natural and synthetic oils. Clinical studies of physically acting treatments showed them to be highly effective when first introduced, and a widely held, but unsubstantiated, belief is that lice are unlikely to develop resistance to them. However, this ignores possibilities for natural selection of traits enabling lice to survive exposure. More recent investigations of some physically acting products have shown reduced efficacy, suggesting either changes of behavior, physical structure, or physiology of some louse populations. In addition, the activity of surfactants and similar compounds, acting as solubilizing agents of insect cuticular lipids, can be compromised by the widespread use of toiletry products containing similar substances. Hitherto, most clinical investigations have provided “best case” data resulting from investigator application of treatments. In the few studies involving participant application, the effectiveness was reduced, suggesting that consumer use allows some insects to survive, which could then be selected for tolerance. Unlike neurotoxic insecticides, there is no straightforward method to test for the activity of physically acting chemicals other than by clinical investigations, which need to be rigorous to eliminate poorly effective products as a way of ensuring the continued effectiveness of those treatments that are successful in eliminating infestation.

Ovicidal effect of essential oils from Zingiberaceae plants and Eucalytus globulus on eggs of head lice, Pediculus humanus capitis De Geer

BACKGROUND

Head lice infestation is an important public health problem worldwide. Chemical pediculicides have lost their efficacy because lice have developed resistance to them. Therefore, alternative pediculicides such as essential oils and herbal products have been proposed for treating head lice infestation.

STUDY DESIGN

To determine the efficacy of essential oils from three Zingiberaceae plants (Curcuma xanthorrhiza, Curcuma zedoaria and Zingiber zerumbet) against head lice eggs and to investigate an augmenting substance (Eucalyptus globulus EO) for improving the efficacy of these essential oils in killing head lice eggs, especially on the inhibition of their hatching process. Permethrin pediculicide, soyabean oil, and drinking water were used as positive, negative, and neutral controls, respectively.

METHODS

An immersion test was used to evaluate the ovicidal activity of 12 essential oil formulations. Head lice eggs were immersed for 1, 5 and 10 min in the treatments. Mortality rate was observed on day 7 and day 14; mortality was checked under a stereomicroscope.

RESULTS

All head lice eggs that were immersed in a combination of 10% C. zedoaria EO and 10% E. globulus EO for 5 min did not hatch at all for 7-14 days of incubation. All head lice eggs that were immersed in soyabean oil and drinking water for 1, 5, and 10 min showed 100% hatching rate in 7-14 days of incubation. All head lice eggs that were immersed in permethrin pediculicide for 1, 5 min, showed 100% hatching rate, but when they were immersed for 10 min, permethrin provided 4.0-6.0% inhibition rate with 94.0-96.0% hatching rate for 7-14 days of incubation. All combinations of Zingiberaceae EOs and E. globulus EO at low and high concentrations (5 and 10%) exhibited high ovicidal activities against head lice eggs, and the combinations showed a synergistic effect with an increase in the inhibition rate of more than 50%.

CONCLUSION

These results demonstrated that Zingiberaceae EOs augmented with E. globulus EO are promising ovicidal agents for head lice control.