VISUAL OBSERVATION OF PHLEBITIS TO IDENTIFY FACTORS CONTRIBUTING TO THE DEVELOPMENT OF PHLEBITIS AMONG ADULT INPATIENT IN HCG HOSPITALS

2021 ◽  
pp. 12-14
Author(s):  
Sampa Mandal ◽  
Amritanshu Ram ◽  
Jyothi Vidya ◽  
Punitharani Singh ◽  
Hrishi V ◽  
...  
Keyword(s):  
Venous Catheter ◽  
Clinical Problem ◽  
Cross Sectional Study ◽  
Visual Observation ◽  
Cross Sectional ◽  
Peripheral Venous Catheter ◽  
Hospitalization Period ◽  
Adult Inpatient ◽  
Indwelling Time ◽  
Night Shifts

Introduction: Peripheral intravenous catheters are used for administration of uid-electrolytes, blood and blood products, medications and parenteral nutrition. Phlebitis is the most common complication affects 75% of inpatients and is a signicant clinical problem. It negatively affects the comfort of the patient, the duration of catheter use, the hospitalization period, and treatment costs. The purpose of this study is to determine the effect of PVC duration on the development of phlebitis in infectious diseases Materials and methods: A descriptive cross-sectional study was done among 652 samples to determine the effect of peripheral venous catheter (PVC) duration on the development of phlebitis in HCG hospitals. Patients between 18-80 years of age, who were on IV parenteral therapy were included according to inclusion and exclusion criteria. Results: Development of phlebitis was observed more during night shifts (p=0.049) and it was due to the solution used for site preparation(p=0.003), material of the needle(p=0.002), indwelling time of the catheter (0.001). Further, the number of attempts made for IV insertion(p=0.001) was showing statistically signicant association with the development of phlebitis. Conclusion: The results suggest that it is very important to focus on the problems associated with the development of phlebitis especially taking care of patients during night shifts by restricting hand movements. Furthermore, it is also noted that by reducing the number of attempts while inserting IVcannulas can lower the complications related to IVcannulation.

scholarly journals The Biochemical parameters in venous blood sampling by direct venipuncture and peripheral intravenous catheter

2020 ◽  
Vol 6 (5) ◽  
Author(s):  
Fatemeh Jaafaraghaei ◽  
Monireh Aghajany-Nasab ◽  
Mahsa Aghaei ◽  
Nazila Javadi pashaki ◽  
Ehsan Kazemnejhad Leili
Keyword(s):  
Venous Blood ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Blood Sampling ◽  
Cross Sectional ◽  
Sodium Potassium ◽  
Blood Samples ◽  
Peripheral Venous Catheter ◽  
Peripheral Intravenous Catheter ◽  
Sodium And Potassium

Objective: The aim of this study was to compare the results of some biochemical values in venous blood samples obtained by direct venipuncture (DV) and peripheral venous catheter (PVC). Methods: In this cross-sectional study, 78 hospitalized patients in different wards of Poor-Sina Medical and Educational Center of Rasht in 2017 were divided into three equal groups, including patients who were treated with normal saline and dextrose saline and those who did not receive this solution. Two separate blood samples were obtained from each patient, one from PVC and the other from DV. The levels of sodium, potassium, creatinine and blood urea nitrogen (BUN) were measured and compared. Results: Difference of PVC with DV in BUN was generally 0.32±3.18 mg/dl; creatinine, sodium and potassium were 0.02±0.12 mg/dl, 1.00±2.49 mEq/L and 0.15±0.48 mEq/L respectively. There were no statistically significant differences between the two methods in relation to BUN and creatinine (P = 0.377 and P = 0.149, respectively), but significant differences in levels of sodium and potassium were observed between the two blood sampling methods (P = 0.001 and P = 0.008, respectively). Conclusion: According to the results of this study and other studies, PVC can be used to measure BUN and creatinine, not so for sodium and potassium. For other parameters, further investigation is needed.

