The Incidence of Peripheral Intravenous Catheter Phlebitis and Risk Factors among Pediatric Patients

2020 ◽  
Vol 50 ◽  
pp. 89-93 ◽  
Author(s):  
Mohammad Suliman ◽  
Wafa Saleh ◽  
Hind Al-shiekh ◽  
Wafa Taan ◽  
Mohammed AlBashtawy
Keyword(s):  
Risk Factors ◽  
Pediatric Patients ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter

scholarly journals Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses’ knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Li-Sha Huang ◽  
Yan Huang ◽  
Juan Hu
Keyword(s):  
Pediatric Patients ◽  
Pass Rate ◽  
Attitude Score ◽  
Multivariate Linear Regression Analysis ◽  
Pediatric Nurses ◽  
Intravenous Catheter ◽  
Attitude And Practice ◽  
Peripheral Intravenous Catheter ◽  
Knowledge Attitude And Practice ◽  
Nurses Knowledge

Abstract Background Peripheral intravenous catheters (PIVCs) are the most widely used intravenous treatment tools for hospitalized patients. Compared to adult patients, PIVC fixation issues are more likely to occur in pediatric patients and can be more complex. However, research on PIVC fixation in pediatric patients is rare. This study aimed to investigate the pass rate for PIVC fixation in pediatric patients and the factors that influence pediatric nurses’ knowledge, attitude, and practice (KAP) concerning PIVC fixation. Methods An on-site investigation using a self-designed PIVC fixation standard inspection checklist for first insertion and routine maintenance in pediatric patients and a follow-up questionnaire survey investigating pediatric nurses’ KAP concerning PIVC fixation was conducted in a hospital in China between November 1 and December 31, 2019. Data were analyzed using SPSS 21.0. Results The pass rate for PIVC fixation in pediatric patients was 52.02%. The pediatric nurses’ knowledge, attitude and practice scores on PIVC fixation were 7.2 ± 1.36, 28.03 ± 2.42, and 31.73 ± 2.94, respectively. The multivariate linear regression analysis results show that department (where nurses are working in) and job position are the factors that influence knowledge score (B > 0, P < 0.05); department is also a factor that influences attitude score (B > 0, P < 0.05); and department and nursing hierarchy are the factors that influence practice score (B > 0, P < 0.05). Conclusion PIVC fixation in pediatric patients is affected by multiple factors. The level of pediatric nurses’ KAP on PIVC fixation needs to be improved. It is suggested that guidelines for PIVC fixation in pediatric patients be formulated and that training on PIVC fixation in pediatric patients be provided for pediatric nurses in an effort to raise the pass rate in terms of PIVC fixation in pediatric patients.

Nurse performed peripheral intravenous catheter first time insertion success in pediatric patients in Bhutan: An observational study

2018 ◽  
Vol 20 (2) ◽  
pp. 184-189 ◽  
Author(s):  
Jigme Choden ◽  
Peter J Carr ◽  
Aleisha R Brock ◽  
Adrian Esterman
Keyword(s):  
Skin Color ◽  
Pediatric Patients ◽  
Linear Models ◽  
National Sample ◽  
Intravenous Catheter ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Peripheral Intravenous Catheter ◽  
The Impact ◽  
First Time

Introduction: Peripheral intravenous catheter insertion is a clinical procedure commonly performed by nurses for pediatric patients in Bhutan. This study describes peripheral intravenous catheter first attempt success and factors associated with such insertions. Methods: A cross-sectional survey was conducted from October 2016 to March 2017, comprised of a national sample of the Bhutan pediatric patient population (0–12 years). We collected data on peripheral intravenous catheter first time insertion success rate of admitted pediatric patients, to identify predictors of a successful first time attempt. Clustered log binomial generalized linear models were used to obtain the prevalence of first time attempt success and predictors of success. Results: The prevalence rate of successful first time attempt adjusted for clustering was 64% (95% confidence interval: 51%–80%). Predictors of a successful first time attempt were older patient age, lighter skin color, the vein being visible with a tourniquet, and the left hand being used for insertion. A transilluminator was used in 52 patients, and the peripheral intravenous catheter was eventually successfully placed in 82% of the patients. Discussion: Our first time successful cannulation rate is substantially lower than that found in similar studies in other countries. Considering the impact a peripheral intravenous catheter has on patients’ clinical outcomes and cost implications, reducing the number of failed attempts should be of high importance. Better education and simulation, combined with the adoption of vessel locating technology, are required to improve insertion practice in Bhutan. This could lead to greater efficiency of the health facilities in Bhutan.

