[The acute bacterial parotitis of the elderly]
1Département de gériatrie Réseau santé Valais, Centre hospitalier du Chablais, 1890 Saint-Maurice.
Revue Medicale Suisse
|December 2, 2009
Summary
Acute bacterial parotitis (ABP) in the elderly presents with painful swelling and poor prognosis. Improving oral hygiene, hydration, and reducing anticholinergic drugs may decrease ABP incidence in frail older adults.
Area of Science:
- Geriatrics
- Infectious Diseases
- Oral Medicine
Background:
- Acute bacterial parotitis (ABP) is a severe condition in the elderly, often indicating a poor prognosis.
- The condition manifests as sudden, painful swelling of the cheek and mandibular angle.
Purpose of the Study:
- To discuss eight observed cases of ABP in a geriatric clinic.
- To identify preventive strategies for ABP in elderly and frail individuals.
Main Methods:
- Case series review of eight elderly patients diagnosed with ABP.
- Clinical observation and analysis of contributing factors and outcomes.
Main Results:
- ABP in the elderly is associated with a very poor prognosis, frequently preceding death.
- Identified risk factors include poor oral hygiene, dental issues, dehydration, and anticholinergic medication use.
Conclusions:
- Maintaining good oral hygiene and dentition is crucial for preventing ABP in the elderly.
- Increasing fluid intake and minimizing anticholinergic drug use are recommended preventive measures for frail older adults.
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