Can Sharing Laundry Spread Pubic Lice Among Family Members? - Dermatology

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Should I wash clothes infested with pubic lice together with family members' clothes?


Before confirming the diagnosis of pediculosis, I washed clothes together with my family in the washing machine.
I would like to ask the doctor: Is it possible for the whole family to get infected this way? Does the entire family need treatment, and should I inform my family that I have symptoms?

A Feng, 30~39 year old female. Ask Date: 2022/09/11

Dr. Wu Yuxin reply Dermatology


Family members may be at risk of infection, so it is important to inform them.

Reply Date: 2022/09/11

More Info


Yes, sharing laundry can potentially spread pubic lice (Pthirus pubis) among family members, although it is not the most common mode of transmission. Pubic lice are primarily spread through close personal contact, particularly during sexual activity. However, they can also be transmitted through sharing personal items such as towels, bedding, and clothing, especially if these items have been in contact with infested areas.

When it comes to laundry, if you have pubic lice and your clothing or bedding has been in contact with them, there is a risk that the lice could survive on these items for a short period. Pubic lice can live for about 24 to 48 hours away from the human body, so if infested clothing is washed with family members' laundry, there is a possibility of transferring lice to others. However, the risk is significantly lower compared to direct skin-to-skin contact.

If you suspect that you have pubic lice, it is important to take the following steps:
1. Seek Treatment: Consult a healthcare provider for a proper diagnosis and treatment plan. Over-the-counter treatments, such as topical insecticides specifically designed for lice, are often effective.

2. Inform Family Members: It is advisable to inform family members about your condition. This transparency allows them to monitor for symptoms and seek treatment if necessary. Open communication can help prevent further spread and ensure that everyone takes appropriate precautions.

3. Wash Contaminated Items: Wash all clothing, bedding, and towels that may have come into contact with the infested area in hot water (at least 130°F or 54°C) and dry them on a hot cycle. Items that cannot be washed can be sealed in a plastic bag for at least two weeks to ensure any lice or eggs die off.

4. Avoid Close Contact: Until you have been treated and are free of lice, try to avoid close personal contact with family members to minimize the risk of transmission.

5. Check for Symptoms: Family members should check for symptoms of pubic lice, which include itching in the genital area, visible lice or eggs, and inflammation or irritation of the skin.

6. Follow Up: After treatment, it is important to follow up with your healthcare provider to ensure that the infestation has been successfully eradicated.

In conclusion, while sharing laundry can pose a risk for spreading pubic lice, the primary mode of transmission is through direct contact. Taking proactive measures, seeking treatment, and communicating with family members are essential steps in managing the situation effectively. Remember that lice infestations are common and treatable, and addressing the issue promptly can help prevent further spread within the household.

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