Measurement of peripheral venous catheter-related phlebitis: a cross-sectional study

2017 ◽  
Vol 4 (9) ◽  
pp. e424-e430 ◽  
Author(s):  
Katarina Göransson ◽  
Ulrika Förberg ◽  
Eva Johansson ◽  
Maria Unbeck
Keyword(s):  
Venous Catheter ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Peripheral Venous Catheter

scholarly journals A cross-sectional study to compare two blood collection methods: direct venous puncture and peripheral venous catheter

BMJ Open ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. e004250 ◽  
Author(s):  
Nativitat Ortells-Abuye ◽  
Teresa Busquets-Puigdevall ◽  
Maribel Díaz-Bergara ◽  
Marta Paguina-Marcos ◽  
Inma Sánchez-Pérez
Keyword(s):  
Venous Catheter ◽  
Cross Sectional Study ◽  
Blood Collection ◽  
Sectional Study ◽  
Cross Sectional ◽  
Peripheral Venous Catheter ◽  
Venous Puncture ◽  
Collection Methods

scholarly journals ANALYSIS OF NURSING CARE TO USERS OF PERIPHERAL VENOUS ACCESS

2018 ◽  
Vol 4 ◽  
Author(s):  
Alana Oliveira Porto ◽  
Carla Bianca De Matos Leal ◽  
Dieslley Amorim De Souza ◽  
Jéssica Lane Pereira Santos
Keyword(s):  
Nursing Care ◽  
Venous Catheter ◽  
Venous Access ◽  
Cross Sectional Study ◽  
Surgical Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
Professional Identification ◽  
Peripheral Venous Catheter ◽  
Peripheral Venous Access

Objective: To analyze the nursing care provided to users of peripheral venous catheter. Method: Descriptive, cross-sectional study, performed at a mid-sized hospital situated in the high productive backcountry of Bahia, whose participants were surgical patients using peripheral venous catheters for more than 72 hours. Results: 103 patients were included; 15.5% of the bandages were dirty and/or wet, 40.8% had no date of insertion, 58.3% had no professional identification, 34.9% showed signs of infection, 50.4% did not have records on the chart and 33% presented bacterial growth. Conclusion: Nursing care to users of peripheral venous catheters has not been adequate, resulting in preventable complications when considering scientific recommendations for care with peripheral venous access.

scholarly journals Occupational conditions and the risk of the use of amphetamines by truck drivers

2015 ◽  
Vol 49 (0) ◽  
pp. 1-9 ◽  
Author(s):  
Lúcio Garcia de Oliveira ◽  
Letícia Maria de Araújo de Souza ◽  
Lúcia Pereira Barroso ◽  
Marcela Júlio César Gouvêa ◽  
Carlos Vinícius Dias de Almeida ◽  
...  
Keyword(s):  
Mental Health ◽  
Drug Use ◽  
Cross Sectional Study ◽  
Truck Drivers ◽  
Cross Sectional ◽  
Significance Level ◽  
Application Of Law ◽  
Amphetamine Use ◽  
Probabilistic Sample ◽  
Night Shifts

OBJECTIVE To test whether the occupational conditions of professional truck drivers are associated with amphetamine use after demographic characteristics and ones regarding mental health and drug use are controlled for.METHODS Cross-sectional study, with a non-probabilistic sample of 684 male truck drivers, which was collected in three highways in Sao Paulo between years 2012 and 2013. Demographic and occupational information was collected, as well as data on drug use and mental health (sleep quality, emotional stress, and psychiatric disorders). A logistic regression model was developed to identify factors associated with amphetamine use. Odds ratio (OR; 95%CI) was defined as the measure for association. The significance level was established as p < 0.05.RESULTS The studied sample was found to have an average age of 36.7 (SD = 7.8) years, as well as low education (8.6 [SD = 2.3] years); 29.0% of drivers reported having used amphetamines within the twelve months prior to their interviews. After demographic and occupational variables had been controlled for, the factors which indicated amphetamine use among truck drivers were the following: being younger than 38 years (OR = 3.69), having spent less than nine years at school (OR = 1.76), being autonomous (OR = 1.65), working night shifts or irregular schedules (OR = 2.05), working over 12 hours daily (OR = 2.14), and drinking alcohol (OR = 1.74).CONCLUSIONS Occupational aspects are closely related to amphetamine use among truck drivers, which reinforces the importance of closely following the application of law (Resting Act (“Lei do Descanso”); Law 12,619/2012) which regulates the workload and hours of those professionals. Our results show the need for increased strictness on the trade and prescription of amphetamines in Brazil.

