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Nosocomial parotitis

A Lundgren, P Kylén, L M Odkvist

    Acta Oto-Laryngologica
    |September 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Severe primary illness and poor oral hygiene contribute to acute suppurative parotitis in elderly patients. Prompt treatment with antibiotics and incision is crucial, alongside emphasizing prophylaxis for this nosocomial infection.

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    Area of Science:

    • Infectious Diseases
    • Otolaryngology
    • Critical Care Medicine

    Background:

    • Acute suppurative parotitis is a serious infection, often occurring in elderly patients with comorbidities.
    • Salivary gland hyposecretion, dehydration, and poor oral hygiene are significant risk factors.
    • Nosocomial infections are a growing concern in healthcare settings.

    Purpose of the Study:

    • To review cases of acute suppurative parotitis and identify causative factors.
    • To evaluate treatment strategies and outcomes.
    • To propose the term 'nosocomial parotitis' to highlight preventive measures.

    Main Methods:

    • Retrospective review of 22 cases of acute suppurative parotitis.
    • Analysis of patient demographics, primary diseases, and risk factors.

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  • Evaluation of treatment regimens and mortality rates.

    • Main Results:

    • Causative factors included severe primary disease, dehydration, and medications in 19 patients.
    • Poor oral hygiene facilitated staphylococcal infections.
    • The mortality rate was 27%.

    Conclusions:

    • Acute suppurative parotitis is often linked to severe illness and poor oral hygiene in the elderly.
    • Effective treatment involves antibiotics (e.g., cloxacillin) and surgical incision.
    • Prophylaxis and recognition as a 'nosocomial parotitis' are essential for prevention.