scholarly journals Duration of peripheral intravenous catheter use and development of phlebitis

2013 ◽  
Vol 53 (2) ◽  
pp. 117 ◽  
Author(s):  
Rita Andriyani ◽  
Hindra Irawan Satari ◽  
Pustika Amalia
Keyword(s):  
Child Health ◽  
Observational Study ◽  
Pediatric Patients ◽  
Catheter Removal ◽  
History Taking ◽  
Common Complication ◽  
Intravenous Catheter ◽  
Peripheral Intravenous Catheter ◽  
Intravenous Catheters

Background Phlebitis is a common complication in patients withperipheral intravenous catheters, in addition to extravasation andbacterial colonization. Phlebitis may increase morbidity and lengthof hospitalization. One factor contributing to the rate of phlebitis isthe duration of peripheral intravenous catheter use. Several adultstudies have shown that the risk of developing phlebitis increasedwhen the peripheral intravenous catheter was used for more than72 hours. However, in pediatric patients this risk has not beenconsistently observed. As such, there is no recommendation forroutine catheter removal every 72 hours in children.Objective To assess for a possible relationship between durationof peripheral intravenous catheter use and the development ofphlebitis.Methods This analytic observational study had a case controldesign. Subjects consisted of 73 case subjects and 73 controlsubjects. We collected subj ects' data through history-taking andclinical examinations. The duration of peripheral intravenouscatheter use was reported in hours.Results From October 2011 to February 2012, 146 children fromthe Department of Child Health at Dr. Cipto MangunkusumoHosp ital and Tangerang Hospital who used peripheral intravenouscatheters were enrolled in this study. There was no significantdifference between <7 2-hour and 2: 72-hour duration ofperipheral catheter use (OR 1.31; 95%CI 0.687 to 2.526;P= 0.407) on the development of phlebitis.Conclusion We observe no relationship between duration ofperipheral intravenous catheter use and the development ofphlebitis in our subjects.

scholarly journals Mothers’ knowledge regarding peripheral intravenous catheter caring and complications among pediatric patients: A cross-sectional study

2021 ◽  
Vol 11 (12) ◽  
pp. 31
Author(s):  
Rania Jaber ◽  
Huda Shaweesh ◽  
Alaa A. Zarqa ◽  
Othman A. Alfuqaha
Keyword(s):  
Pediatric Patients ◽  
Hospital Admissions ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Intravenous Catheter ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Peripheral Intravenous Catheter ◽  
Cross Sectional Design ◽  
Intravenous Catheters

Objective: Pediatric patients are considered at risk for Peripheral intravenous catheters (PIVCs) complications more than adults. This study aimed to assess the level of mothers’ knowledge of PIVC maintenance, caring, and complications among pediatric patients. It was also aimed to investigate the association between maintenance and complication knowledge of PIVC. Furthermore, demographic factors were investigated to assess associations on mothers’ knowledge of PIVC.Methods: The study adopted a cross-sectional design. This study was performed on a convenience sample of 193 mothers from a tertiary hospital in Jordan in 2020.Results: Mothers’ knowledge regarding complications was higher than their knowledge of maintenance and caring of PIVC. Mothers’ knowledge toward caring for PIVC was positively correlated with their knowledge about PIVC complications. Mothers’ age and the number of hospital admissions were found to be significantly associated with the level of maintenance and caring knowledge of PIVC but not with complication knowledge of PIVC. The higher the educational level of a mother the less prone she is to complications of PIVC in pediatric patients.Conclusions: It is recommended that health professionals working in pediatric engage mothers in educational sessions to improve maintenance, care, and to prevent complications of PIVC among pediatric patients.

scholarly journals Peripheral Intravenous Catheter Placement Is an Underrecognized Source of Staphylococcus aureus Bloodstream Infection

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Eloise D. Austin ◽  
Sean B. Sullivan ◽  
Susan Whittier ◽  
Franklin D. Lowy ◽  
Anne-Catrin Uhlemann
Keyword(s):  
Staphylococcus Aureus ◽  
Bloodstream Infection ◽  
Catheter Placement ◽  
Intravenous Catheter ◽  
Staphylococcus Aureus Bacteremia ◽  
Peripheral Intravenous Catheter ◽  
Life Threatening ◽  
Staphylococcus Aureus Bloodstream Infection ◽  
Life Threatening Complication ◽  
Intravenous Catheters

