Sandbox:Parotitis medical therapy
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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.
Overview
Medical Therapy
Viral Parotitis[1]
- Viral parotitis treatment is primarily symptomatic and supportive, including the following:[2]
- Analgesics:[3]
- Massaging the parotid gland with heat.
- Rinsing the mouth with warm salt water.
- Increasing saliva flow with extra fluids or foods that stimulate saliva flow:
- Lemon drops
- Vitamin C lozenges[4]
- Viral parotitis from HIV should also be treated with antiretroviral medication .
Recurrent Parotitis[4]
In addition to supportive care, chronic recurrent parotitis treatment includes the following:
- Sialendoscopy: Used to relieve parotitis in patients with parotid gland obstruction
- Surgical removal of the parotid gland if the cause is neoplasmic or symptomatic treatment does not work.
Bacterial Parotitis
- Antibiotic therapy is used to treat parotitis resulting from Staphylococcus aureus infection, depending on whether the strain is suspected to be methicillin-susceptible staphylococcus aureus (MSSA) or methicillin-resistant staphylococcus aureus (MRSA).[5]
- Preferred regimen (MSSA suspected): Nafcillin 2 g IV q4h OR Oxacillin 2 g IV q4h
- Preferred regimen (MRSA suspected): Vancomycin 1 g IV q12h
- If an abscess forms then surgical drainage will be required.[6]
- Parotitis from extrapulmonary tuberculosis will require anti-tuberculosis therapy:[7]
References
- ↑ "Salivary gland infections: MedlinePlus Medical Encyclopedia".
- ↑ 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.
- ↑ 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.
- ↑ 4.0 4.1 Wilson KF, Meier JD, Ward PD (2014). "Salivary gland disorders". Am Fam Physician. 89 (11): 882–8. PMID 25077394.
- ↑ Gilbert, David (2015). The Sanford guide to antimicrobial therapy. Sperryville, Va: Antimicrobial Therapy. ISBN 978-1930808843.
- ↑ Brook I (2003). "Acute bacterial suppurative parotitis: microbiology and management". J Craniofac Surg. 14 (1): 37–40. PMID 12544218.
- ↑ "CDC | TB | Treatment".