scholarly journals Verbal abuse facing Saudi nurses during internship program

2021 ◽  
Vol 12 (3) ◽  
pp. 75
Author(s):  
Maram Banakhar ◽  
Maha Alzahrani ◽  
Amani Omar Essa ◽  
Asal Fathi Al-dhahry ◽  
Rahma Farooq Batwa ◽  
...  
Keyword(s):  
Workplace Violence ◽  
Negative Impact ◽  
Care Delivery ◽  
Cross Sectional Study ◽  
Verbal Abuse ◽  
Negative Consequences ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Staff Members ◽  
Night Shifts

Background: Verbal abuse, in the context of workplace violence, is increasing, with nurses at high liability of being subjected to it since they are the first line of care delivery. This phenomenon is now receiving greater recognition due to its negative impact on nurses. This study aims to assess the prevalence of verbal abuse faced by Saudi nursing intern students in Jeddah, Saudi Arabia.Methods: A cross-sectional study was conducted via a modified online questionnaire completed by Saudi intern nurses in Jeddah in March 2020. Descriptive statistical analysis was executed using statistical software SPSS Version 21.Results: From a total of 132 nurses, 94 participants met the study criteria. The findings show that 39.4% of Saudi intern nurses have experienced verbal abuse. The common perpetrators are patient/client (73%) and other staff members (73%), followed by patients’ relatives (45.9%). 48.6% of the participants did not report incidences of verbal abuse, commonly citing fear of the negative consequences (51.4%) and not knowing who to report it to (45.9%). A significant relation between working night shifts (6 pm to 7 am) and being verbally abused was found.Conclusions: Saudi nursing interns are vulnerable to verbal abuse. This study’s results highlight the possible risk to nursing interns, which may be diminished by modifying perceptions of verbal abuse and by clarifying the rules and regulations for both nursing interns and suspected perpetrators. We recommend future studies of verbal abuse are conducted in larger groups of nurses across different provinces in Saudi Arabia.

scholarly journals Correlation of Knowledge and Beliefs to Adherence with Antibiotic Use in Adult Patients at a Private Hospital in Sidoarjo

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Muhammad Hasan Wattiheluw ◽  
Fauna Herawati ◽  
Setiasih Setiasih ◽  
Rika Yulia
Keyword(s):  
Infectious Diseases ◽  
Antibiotic Therapy ◽  
Private Hospital ◽  
Antibiotic Use ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Knowledge And Beliefs ◽  
Study Results ◽  
Hospitalization Period

Infectious diseases are one of the top ten causes of death in the world. Antibiotic therapy is administered for infectious diseases, but if bacteria are exposed to antibiotics continuously, then the bacteria are able to adapt to the medication, thereby resulting in antibiotic resistance. This condition results in an increase in mortality, long hospitalization period, and increased cost of antibiotic therapy and health services. Adherence to using antibiotics may be influenced by knowledge and beliefs about them. This study aimed to understand correlation between knowledge and belief with adherence to antibiotic use at a private hospital in Sidoarjo. This cross-sectional study, the data collected in three months period, was conducted with a questionnaire for assessment knowledge and belief. A pill count method was applied for assessment adherence to using antibiotics prescribed by doctors. The study results show that knowledge of the respondents was adequate for 76 people (69.7%), belief was adequate for 74 people (67.9%), and adherence to antibiotic use for 79 people (72%). Regression analysis showed that the variable that significantly influenced the adherence of patients in using antibiotics was perceived threat (p-value = 0,029). Sex, age, education, income, occupation, and marital status have no contribution to antibiotic knowledge, belief, and adherence.

scholarly journals A Novel Objective Approach Towards Physicians' Knowledge and Practice Patterns to Optimize Central Venous Catheter Placement: A Cross-sectional Study

2020 ◽  
Keyword(s):  
Intensive Care ◽  
Central Venous Catheter ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Clinical Practices ◽  
Central Venous ◽  
Cross Sectional ◽  
Study Objective ◽  
Catheter Tip

