Ventilator-Associated Pneumonia (VAP) in a Patient with Guillain-Barre Syndrome

Authors

  • Anti Dharmayanti Department of Clinical Pathology, Fatmawati Hospital, Jakarta, Indonesia
  • Dalima Astrawinata Department of Clinical Pathology, Faculty of Medicine, Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia

Keywords:

ventilator associated pneumonia (VAP), Guillain-Barre syndrome (GBS), Gyssen algorithm, oral hygiene

Abstract

A 46-year-old man was admitted to ICU with a diagnosis at the time of admission of Guillain Barre Syndrome (GBS) and sepsis due to suspected Ventilator-Associated Pneumoniae (VAP). Specimens for the following laboratory workup were inquired, i.e. complete blood count, culture and resistance workup using specimens obtained from the tip of suction pipe, urinalysis and urine culture, blood culture and resistance, procalcitonin and lactate levels. Neutrophilia was found along with increased procalcitonin and lactate levels, which supported the sepsis diagnosis. Moreover, the result of culture from suction pipe demonstrated colonies of Pseudomonas luteola MDRO, which might be originated from the oropharyngeal colonization of the patients due to poor oral hygiene and ineffective oral hygiene nursing; therefore, the colonies of the microorganism were swabbed away when obtaining the specimens. Ineffective oral hygiene nursing may have a potency to cause VAP and recurrent VAP.

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Published

2017-08-08

How to Cite

Dharmayanti, A., & Astrawinata, D. (2017). Ventilator-Associated Pneumonia (VAP) in a Patient with Guillain-Barre Syndrome. Acta Medica Indonesiana, 49(2), 151. Retrieved from http://www.actamedindones.org/index.php/ijim/article/view/505

Issue

Vol. 49 No. 2 (2017): Acta Medica Indonesiana

Section

CASE REPORT

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