Acute postsurgical suppurative parotitis: current prevalence at Hospital das Clínicas, São Paulo University Medical School

Author:

Belczak Sergio Quilici1,Cleva Roberto de1,Utiyama Edivaldo M.1,Cecconello Ivan1,Rasslan Samir1,Parreira José Gustavo2

Affiliation:

1. University of São Paulo Medical School, Brazil

2. Santa Casa de São Paulo, Brazil

Abstract

Postsurgical acute suppurative parotitis is a bacterial gland infection that occurs from a few days up to some weeks after abdominal surgical procedures. In this study, the authors analyze the prevalence of this complication in Hospital das Clínicas/São Paulo University Medical School by prospectively reviewing the charts of patients who underwent surgeries performed by the gastroenterological and general surgery staff from 1980 to 2005. Diagnosis of parotitis or sialoadenitis was analyzed. Sialolithiasis and chronic parotitis previous to hospitalization were exclusion criteria. In a total of 100,679 surgeries, 256 patients were diagnosed with parotitis or sialoadenitis. Nevertheless, only three cases of acute postsurgical suppurative parotitis associated with the surgery were identified giving an incidence of 0.0028%. All patients presented with risk factors such as malnutrition, immunosuppression, prolonged immobilization and dehydration. In the past, acute postsurgical suppurative parotitis was a relatively common complication after major abdominal surgeries. Its incidence decreased as a consequence of the improvement of perioperative antibiotic therapy and postoperative support. In spite of the current low incidence, we believe it is important to identify risks and diagnose as quick as possible, in order to introduce prompt and appropriate therapeutic measures and avoid potentially fatal complications with the evolution of the disease.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,General Medicine

Reference17 articles.

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3. Frequency and treatment of postoperative parotitis in the last 22 years at the surgical University Clinic Frankfurt on Main;BROMIG G.;Langenbecks Arch. Chir.,1968

4. Management of acute suppurative parotitis;FATTAHI T.T.;J. oral Maxillofac. Surg.,2002

5. Acute suppurative parotitis after surgery of the peritoneal cavity;KLEMENTOV A.V.;Vestn. Khir. Im. I I Grek.,1968

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