Parotitis medical therapy: Difference between revisions
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{{Parotitis}} | {{Parotitis}} | ||
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==Overview== | ==Overview== | ||
The treatment of [[viral]] parotitis is largely supportive. [[Bacterial]] parotitis is targeted toward [[gram positive]] and [[anaerobic]] organisms. 70% of those cultured are [[beta-lactamase]] producers so [[augmentin]] is recommended. Antistaphylococcal penicillins are also advocated. Some suggest the addition of [[metronidazole]] or [[clindamycin]]. Systemic symptoms or failure to improve in 48 hrs warrants IV therapy and consideration of additional coverage for GNR. [[Adjunctive]] therapy with warm compresses, mouth irrigation, administration of [[sialagogue]]s (lemon drops), and bimanual massage of the gland intraorrally and externally can be employed. | |||
The treatment of [[viral]] parotitis is largely supportive. [[Bacterial]] parotitis is targeted toward [[gram positive]] and [[anaerobic]] organisms. 70% of those cultured are [[beta-lactamase]] producers so [[ | |||
== References == | == References == | ||
{{Reflist}} | {{Reflist}} | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Oncology]] | [[Category:Oncology]] | ||
[[Category:Rheumatology]] | [[Category:Rheumatology]] | ||
Revision as of 15:32, 7 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
The treatment of viral parotitis is largely supportive. Bacterial parotitis is targeted toward gram positive and anaerobic organisms. 70% of those cultured are beta-lactamase producers so augmentin is recommended. Antistaphylococcal penicillins are also advocated. Some suggest the addition of metronidazole or clindamycin. Systemic symptoms or failure to improve in 48 hrs warrants IV therapy and consideration of additional coverage for GNR. Adjunctive therapy with warm compresses, mouth irrigation, administration of sialagogues (lemon drops), and bimanual massage of the gland intraorrally and externally can be employed.