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MUMPS

Mumps is a self-limited viral disease characterized by nonsuppurative swelling and tenderness of one or both parotid glands.
It commonly affects the children aged 2-12 years and very uncommon in <1 year of age.
It is caused by a single-stranded RNA virus classified under Paramyxoviridae family or mumps virus.
Transmission is through airborne droplets from respiratory secretion of infected persons.
Incubation period is typically 14-21 days.

Mumps Management

Management

Prevention

Mumps Vaccine

Available as a single-antigen preparation or combined w/ other vaccines [eg mumps & rubella (MMR), or also w/ varicella (MMRV)]
- Single-antigen is not routinely recommended
- Based on several studies, a single dose of MMR is 75-91% effective while vaccine effectiveness of 88% is seen w/ 2 doses
- MMRV is approved for use in healthy children 1-12 yrs of age

Single-antigen (MMR) is indicated for children ≥1 yr of age w/ low risk for mumps exposure
Second-dose MMR is indicated for children 4-6 yr of age at high risk for mumps exposure
Second dose should be given >1 mth after the 1st dose

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Probiotic supplements promote oral health in schoolboys

Jairia Dela Cruz, 12 Oct 2018

Short-term daily consumption or probiotic lozenges containing Lactobacillus rhamnosus GG (LGG) and Bifidobacterium lactis BB-12 confers benefits for gingival health, as well as reduces the plaque carriage of periodontal pathogens, in adolescent males, a study has shown.

General anaesthesia, epidural analgesia may improve postsurgical outcomes for paediatric tumours

Stephen Padilla, 31 Oct 2019

Intraoperative epidural analgesia, perioperative opioid and total dose of volatile agent appear to show some “clinically meaningful associations” with relapse-free survival (RFS) in children with solid organ tumour, particularly in paediatric sarcoma patients, according to a Singapore study. However, no statistically significant association exists between epidural use and an improved RFS.