scholarly journals Risk factors for site complications of intravenous therapy in children and adolescents with cancer

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Luciano Marques dos Santos ◽  
Cleonara Sousa Gomes e Silva ◽  
Elis Souza Machado ◽  
André Henrique do Vale Almeida ◽  
Carlos Alberto Lima da Silva ◽  
...  
Keyword(s):  
Risk Factors ◽  
Data Collection ◽  
Children And Adolescents ◽  
Intravenous Therapy ◽  
Intravenous Catheter ◽  
Puncture Site ◽  
Record Data ◽  
Peripheral Intravenous Catheter ◽  
History Of

ABSTRACT Objectives: to analyze predictive factors for the incidence of complications related to peripheral venous catheters in children and adolescents with cancer. Methods: a longitudinal follow-up study, conducted at a pediatric oncology clinic unit of a hospital in Bahia, with 333 peripheral venous catheters inserted in 77 children and 26 adolescents. Data collection took place between April 2015 and December 2016 through direct observation of peripheral intravenous catheter insertion, medical record data collection and daily observation of the puncture site. Results: the incidence of complications was 18.6%. The modeling of the variables confirmed that the risk factors for complications in children/adolescents with cancer were: prolonged peripheral intravenous therapy (p=0.002), history of complications (p=0.000), non-irritating/vesicant medications (p=0.003) and vesicant solutions (p=0.000). Conclusions: the goal has been achieved. Results can contribute to the theoretical, practical and social context.

The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis

2019 ◽  
Vol 21 (3) ◽  
pp. 342-349 ◽  
Author(s):  
Luyu Lv ◽  
Jiaqian Zhang
Keyword(s):  
Risk Factors ◽  
Confidence Interval ◽  
Odds Ratio ◽  
Meta Analysis ◽  
Female Gender ◽  
Incidence Rates ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter ◽  
Meta Analyses ◽  
Intravenous Catheters

Introduction: Phlebitis is a common complication associated with the use of peripheral intravenous catheters. The aim of this study was to estimate the incidence of phlebitis with peripheral intravenous catheter use and to identify risk factors for phlebitis development. Method: Literature survey was conducted in electronic databases (CINAHL, Embase, Google Scholar, Ovid, and PubMed), and studies were included if they used peripheral intravenous catheter for therapeutic or volumetric infusion and reported phlebitis incidence rates. Random effects meta-analyses were performed to obtain overall and subgroup phlebitis incidence rates and odds ratio between males and females in phlebitis incidence. Results: Thirty-five studies were included (20,697 catheters used for 15,791 patients; age 57.1 years (95% confidence interval: 55.0, 59.2); 53.9% males (95% confidence interval: 42.3, 65.5)). Incidence of phlebitis was 30.7 per 100 catheters (95% confidence interval: 27.2, 34.2). Incidence of severe phlebitis was 3.6% (95% confidence interval: 2.7%, 4.6%). Incidence of phlebitis was higher in non-intervened (30% (95% confidence interval: 27%, 33%)) than in intervened (21% (95% confidence interval: 15%, 27%)) groups, and with Teflon (33% (95% confidence interval: 25%, 41%)) than Vialon (27% (95% confidence interval: 21%, 32%)) cannula use. Odds of developing phlebitis was significantly higher in females (odds ratio = 1.42 (95% confidence interval: 1.05, 1.93); p = 0.02). Longer dwelling time, antibiotics infusion, female gender, forearm insertion, infectious disease, and Teflon catheter are important risk factors for phlebitis development identified by the included studies. Conclusion: Incidence of phlebitis with the use of peripheral intravenous catheters during infusion is 31%. Severe phlebitis develops in 4% of all patients. Risk of phlebitis development can be reduced by adapting appropriate interventions.

scholarly journals Cateter periférico com sistema fechado de infusão: implementação de tecnologia

