Prevalence of head lice infestation and its associated factors in primary school students in Shiraz City, Fars Province, Iran.

In contrast, itching emerged as a highly significant clinical marker, with infestation observed in 30% of children reporting pruritus compared to only 9% in those without symptoms ( P < 0.05).

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Finally, although medication use was associated with a higher prevalence, this association did not reach statistical significance.

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