Risk factors for peripheral intravenous catheter infection in hospitalized patients: A prospective study of 3165 patients

Lee, Wei-Ling; Chen, Hsiao-Lien; Tsai, Tsung-Ying; Lai, I-Chen; Chang, Wen-Chih; Huang, Cheng-Hua; Fang, Chi-Tai

doi:10.1016/j.ajic.2009.02.009

Cited by 75 publications

(54 citation statements)

References 14 publications

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“…Cohort study conducted with a sample of 60 patients showed that the type of intermittent infusion was the most predisposed occurrence of phlebitis associated with the PIC (21) . However, other studies have shown predominance of continuous infusion type influencing the development of PIC complications (4,29) . The use of intermittent infusion may increase the chances of complications related to PIC, as a result of greater manipulation of the catheter (14) .…”

Section: Discussionmentioning

confidence: 99%

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Enes

Opitz

Faro

et al. 2016

Rev. esc. enferm. USP

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OBJECTIVE To identify the presence of phlebitis and the factors that influence the development of this complication in adult patients admitted to hospital in the western Brazilian Amazon. METHOD Exploratory study with a sample of 122 peripheral intravenous catheters inserted in 122 patients in a medical unit. Variables related to the patient and intravenous therapy were analyzed. For the analysis, we used chi-square tests of Pearson and Fisher exact test, with 5% significance level. RESULTS Complication was the main reason for catheter removal (67.2%), phlebitis was the most frequent complication (31.1%). The mean duration of intravenous therapy use was 8.81 days in continuous and intermittent infusion (61.5%), in 20G catheter (39.3%), inserted in the dorsal hand vein arc (36.9 %), with mean time of usage of 68.4 hours. The type of infusion (p=0.044) and the presence of chronic disease (p=0.005) and infection (p=0.007) affected the development of phlebitis. CONCLUSION There was a high frequency of phlebitis in the sample, being influenced by concomitant use of continuous and intermittent infusion of drugs and solutions, and more frequent in patients with chronic diseases and infection.

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Section: Discussionmentioning

confidence: 99%

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Enes

Opitz

Faro

et al. 2016

Rev. esc. enferm. USP

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“…La flebitis es la complicación más común del tratamiento intravenoso en pacientes hospitalizados. Los estudios reportan incidencias de flebitis situadas entre el 0,5% (Lee et al, 2009) y 59,1% (Singh et al, 2008) en pacientes que están recibiendo terapia intravenosa periférica. La incidencia de la flebitis en personas con catéter venoso periférico varía ampliamente debido a diferencias en la definición, el diseño de estudio, la selección de los pacientes y la duración del seguimiento (Malach et al, 2006).…”

Section: Introductionunclassified

Incidence and factors associated with development of phlebitis: results of a pilot study cohort

Rojas-Sánchez¹,

Parra²,

Camargo-Figuera³

2015

Rev. Enf. Ref

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Resumopp.61-67 Resumen Revista de Enfermagem Referência A R T I G O D E I N V E S T I G A Ç Ã O Incidencia y factores asociados al desarrollo de flebitis: resultados del estudio piloto de una cohorteIncidence and factors associated with development of phlebitis: results of a pilot study cohort Incidência e fatores associados com o desenvolvimento de flebite: resultados do estudo piloto de uma coorte Lyda Zoraya Rojas-Sánchez*; Dora Inés Parra**; Fabio Alberto Camargo-Figuera*** Marco contextual: La terapia intravenosa es uno de los procedimientos más realizados en los hospitales, mientras que la flebitis es la complicación más común en este tipo de tratamiento. Objetivos: Determinar la incidencia y los factores asociados a la flebitis tras la realización de un cateterismo venoso periférico. Metodología: En agosto de 2010, se realizó un estudio piloto para una cohorte prospectiva sobre la frecuencia de flebitis en Bucaramanga (Colombia). El estudio incluyó a 198 personas mayores de 18 años que ingresaron en el servicio de urgencias y que tenían un período de internamiento hospitalario de 6 a 24 horas. Se evaluaron variables sociodemográficas, clínicas y algunos posibles factores de riesgo para la flebitis. Se realizó un seguimiento de los participantes hasta que se les dio el alta hospitalaria, con el objetivo de monitorizar la aparición de flebitis.Resultados: La incidencia acumulada de flebitis fue de 10,1 %. Seis factores de riesgo se asociaron al desarrollo de flebitis tras la realización del cateterismo venoso periférico. Conclusión: Se aportan evidencias para algunos de los factores de riesgo de flebitis que se pueden utilizar para que el enfermero pueda realizar una identificación e intervención temprana.Palabras clave: flebitis; incidencia; factores de riesgo; seguridad del paciente.Enquadramento: A terapia intravenosa é um dos procedi mentos mais realizados na prática hospitalar; sendo a flebite a complicação mais comum neste tipo de tratamento. Objetivos: Determinar a incidência e os fatores associados à flebite póscateterismo venoso periférico. Metodologia: Foi realizado um estudo piloto para uma coorte prospectiva, em agosto de 2010, sobre a frequência de flebite em Bucaramanga, Colômbia. O estudo incluiu 198 pessoas com mais de 18 anos admitidas na sala de emergência hospitalar e com período de internamento entre 624 horas. Foram avaliadas variáveis sociodemográficas, clínicas e alguns potenciais fatores de risco para flebite. Os participantes foram seguidos até a alta hospitalar para que fosse possível monitorar a ocorrência de flebite. Resultados: A incidência cumulativa de flebite foi de 10,1%. Seis fatores de risco foram associados com o desenvolvimento de flebite secundária à cateterização venosa periférica. Conclusão: Evidência é fornecida para alguns dos fatores de risco de flebite que podem ser utilizados na identificação e intervenção precoce pelo enfermeiro.Palavras-chave:: flebite; incidência; fatores de risco; segurança do paciente.Theoretical framework: Intravenous therapy is on...

