Parotitis medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
Overview
The mainstay of therapy for parotitis is antimicrobial therapy. Empiric antimicrobial therapy includes Vancomycin if Methicillin-resistant Staphylococcus aureus (MRSA) is suspected and either Nafcillin or Oxacillin if Methicillin-susceptible Staphylococcus aureus is suspected. The management of viral parotitis is largely supportive.
Medical Therapy
- Parotitis[1]
- 1. Causative pathogens
- Staphylococcus aureus
- Streptococcus pyogenes
- Mumps
- Aerobic gram-negative bacilli
- Enterovirus
- Influenza virus
Antimicrobial Regimen
- 2. Empiric antimicrobial therapy
- Preferred regimen (MSSA suspected): Nafcillin 2 g IV q4h OR Oxacillin 2 g IV q4h
- Preferred regimen (MRSA suspected): Vancomycin 1 g IV q12h
The treatment of viral parotitis is largely supportive.
References
- ↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.