From the Research
For pediatric parotitis, clindamycin is typically the best first-line antibiotic choice, as suggested by the most recent study 1. The recommended dosage is 10-30 mg/kg/day divided into three or four doses for 7-10 days. This antibiotic is preferred because it provides good coverage against the most common bacterial causes of parotitis, including Staphylococcus aureus and oral anaerobes. Some key points to consider when treating pediatric parotitis include:
- Ensuring adequate hydration and pain control with acetaminophen or ibuprofen
- Applying warm compresses to the affected area to reduce pain and swelling
- Monitoring for signs of abscess formation, which may require surgical drainage
- Confirming a bacterial etiology before starting antibiotic treatment, as viral parotitis will not respond to antibiotics Other antibiotics, such as amoxicillin-clavulanate, may also be effective, but clindamycin is a good alternative, especially in cases of penicillin allergy 1. It's also important to note that the management of pediatric parotitis may involve different approaches, including sialendoscopy, and that comorbidities such as atopy and excess weight may be associated with more severe cases 1. In general, the treatment of pediatric parotitis should be guided by the most recent and highest-quality evidence, and should prioritize the prevention of complications and the improvement of symptoms and quality of life 1.