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“…The Bachelor of Nursing programme required students to have A-level, Malaysian Higher School Certificate (STPM) or Matriculation qualifications, whereas the Diploma of Nursing programme caters to Malaysian Certificate of Education (SPM) graduates. According to Lee et al (2009), nurses who have higher education qualifications are better prepared to update themselves with the latest nursing practices, including the prevention of PIC complications. In the Malaysian nursing profession, there are two categories of registered nurses, namely Diploma in Nursing graduates and Bachelor of Nursing graduates.…”

Section: Discussionmentioning

confidence: 99%

Nurses’ Knowledge and Practice in Relation to Peripheral Intravenous Catheter Care

Liew

Tang

2016

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ABSTRAKPeriferal intravena kateter (PIK) & Health 2016;11(2): 181-188 Ho S.E. et al. highlighted that nurses' awareness of infusion-related complications can significantly affect patients' outcomes and health care costs. The study also emphasized that complications of intravenous therapy are costly in terms of patient quality of life, morbidity, mortality, treatment expense, and extended length of hospital stay. According to the World Health Organization (WHO 2009), routine hand washing in patient care is to remove dirt and organic material as well as micro-bacterial contamination acquired through contact with patients or the environment. A study by Hadaway (2012a) claimed that nurses' lack of standardization in practice and knowledge of PIC care directly affects patients' safety risks and outcomes. There were instances where patients nurses' knowledge and practice towards care of PIC. A cross-sectional descriptive study was conducted and 84 respondents participated in the study. A 26-item questionnaire comprising 11 items on knowledge and 15 items related to nursing practice was adapted and modified. The findings reported higher mean score from specialty unit respondents, with knowledge (M = 49.19, SD = 3.44) and practice (M = 66.38, SD = 5.15), compared to medical surgical wards with knowledge (M = 46.25, SD = 4.68) and practice (M = 63.17, SD = 4.63) towards the care of PIC, which was significant (p value = 0.010 and p value = 0.009, respectively). The study indicated a higher mean score of charge nurse respondents as compared with registered nurse with knowledge (M = 49.68, SD = 3.23); (M = 46.20, SD = 4.62) and practice (M = 67.11, SD = 4.84); (M = 63.06, SD = 4.61), which was significant (p value = 0.003 and p value = 0.001, respectively). There were no significant differences between respondents' education qualification towards care of PIC with p > 0.05. However, the findings reported that respondents who possessed Bachelor of Nursing were deemed to score slightly higher in their knowledge and practice towards the care of PIC. In conclusion, the specialty unit and charge nurse respondents were deemed to possess better knowledge and practice towards the care of PIC in the hospital.

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Risk factors for peripheral intravenous catheter infection in hospitalized patients: A prospective study of 3165 patients

Cited by 75 publications

References 14 publications

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon

Incidence and factors associated with development of phlebitis: results of a pilot study cohort

Nurses’ Knowledge and Practice in Relation to Peripheral Intravenous Catheter Care

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