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===Bacterial Parotitis===
===Bacterial Parotitis===
*[[Antibiotic]] therapy is used to treat parotitis resulting from [[Staphylococcus aureus infection|Staphylococcus aureus infection]], depending on whether the strain is suspected to be methicillin-susceptible [[staphylococcus aureus]] (MSSA) or methicillin-resistant [[staphylococcus aureus]] (MRSA).<ref>{{cite book | last = Gilbert | first = David | title = The Sanford guide to antimicrobial therapy | publisher = Antimicrobial Therapy | location = Sperryville, Va | year = 2015 | isbn = 978-1930808843 }}</ref>
*[[Antibiotic]] therapy is used to treat parotitis resulting from [[Staphylococcus aureus infection|''Staphylococcus aureus infection'']], depending on whether the strain is suspected to be methicillin-susceptible [[staphylococcus aureus|''Staphylococcus aureus'']] (MSSA) or methicillin-resistant [[staphylococcus aureus|''Staphylococcus aureus'']] (MRSA).<ref>{{cite book | last = Gilbert | first = David | title = The Sanford guide to antimicrobial therapy | publisher = Antimicrobial Therapy | location = Sperryville, Va | year = 2015 | isbn = 978-1930808843 }}</ref>
**Preferred regimen (MSSA suspected): [[Nafcillin]] 2 g IV q4h {{or}} [[Oxacillin]] 2 g IV q4h  
**Preferred regimen (MSSA suspected): [[Nafcillin]] 2 g IV q4h {{or}} [[Oxacillin]] 2 g IV q4h  
**Preferred regimen (MRSA suspected): [[Vancomycin]] 1 g IV q12h
**Preferred regimen (MRSA suspected): [[Vancomycin]] 1 g IV q12h

Revision as of 15:03, 22 March 2016

Parotitis Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S. Faizan Sheraz, M.D. [2]

Overview

Parotitis therapy is primarily supportive and symptomatic. Common therapies include analgesics, such as paracetemol and diclofenac, and other measures to relieve pain, including heat massages and warm saltwater mouth rinses. Therapy that increases saliva flow is also used, including extra fluids and foods that stimulate saliva flow, including lemon drops and vitamin C lozenges. Other therapies are used to target the potential cause of the parotitis, including antiretroviral medication, antimicrobial therapy, anti-tuberculosis therapy, and sialendoscopy and parotid gland surgery.

Medical Therapy

Viral Parotitis[1]

Recurrent Parotitis[4]

In addition to supportive care, chronic recurrent parotitis treatment includes the following:

Bacterial Parotitis

References

  1. "Salivary gland infections: MedlinePlus Medical Encyclopedia".
  2. Gupta, R. K (2005). "Mumps and the UK epidemic 2005". BMJ. 330 (7500): 1132–1135. doi:10.1136/bmj.330.7500.1132. ISSN 0959-8138.
  3. Sujatha S, Rakesh N, Raghav N, Devaraju D, Shridevi G (2009). "Case report: Report of a rare case of juvenile recurrent parotitis and review of literature". Eur Arch Paediatr Dent. 10 Suppl 1: 31–4. PMID 19863896.
  4. 4.0 4.1 Wilson KF, Meier JD, Ward PD (2014). "Salivary gland disorders". Am Fam Physician. 89 (11): 882–8. PMID 25077394.
  5. Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
  6. Brook I (2003). "Acute bacterial suppurative parotitis: microbiology and management". J Craniofac Surg. 14 (1): 37–40. PMID 12544218.
  7. "CDC | TB | Treatment".

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