2019 ◽  
Vol 13 (5) ◽  
pp. 1208
Author(s):  
Jolline Lind ◽  
Mitzy Tannia Reichembach Danski ◽  
Luana Lenzi ◽  
Edivane Pedrolo ◽  
Alessandra Amaral Schwanke ◽  
...  
Keyword(s):  
Risk Factors ◽  
Female Gender ◽  
Intravenous Catheter ◽  
Chi Square ◽  
Local Complications ◽  
Factores De Riesgo ◽  
Peripheral Intravenous Catheter ◽  
Associated Risk Factors ◽  
Evidence Based Nursing ◽  
Infusion System

RESUMO Objetivo: estimar a incidência de complicações locais relacionadas ao uso do cateter intravenoso periférico com sistema fechado de infusão e identificar os fatores de risco associados. Método: trata-se de um estudo quantitativo, de coorte prospectivo, realizado com 90 adultos. Realizou-se a coleta mediante a observação diária do cateter. Utilizaram-se, nas análises estatísticas, os testes Qui-Quadrado, Exato de Fisher, Correção de Williams, Mann-Whitney e Risco Relativo. Apresentaram-se os resultados em forma de tabelas. Resultados: informa-se que a incidência de complicações locais foi de 55,6%, sendo 15 (16,7%) flebites, 12 (13,3%) trações, dez (11,1%) infiltrações, sete (7,8%) extravasamentos, cinco (5,6%) obstruções e uma (1,1%) infecção local. Têm-se como fatores de risco o sexo feminino (p=0,005), o tempo de internação (p=<0,001) e a infusão em bomba (p=0,014). Conclusão: acredita-se que a taxa de complicações locais foi alta e identificaram-se três fatores de risco relacionados ao uso do cateter intravenoso periférico com sistema fechado de infusão. Descritores: Cateterismo Periférico; Tecnologia Biomédica; Fatores de Risco; Enfermagem Baseada em Evidências; Adulto; Infusões Intravenosas. ABSTRACT Objective: to estimate the incidence of local complications related to the use of a peripheral intravenous catheter with a closed infusion system and to identify the associated risk factors. Method: this is a quantitative, prospective cohort study with 90 adults. The collection was performed by daily observation of the catheter. The Chi-Square, Fisher's exact, Williams's Correction, Mann-Whitney and Relative Risk tests were used in the statistical analyzes. Results were presented in the form of tables. Results: the incidence of local complications was 55.6%, with 15 (16.7%) phlebitis, 12 (13.3%) traction, ten (11.1%) infiltrations, seven (7, 8%) extravasations, five (5.6%) obstructions and one (1.1%) local infection. The risk factors were female gender (p = 0.005), hospitalization time (p = 0.001) and pump infusion (p = 0.014). Conclusion: it is believed that the rate of local complications was high and three risk factors related to the use of the peripheral intravenous catheter with closed infusion system were identified. Descriptors: Peripheral Catheterization; Biomedical Technology; Risk factors; Evidence-Based Nursing; Adult; Intravenous Infusions. RESUMEN Objetivo: estimar la incidencia de complicaciones locales relacionadas al uso del catéter intravenoso periférico con sistema cerrado de infusión e identificar los factores de riesgo asociados. Método: se trata de un estudio cuantitativo, de cohorte prospectivo, realizado con 90 adultos. Se realizó la recolección mediante la observación diaria del catéter. Se utilizaron, en los análisis estadísticos, las pruebas Chi-Cuadrado, Exacto de Fisher, Corrección de Williams, Mann-Whitney y Riesgo Relativo. Se presentaron los resultados en forma de tablas. Resultados: se informa que la incidencia de complicaciones locales fue 55,6%, de los cuales 15 (16.7%) flebitis, 12 (13,3%) tracciones, diez (11,1%) la infiltración, siete (7 8%) extravasaciones, cinco (5,6%) obstrucciones y una (1,1%) infección local. Se toman como factores de riesgo el sexo femenino (p = 0,005), el tiempo de internación (p = <0,001) y la infusión en bomba (p = 0,014). Conclusión: se cree que la tasa de complicaciones locales fue alta y se identificaron tres factores de riesgo relacionados al uso del catéter intravenoso periférico con sistema cerrado de infusión. Descritores: Cateterismo Periférico; Tecnología Biomédica; Factores de Riesgo; Enfermería Basada em la Evidencia; Adulto; Infusiones Intravenosas.

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