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This recommendation is largely based on the uk publication on the management of salivary gland tumours, which recommends referral to a rapid access neck lump clinic if there is suspected malignancy. Treatment should always be tailored to culture and sensitivity It is limited almost entirely to elderly, dehydrated, debilitated, and malnourished patients with poor oral hygiene.
Consider short term use of metronidazole suppositories if oral route not possible Recommended antibiotic therapy listed below is empiric Antimicrobial management group september 2021 review
Bmj best practice topics are updated on a rolling basis in line with developments in evidence and guidance
The peer reviewers listed here have reviewed the content at least once during the history of the topic Peer reviewer affiliations and disclosures pertain to the time of the review. Acute suppurative parotitis — acute bacterial infection, most commonly caused by staphylococcal aureus It may also be caused by atypical mycobacteria (for example, tuberculosis).
Acute bacterial parotitis al swelling of parotid gland with potential abscess formation It can be asso iated with poor dental hygiene, dental caries and dehydration Most cases of bacterial parotitis are in frail elderly patients with dehydration Patients with a persistent (>2 weeks) symptoms or unexplained parotid swelling or suspected parotid duct calculi should be referred to ent.
Key in the treatment of acute suppurative parotitis (asp) is rehydration (may require intravenous fluids) most cases of asp due to staphylococcal aureus, the first drug of choice should be an initial empirical treatment with an antistaphlylococcal penicillin e.g
Management salivary lumps that are persistent for 3 weeks should be referred to ent S), and an appropriate antibiotic Massaging the gland from the back of the mouth to the front fever or abscess formation should prompt immediate admission Management of mumps in children (see cks mumps)
Blood cultures should be taken, ideally before commencing antibiotic Parotitis is typically cause by staphylococcus aureus
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