Phlebitis Rate and Time Kinetics of Short Peripheral Intravenous Catheters

Grüne, Frank; Schrappe, Matthias; Basten, J.P. van; Wenchel, Hans-Martin; Tual, E; Stützer, H.

doi:10.1007/s15010-004-1037-4

Cited by 62 publications

(38 citation statements)

References 14 publications

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“…Essa incidência, apesar de ser maior que o padrão aceito de 5% pela INS americana, 21 encontra-se próxima àquelas identificadas (20,6% a 27%) em estudos prévios realizados com pacientes adultos. 10,22 A literatura aponta taxas bastante distintas que variam de 2,7% a 54,5%. 4,[7][8][9][10][11][12]23 Essa discrepância pode estar relacionada à dificuldade de padronizar o diagnóstico e às nuances relativas aos graus de flebite, que envolvem sinais como eritema, edema, endurecimento, cordão fibroso, que podem apresentar leituras diferentes aos olhos dos profissionais.…”

Section: Discussionunclassified

Associação entre flebite e retirada de cateteres intravenosos periféricos

Magerote¹,

Lima

Silva

et al. 2011

Texto contexto - enferm.

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RESUMO:Estudo de coorte prospectivo, com objetivo de verificar a incidência de flebite em pacientes com cateter intravenoso periférico e identificar possíveis associações dessa complicação com variáveis relativas a estes cateteres. Foram avaliados 76 pacientes adultos internados em enfermaria de um hospital universitário, utilizando-se de uma ficha contendo variáveis relativas aos pacientes, ao cateter intravenoso periférico e à terapia farmacológica. A flebite foi avaliada segundo classificação proposta pela Infusion Nurses Society. Utilizou-se estatística descritiva e inferencial. Observou-se incidência de 25,8% de flebite, das quais 40% apresentaram manifestações clínicas de dor, com eritema e ou edema. Dentre os pacientes com flebite, 60% desenvolveram um episódio da complicação, e o tempo de permanência médio dos cateteres intravenosos periféricos com flebite foi de 3,10 dias. Constatou-se associação da flebite à retirada do cateter intravenoso periférico por ocorrência adversa (p<0,001). São necessárias ações educativas e capacitação da equipe de enfermagem para o manejo da terapia intravenosa, principalmente no que tange à detecção precoce da flebite. RElaTION bETWEEN pHlEbITIS aNd pERIpHERal INTRavENOUSCaTHETER REMOval abSTRaCT: The objective of this prospective study is to verify the incidence of phlebitis among patients with peripheral intravenous catheters and to identify possible relations between this complication and catheter-related variables. Seventy-six adult patients hospitalized in a Brazilian university hospital were evaluated, using charts with patient-related variables, peripheral intravenous catheters, and pharmacological therapy. Phlebitis was evaluated based on Infusion Nurses Society proposed classification. Inferential and descriptive statistics have been used. We observed 25.8% incidence of phlebitis, from which 40% presented pain occurrences, with erythema and edema. Among patients with phlebitis, 60% developed a complication episode, and the average period of permanence of peripheral intravenous catheters with phlebitis was 3.10 days. We observed phlebitis associations to adverse occurrences during the removal of peripheral intravenous catheters (p<0.001). Educational actions and professional training for nursing personnel are necessary for dealing with intravenous therapy, mainly on what is related to early detection of phlebitis.dESCRIpTORS: Intravenous infusions. Phlebitis. Nursing. Nursing care. Peripheral catheterization. RElaCIÓN ENTRE la FlEbITIS Y la RETIRada dE CaTéTERES INTRavENOSOS pERIFéRICOSRESUMEN: Se trata de un estudio prospectivo para determinar la incidencia de flebitis en pacientes con catéter intravenoso periférico e identificar posibles asociaciones de esta complicación con las variables relacionadas con el catéter intravenoso periférico. Se evaluaron setenta y seis pacientes adultos hospitalizados en el sector de enfermería de un hospital universitario, mediante un formulario que contiene las variables relacionadas con los pacientes, el catéter intravenoso per...

