A segurança do paciente no contexto das flebites notificadas em um hospital universitário

Pereira, Mariana Santana Rosário; Cunha, Viviane Viana de Oliveira; Borghardt, Andressa Tomazini; Lima, Eliane de Fátima Almeida; Santos, Tayana Fátima Ferreira; Portugal, Flávia Batista

doi:10.17058/reci.v9i2.12099

Cited by 4 publications

(6 citation statements)

References 20 publications

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“…An association was observed with the study ( 9 ) that demonstrated that the administration of Amoxicillin-Potassium Clavulanate resulted in greater potential for the development of phlebitis. It should be noted that the fact that Amoxicillin-Potassium Clavulanate presented a pH between 8.0 and 10 may have increased the risk for the occurrence of chemical phlebitis ( 22 , 25 ) . Other authors state that antibiotics with similar characteristics were considered a risk factor for the development of this event ( 3 , 9 , 12 , 25 ) .…”

Section: Discussionmentioning

confidence: 99%

“…It should be noted that the fact that Amoxicillin-Potassium Clavulanate presented a pH between 8.0 and 10 may have increased the risk for the occurrence of chemical phlebitis ( 22 , 25 ) . Other authors state that antibiotics with similar characteristics were considered a risk factor for the development of this event ( 3 , 9 , 12 , 25 ) .…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for peripheral intravenous catheter-related phlebitis in adult patients

Simões

Vendramim

Peterlini

2022

Rev. esc. enferm. USP

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Objective: To identify risk factors for peripheral intravenous catheter-related phlebitis in adult patients. Method: This is a post hoc analysis of a randomized clinical trial, totaling 1,319 patients. Demographic and clinical variables related to therapy and phlebitis were investigated. For data analysis, frequencies, measures of central tendency and dispersion were calculated, and Pearson’s chi-square test and Fisher’s exact test were used, with logistic regression, ROC curve, and Odds Ratio calculation (95% confidence interval; 5% significance level) being implemented. Results: Of the 1,319 participants, 80 (6.1%) developed phlebitis. The following were associated with the occurrence of phlebitis: reduced mobility (p = 0.015), family history of deep vein thrombosis (p = 0.05), catheterization of veins on the back of the hand (p = 0.012), pain (p < 0.01), Amoxicillin-Potassium Clavulanate (p = 0.015), and Omeprazole Sodium (p = 0.029). Conclusion: Risk factors for phlebitis involved intrinsic and extrinsic factors to the patient, indicating preventive nursing interventions such as promoting patient mobility, not catheterizing veins in the dorsal arch of the hand, cautious infusion of risk drugs, and valuing pain complaints.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors for peripheral intravenous catheter-related phlebitis in adult patients

Simões

Vendramim

Peterlini

2022

Rev. esc. enferm. USP

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“…Guiding patients and family members on signs and symptoms of phlebitis, during infusion and post-infusion after extraction of PVC [2,31]. Educating patients on the fact that ensuring proper care of PVC helps reduce risk of infection [17].…”

mentioning

confidence: 99%

“…Previously identifying comorbidities such as diabetes mellitus due to the changes in the circulatory system caused by this disease [31].…”

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confidence: 99%

Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective

et al. 2021

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The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal.

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“…Estudo observacional retrospectivo, realizado em unidades de internação de pacientes adultos, ressalta o momento da ocorrência de flebites com prevalência da administração dos antibióticos (46,1%), antieméticos (25%) e analgésicos não opioides (20%) na terapia intravenosa periférica. 21 Pesquisa observacional apresenta similaridade com a presente investigação quanto ao uso de medicamentos na terapia por hipodermóclise, sendo os analgésicos e antibioticoterápicos os mais prevalentes (ambos com 30%), e as medicações mais empregadas nos pacientes em uso de hipodermóclise foram a dipirona, morfina, ondansetrona e dexametasona, respectivamente. 17 Ainda, outra investigação observacional prospectiva encontrou como medicamentos mais infundidos na hipodermóclise a morfina, a dipirona e a escopolamina.…”

Section: Discussionunclassified

Análise do uso de medicamentos por via intravenosa periférica e hipodermóclise em pessoas idosas hospitalizadas

Silva,

Machado,

Furini

et al. 2024

Rev Enferm UFSM

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Objetivo: investigar prevalência e complicações do uso de medicamentos por via intravenosa e por hipodermóclise em pessoas idosas hospitalizadas. Método: estudo transversal, realizado em hospital de Porto Alegre com amostra de 202 pacientes ≥ 60 anos; terapia intravenosa em período superior a 48 horas de punção e/ou hipodermóclise, com prescrição medicamentosa compatível pelas duas vias. Na coleta utilizou-se um instrumento com variáveis sociodemográficas, clínicas e relacionadas à terapia. A análise foi estatística descritiva e inferencial. Resultados: predomínio do uso de medicamentos por via intravenosa (95,5%), mediana de três medicamentos. As complicações foram apenas da terapia intravenosa, sendo a flebite grau II mais prevalente (54,3%) e infiltração grau I em 1% dos casos. Conclusão: a hipodermóclise, apesar de ser uma via segura, ainda é pouco utilizada na prática clínica. Houve alta prevalência do uso da via intravenosa, apesar de que os medicamentos utilizados também poderiam ser administrados por hipodermóclise.

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A segurança do paciente no contexto das flebites notificadas em um hospital universitário

Cited by 4 publications

References 20 publications

Risk factors for peripheral intravenous catheter-related phlebitis in adult patients

Risk factors for peripheral intravenous catheter-related phlebitis in adult patients

Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective

Análise do uso de medicamentos por via intravenosa periférica e hipodermóclise em pessoas idosas hospitalizadas

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