Spectrum: Local Antimicrobial Stewardship, for Providence Health Care

Suppurative parotitis

Most likely pathogens

IV

Cloxacillin 2g IV q6h

Severe Penicillin Allergy

Vancomycin 25mg/kg IV loading dose x 1 dose followed by 15mg/kg IV with interval to be determined by vancomycin nomogram

View Vancomycin nomogram

Oral Stepdown

Cephalexin 500 mg PO QID

Severe Penicillin Allergy (Oral)

Doxycycline 100 mg PO BID

OR

Cotrimoxazole DS 2 tablets PO BID