Suppurative parotitis
- Complications include parapharyngeal infection.
Usual Pathogens
S. aureus
Mixed oral anaerobes in setting of debilitation, dehydration, or poor oral hygiene
| Empiric Therapy | Dose |
Duration |
|---|---|---|
| Amoxicillin-clavulanate | 1.2g IV q8h | 7-10 days |
| If MRSA risk factors, add: | ||
| Vancomycin | 15mg/kg IV q12h | 7-10 days |
Amoxicillin allergy
| Empiric Therapy | Dose |
Duration |
|---|---|---|
| Cefuroxime | 1.5g IV q8h | 7-10 days |
| + | ||
| Metronidazole | 500mg IV q12h | |
| If MRSA risk factors, add: | ||
| Vancomycin | 15mg/kg IV q12h | 7-10 days |
Amoxicillin and cefuroxime allergy
| Empiric Therapy | Dose |
Duration |
|---|---|---|
| Levofloxacin | 750mg IV daily | 7-10 days |
| + | ||
| Metronidazole | 500mg IV q12h | |
| If MRSA risk factors, add: | ||
| Vancomycin | 15mg/kg IV q12h | 7-10 days |