Abstract Few studies have focused on the risks of peripheral intravenous catheters (PIVs) as sources for Staphylococcus aureus bacteremia (SAB), a life-threatening complication. We identified 34 PIV-related infections (7.6%) in a cohort of 445 patients with SAB. Peripheral intravenous catheter-related SAB was associated with significantly longer bacteremia duration and thrombophlebitis at old PIV sites rather than current PIVs.

scholarly journals Routine Replacement versus Clinical Monitoring of Peripheral Intravenous Catheters in a Regional Hospital in the Home Program A Randomized Controlled Trial

2009 ◽  
Vol 30 (9) ◽  
pp. 915-917 ◽  
Author(s):  
Patricia Van Donk ◽  
Claire M. Rickard ◽  
Matthew R. McGrail ◽  
Glenn Doolan
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Bloodstream Infections ◽  
Clinical Indication ◽  
Intravenous Catheter ◽  
Home Setting ◽  
Home Program ◽  
Randomized Controlled ◽  
Peripheral Intravenous Catheter ◽  
Intravenous Catheters

This randomized, controlled trial involving 316 patients in the home setting found no difference in the rate of phlebitis and/or occlusion among patients for whom a peripheral intravenous catheter was routinely resited at 72-96 hours and those for whom it was replaced only on clinical indication (76.8 events per 1,000 device-days vs 87.3 events per 1,000 device-days; P = .71). There were no bloodstream infections.

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.

The AccuCath Intravenous Catheter System With Retractable Coiled Tip Guidewire and Conventional Peripheral Intravenous Catheters: A Prospective, Randomized, Controlled Comparison

2014 ◽  
Vol 19 (2) ◽  
pp. 94-102 ◽  
Author(s):  
Bette K. Idemoto ◽  
James R. Rowbottom ◽  
James D. Reynolds ◽  
Ronald L. Hickman
Keyword(s):  
Patient Satisfaction ◽  
User Satisfaction ◽  
Dwell Time ◽  
Adult Patients ◽  
Background Current ◽  
Intravenous Catheter ◽  
Randomized Controlled ◽  
Catheter System ◽  
Peripheral Intravenous Catheter ◽  
Intravenous Catheters

Abstract Background: Current peripheral intravenous catheter (PIV) first attempt success averages 47%, complications 47%, and dwell time 44 hours. Multiple intravenous (IV) access lines requiring replacement during each admission result in poor satisfaction and unnecessary costs. With 2011 Infusion Nursing Society standards allowing IV lines to dwell until complication, there is incentive to explore improvement opportunities. Purpose: A new, proprietary coiled tip guidewire PIV was compared with conventional IV catheters in adult patients. The experimental IV catheter was projected to have a higher rate of successful placement on first attempt, fewer complications, longer dwell times, higher completion of therapy, higher user satisfaction, and lower overall costs than conventional catheters. Methods: Adult patients requiring nonemergent IV catheters provided consent and were enrolled and randomized. The study, conducted over 4 months, included 248 patients (experimental IV group n =123, conventional IV group n =125). Results: Experimental IV first attempt success was 89% compared with 47% for the conventional catheter. Fifty percent of conventional IV placements required a second attempt. Experimental IV complications occurred 8% of the time and complications occurred with the conventional catheter 52% of the time. Completion of therapy was 89% with the experimental IV versus 34% with the conventional IV (P &lt; .001). Dwell time improved with the experimental IV (mean 4.4 days [105 hours] vs conventional IV at 1.5 days [35 hours]) (P &lt; .001). Overall patient satisfaction using a 5-point Likert scale scored an average of 4.5 with the experimental IV compared with the conventional IV, which scored 3. Conclusions: A new, proprietary coiled tip guidewire-delivered PIV demonstrated clear superiority over the conventional catheter in our study. Clinical outcome results showed statistically significant improvements in first attempt success, complications, completion of therapy, dwell time, and overall patient satisfaction.

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