Effective Enteral Treatment of Antibiotic for Patient with Respiratory Failure and Septic Shock in the Intensive Care Unit

Maya sari, Wiwi Jaya, Arie Zainul Fatoni


Background: Pneumonia is a lung infection involving pulmonary alveoli caused by microbes, including bacteria, viruses, and fungi. It is a major infection that causes hospitalization and death worldwide and exacts an enormous cost in economic and human terms. The study to assess clinical outcomes for a critically ill patient treated with an enteral antibiotic for bacterial pneumonia is still limited.

Case: We reported a case of pneumonia from 68 years old patient that caused respiratory failure and septic shock in the intensive care unit treated by enteral antibiotic and had a good outcome.

Conclusion: Pneumonia can cause respiratory failure and septic conditions. Optimum antibiotic management is one of the methods to solve this problem. The benefit of utilizing enteral antibiotics is substantial and probably appropriate in certain patients.


pneumonia; septic; respiratory failur; enteral antibiotic

Full Text:



Fatoni, Arie Zainul; Jaya, Wiwi; Suwarman; Hariyanto, Hori; Tampubolon, Oloan E. Low-dose heparin for sepsis-associated disseminated intravascular coagulation and septic shock. Critical Care and Shock. 2020;23(5):260-265

Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB, Napolitano LM, O'Grady NP, Bartlett JG, CarratalĂ  J, El Solh AA, Ewig S, Fey PD, File TM Jr, Restrepo MI, Roberts JA, Waterer GW, Cruse P, Knight SL, Brozek JL. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clin Infect Dis. 2016;63(5):e61-e111. doi: 10.1093/cid/ciw353.

Levy MM, Evans LE, Rhodes A. The Surviving Sepsis Campaign Bundle: 2018 Update, Critical Care Medicine. 2018;46(6):997-1000. doi: 10.1097/CCM.0000000000003119

Brown GR. Cotrimoxazole - optimal dosing in the critically ill. Ann Intensive Care. 2014;4:13. doi:10.1186/2110-5820-4-13

Elofson KA, Forbes RC, Gerlach AT. Can enteral antibiotics be used to treat pneumonia in the surgical intensive care unit? A clinical outcomes and cost comparison. Int J Crit Illn Inj Sci. 2015;5(3):149-154. doi:10.4103/2229-5151.164922

Katzung, Betram G. Basic and Clinical Pharmacology.12th edition. New York. Mc Graw Hill. 2014 : 594-595

DOI: http://dx.doi.org/10.21776/ub.jap.2021.002.03.03


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.