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Section: Discussionunclassified

Associação entre flebite e retirada de cateteres intravenosos periféricos

Magerote¹,

Lima

Silva

et al. 2011

Texto contexto - enferm.

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“…2,12,13 One of the more common organisms associated with PIVC sepsis is Straphylococcusaureusbactaeremia (SAB). SAB is commonly a hospital-acquired infection that is often associated with indwelling medical devices such as PIVCs.…”

Section: Introductionmentioning

confidence: 99%

Utility of peripheral intravenous cannulae inserted in one tertiary referral emergency department: A medical record audit

Fry

Romero

Berry

2016

Australasian Emergency Nursing Journal

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Introduction:Peripheral intravenous cannulation is a common intervention performed within the Emergency Department by medical staff to assist in the delivery of care. However, previous studies have shown Emergency Department patients that have cannula device inserted are often not used. Across Australia, it is unclear the utility and frequency of use of peripheral intravenous cannulae within the emergency setting. Method: This is a random retrospective cohort study. Clinical information was retrieved from the Emergency Department Database, FirstNet and the paper medical record. Data from FirstNet included: patient demographic (age, gender) and clinical information (time of arrival, triage category, presenting problem, discharge diagnostic code, and disposition). Data from the patient medical record included: demographic (age, gender) and clinical information (Cannula usage and time of fluids, pharmacological agents, complications, pathology radiological investigations, other diagnostic uses). Results: Of the 357 randomised patients, 189 (52.9%) had 209 peripheral intravenous cannula inserted. Of these cannulae 186 (88.9%) were used within 72 hours. The majority of cannulae (70.4%; n=131) had more than one medical intervention. Conclusion:The majority of peripheral intravenous cannulae inserted during the Emergency Department visit were subsequently used for medical treatment. Further, the majority of devices were used for intravenous fluids and or medications and accessed for multiple interventions. For future audit purposes improved documentation of this procedure is needed.

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“…In Germany, a prospective cohort study found in 1,582 patients (2,495 PVC), average rates of phlebitis of 27% [14]. Another prospective observational study in Portugal with older adults (average age of 75.92 years old, SD=14.52) showed that in 1,244 catheters, the incidence of phlebitis was 11.09% [15].…”

Section: Discussionmentioning

confidence: 99%

Phlebitis predictors in cardiac patients undergoing peripheral intravenous therapy

Lima

Cunha²,

Loureiro³

et al. 2016

Int Arch Med

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Objective: To determine the incidence of phlebitis and its predictive factors in cardiac patients hospitalized in a coronary care unit.Method: this study is a prospective cohort, conducted with 60 adult cardiac patients using peripheral intravenous therapy, admitted to the hospital sector of the coronary unit from August to December 2012. The data were analyzed using BioEstat programs 5.0 and SPSS 20.0. Non-parametric data were analyzed using the chi-square test, Fisher exact test, and Mann-Whitney test. A p-value <0.05 was considered statistically significant. Results:The incidence of phlebitis was 12% about the proportionality of peripheral venous catheters (n=139). There were four variables identified as predictive factors for phlebitis, diabetes mellitus and dyslipidemia (p=0.02), hospitalization for three days and the number punches were over two (p<0.001). Conclusion:In this study, the phlebitis rate was twice greater than the established by the international standards. The cardiac patients with diabetes mellitus and dyslipidemia were 2.7 and 2.8 times the risk for phlebitis development than those who did not have these factors, respectively.

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Phlebitis Rate and Time Kinetics of Short Peripheral Intravenous Catheters

Abstract: Linear time kinetics of PIVC phlebitis do not support CDC recommendations for an elective PIVC change after 72 hours, provided daily monitoring of the insertion site occurs.

Cited by 62 publications

References 14 publications

Associação entre flebite e retirada de cateteres intravenosos periféricos

Associação entre flebite e retirada de cateteres intravenosos periféricos

Utility of peripheral intravenous cannulae inserted in one tertiary referral emergency department: A medical record audit

Phlebitis predictors in cardiac patients undergoing peripheral intravenous therapy

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