Parotitis (bacterial)

Micro-organism

Staph. aureus

Duration

5 days

Mild to Moderate cases

Rehydration, analgesia and stimulation of saliva production recommended.

 

Moderate to Severe

If antibiotic required:

Oral Flucloxacillin 500mg 6 hourly

+  Oral Metronidazole 400mg 8 hourly if anaerobic infection suspected or poor dentition

 

If systemic signs of sepsis use

IV Flucloxacillin 2g 6 hourly

Penicillin allergy or MRSA

Oral Doxycycline 200mg once daily

+  Oral Metronidazole 400mg 8 hourly if anaerobic infection suspected or poor dentition