Risk factor for phlebitis: a questionnaire study of nurses' perception

Abstract

Objectives: to assess nurses' perceptions of risk factors for the development of phlebitis, with a special focus on the perception of phlebitic potentials of some infusion medications and solutions. Method: a cross-sectional questionnaire study, which included a sample of 102 nurses. Results: Nurses recognized some factors that may reduce the incidence of phlebitis; however, more than half of the nurses were unaware that the material and diameter of the cannula can affect the incidence rate of phlebitis. Furthermore,underlying disease and high pH of medications or solutions were identified as potential risk factors, whereas low pH and low osmolality were not. Nurses identified Vancomycin and Benzylpenicillin antibiotics with the strongest phlebitic potential. Among other medications and intravenous fluids, Aminophylline, Amiodaronehydrochloride and Potassium chloride 7.4% were identified as potentially causing phlebitis. Conclusion: predisposing factors for phlebitis relating to patients and administered therapy were identified by nurses, while some cannula related risk factors, in particular its physicochemical properties and the time for cannula replacement, were not fully perceived.

Knowledge and practice towards care and maintenance of peripheral intravenous cannula among nurses in Chitwan Medical College Teaching Hospital, Nepal

“…Nurses' knowledge and early recognition of risk factors for the development of phlebitis can reduce complications, which improves the quality of care, patient safety, patient satisfaction ratings and at the same time reduces the length of hospital stay and the overall cost of health care (Milutinovic, Simin, & Zec, ). In this study, 97% of respondents have knowledge that thrombophlebitis and infection are the common complications of IV cannulation.…”

“…Nurses' knowledge and early recognition of risk factors for the development of phlebitis can reduce complications, which improves the quality of care, patient safety, patient satisfaction ratings and at the same time reduces the length of hospital stay and the overall cost of health care (Milutinovic, Simin, & Zec, 2015). In this study, An inadequately secured PIC also increases the risk of CRBSIs, as the pistoning action (moving back and forth in the vein) of the catheter can allow migration of organisms along the catheter and into the bloodstream (Marsh, Webster, Mihala, & Rickard, 2015).…”

Experimental research on preventing mechanical phlebitis arising from indwelling needles in intravenous therapy by external application of mirabilite

“…The research by Ke and Wang (8) demonstrates that external application of mirabilite can diminish inflammation, relieve pain, and prevent infections. In some clinical reports, mirabilite is used to treat phlebitis of various causes (9–11). However, the majority of these reports are clinical observations, which lack support of the experimental data.…”

Tecnovigilância no Brasil: panorama das notificações de eventos adversos e queixas técnicas de cateteres vasculares

“…This is one of the most frequent complications in use of catheters 19,34,35 . It is a significant clinical problem, creating not only discomfort but a longer period of hospitalization for the patient, increase of hospital costs and alteration of health professionals' activities, able to affect the quality of care 34,36 .…”