Disease condition

MUMPS (EPIDEMIC PAROTITIS)

Written by Author

MUMPS (EPIDEMIC PAROTITIS),Definition, sign & symptoms and management.

DEFINITION: An acute infectious disease caused by a virus affecting the glandular and nervous tissues.

It also passes from 1 person to another through saliva, nasal secretions, close personal contact.

CAUSATIVE AGENT: causative agent is myxovirus parotiditis, a RNA virus.

PERIOD OF COMMUNICABILITY: it is usually 4 to 6 days  before the onset of clinical symptoms with salivary gland swelling and a week thereafter or more.

MODE OF TRANSMISSION: droplet infection and direct contact with infected person.

Saliva, fomites and air borne  droplets spread the disease.

INCUBATION PERIOD: it is generally for 18 days with a range from 2 to 4 weeks.

PATHOLOGY:

Virus enters through nose or mouth

Proliferates in parotid glands and respiratory mucosa

Viremia  and Swelling of gland

CLINICAL MANIFESTATION:

It is manifested as generalized viral infection.

  • Fever
  • Headache
  • Nausea
  • Malaise
  • loss of appetite
  • Myalgia
  • Puffy cheek
  • anorexia
  • sore throat
  • earache and pain behind the ear  on chewing and swallowing within 24 hours of onset
  • tenderness and swelling of parotid glands are found within 1 to 3 days

RISK FACTORS FOR CONTRACTING MUMPS

  1. Failure to vaccinate
  2. Weak immunity
  3. Age: a child between the age group of 2-12 years.
  4. Season: winter or spring seasons.
  5. Traveling to high-risk regions

INVESTIGATION:

  • clinical examination for tender swelling of the parotid gland
  •  History collection.
  • On examining the mouth, swelling of glands if present or not?
  • Complement fixation test
  • CSF study and blood count

 MANAGEMENT:

  • MMR vaccine
www.nurseji.com
  • There is no specific treatment for mumps
  • The management includes administering antipyretics and analgesics to treat fever and pain.
  • Steroids are administered to relieve pain and swelling in case of orchitis.
  • Bed rest and local support to be provided to the child
  • Warm saline mouth wash and liquid diet is needed in the difficulty of chewing

NURSING MANAGEMENT:

  • Use droplet precautions for hospitalization.
  • Avoid exposure to immunocompromised individuals
  • Keep children out of daycare until all symptoms subside.
  •  Encourage diversional activities
  • Give non-aspirin analgesics and antipyretics to control fever and pain.
  • Talking may be painful. Provide a bell or other attention-getting device
  • Apply warm or cool compresses to the parotid area.
  • Be alert for signs of complications.

COMPLICATIONS:

  • Meningitis
  • Encephalitis
  • Orchitis
  • Deafness
  • Guillane barre syndrome
  • Arthritis

HOME REMEDIES:

  • Drink aloe vera juice
  • Use ginger due to its antiviral as well as anti-inflammatory properties
  • Consume soft and semi-solid food
  • Rich source of the vitamin must be taken in the diet
  • Consuming carrot juice with pineapple and grape is effective
  • Garlic gives pain relief

About the author

Author

Leave a Comment

Copyright © 2022. NurseJi All Right Reserved