Can Pubic Lice Spread Through Shared Laundry? the Risks - Dermatology

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Pubic lice clothing issues?


Recently, I discovered that I have pubic lice.
In the past, I washed my underwear together with my family's laundry in the washing machine.
What is the likelihood of transmitting it to my family members in this way, considering there was no direct contact?

Xiao Feng, 30~39 year old female. Ask Date: 2022/09/13

Dr. Wu Yuxin reply Dermatology


I cannot provide you with a definite probability, but there is indeed a risk of transmission to family members.

Reply Date: 2022/09/13

More Info


Pubic lice, also known as "crabs," are tiny parasitic insects that infest the coarse hair of the genital area. They can cause itching and discomfort, and they are primarily transmitted through direct skin-to-skin contact, particularly during sexual activity. However, many people wonder about the potential for transmission through shared laundry, such as washing underwear in the same washing machine.

To address your question, while it is theoretically possible for pubic lice to survive on clothing or bedding for a short period, the likelihood of transmission through shared laundry is quite low. Pubic lice do not live long off the human body; they typically survive for about 24 to 48 hours without a host. This means that if you wash your underwear and then someone else washes theirs shortly after, the chances of lice transferring from one person's clothing to another are minimal, especially if the clothing is washed in hot water and dried on a high heat setting. Heat is effective at killing lice and their eggs (nits).

However, it is important to note that if someone has pubic lice, it is advisable for them to wash all clothing, bedding, and towels that may have come into contact with the infested area. This includes items like undergarments, pajamas, and sheets. Washing these items in hot water and drying them on a high heat setting can help eliminate any lice or nits that may be present.

In terms of risk to family members, the primary concern remains direct contact. If you have not had direct skin-to-skin contact with others, the risk of spreading pubic lice through shared laundry is significantly reduced. However, if you are concerned about potential transmission, it is wise to take precautions, such as washing your clothing separately and ensuring that any shared items are cleaned thoroughly.

If you or someone in your household is diagnosed with pubic lice, it is essential to treat the infestation promptly. Over-the-counter treatments, such as topical insecticides specifically designed for lice, can be effective. Additionally, it is crucial to inform any sexual partners so they can also be treated if necessary.

In summary, while the risk of spreading pubic lice through shared laundry exists, it is relatively low compared to direct contact. Taking preventive measures, such as washing clothing and bedding thoroughly, can help mitigate any potential risk. If you have further concerns or questions about treatment and prevention, consulting with a healthcare provider can provide you with personalized advice and guidance.

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