Study objective: Central venous catheterization is an essential component of intensive care of critically ill patients, and proper positioning of the catheter is essential to prevent position-related complications. This study was conducted by using digital tape measurement to objectively assess clinician preferences for central venous catheter positioning based on specific position levels and landmarks on post-procedural chest radiographs. Design: A cross-sectional study using electronic questionnaire survey. Setting: Single academic teaching hospital participated in this study. Participants: The study enrolled 276 physicians from multiple clinical disciplines. Interventions: None. Measurements: A seven-level reference system labeled on a sample chest radiograph was used to identify the acceptable lower and upper limits and landmarks used to determine the optimal central venous catheter tip position as well as the pattern of clinical practices based on the specialty and level of experience of participants. Main results: Among the 276 respondents, the ratio of cumulative acceptance for the lower and upper catheter tip limit was 62% and 66.3% within a 4-cm range below or above the carina, respectively. Intensive care unit (ICU) physicians showed a greater tendency to choose a catheter tip 4 cm below and 6 cm above the carina (p = 0.004 and 0.002, respectively) as did experienced physicians (p = 0.007 and < 0.001, respectively). The commonest reason for catheter tip withdrawal was arrhythmia (50% of cases). Physicians in the ICU and experienced physicians were more concerned about the risk of cardiac perforation than other respondents (p < 0.001 and < 0.001, respectively). The carina was the most commonly used landmark in 71.7% of all physicians, although 50% of radiologists also used other landmarks. Conclusions: The acceptable limit of the catheter tip is 4 cm above and below the carina (-4 to +4), as determined on chest radiography, without a need for tip adjustment.

MO616GAIT SPEED AND BODY COMPOSITION IN HAEMODIALYSIS PATIENTS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Barbara Cancho Castellano ◽  
Cristina López Arnaldo ◽  
Jorge Alberto Rodriguez Sabillon ◽  
Rafael Aragón Lara ◽  
Álvaro Álvarez López ◽  
...  
Keyword(s):  
Body Composition ◽  
Linear Relationship ◽  
Phase Angle ◽  
Gait Speed ◽  
Cell Mass ◽  
Venous Catheter ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Physiological Capacity ◽  
Day Of The Week

Abstract Background and Aims Gait speed is a predictor of disability, mobility limitation and mortality. Buchner et al. the first to observe a non-linear relationship between leg strength and normal gait speed. This relationship was explained as small changes in physiological capacity. The objective of this study is to assess the relationship between gait speed and body composition in haemodialysis. Method Cross-sectional study in 40 subjects with CKD in hospital haemodialysis, 70.5±13.03 years, 62.5% male. 40% Diabetic Nephropathy, 10% Glomerulopathies, 7.5% Nephroangiosclerosis, 2.5% Chronic Tubule-Interstitial Nephropathies, 32.5% Unknown, 2.5% Others. 35% arteriovenous fistula, 10% arteriovenous graft, 55% central venous catheter. Haemodialysis type: 40% High Flux, 45% Online postdilutional Haemodiafiltration, 10% Acetate Free Biofiltration. Gait seed was measured on the middle day of the week, predialysis. Body composition was estimated by monofrecuency bioimpedance measurement (50 KHz) on the middle day of the week, posthemodiálisis. Statistical analysis was performed with SPSS 13.0. Results Average gait speed 0.6±0.38 m/s, median 0.65 (IQR 0.18) m/s, range (0, 1.23) m/s. The prevalence of a gait speed less than or equal to 0.8 m/s was 67.5%, while 32.5% of the patients presented a gait speed less than or equal to 0.8 m/s. Gait speed was lower among diabetics (0.77±0.3 vs 0.46±0.39, p=0.0074). A positive and significant correlation was observed between gait speed and phase angle. No correlation was observed between gait speed and body fat. A positive linear relationship or dependence was observed between gait speed and muscle mass and cell mass. In relation to body water, a negative linear relationship is observed with the EW/IW ratio. Table 1. Conclusion There is a dependent relationship between gait speed and diabetes in haemodialysis patients. The decrease of the phase angle, the increase of the ratio EW/IW changes with the decrease the cell mass index are inversely related to the gait speed in haemodialysis patients. These items and the gait speed, which provide information on the state of vulnerability of the patient, could be markers of frailty.

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