Phlebitis and infiltration: vascular trauma associated with the peripheral venous catheter

Authors

  • Luciene Muniz Braga Universidade Federal de Viçosa; Departamento de Medicina e Enfermagem
  • Pedro Miguel Parreira Escola Superior de Enfermagem de Coimbra; Unidade Científico-Pedagógica de Enfermagem Fundamental
  • Anabela de Sousa Salgueiro Oliveira Escola Superior de Enfermagem de Coimbra; Unidade Científico-Pedagógica de Enfermagem Fundamental
  • Lisete dos Santos Mendes Mónico Universidade de Coimbra
  • Cristina Arreguy-Sena Universidade Federal de Juiz de Fora; Departamento de Enfermagem Aplicada
  • Maria Adriana Henriques Escola Superior de Enfermagem de Lisboa

DOI:

https://doi.org/10.1590/1518-8345.2377.3002

Keywords:

Nursing, Catheterization Peripheral, Phlebitis, Infusions Intravenous, Extravasation of Diagnostic and Therapeutic Materials, Patient Safety

Abstract

Objective: to determine the incidence rate and risk factors for the nursing-sensitive indicators phlebitis and infiltration in patients with peripheral venous catheters (PVCs). Method: cohort study with 110 patients. Scales were used to assess and document phlebitis and infiltration. Socio-demographic variables, clinical variables related to the PVC, medication and hospitalization variables were collected. Descriptive and inferential analysis and multivariate logistic models were used. Results: the incidence rate of phlebitis and infiltration was respectively 43.2 and 59.7 per 1000 catheter-days. Most PVCs with these vascular traumas were removed in the first 24 hours. Risk factors for phlebitis were: length of hospital stay (p=0.042) and number of catheters inserted (p<0.001); risk factors for infiltration were: piperacillin/tazobactan (p=0.024) and the number of catheters inserted (p<0.001). Conclusion: the investigation documented the incidence of nursing-sensitive indicators (phlebitis and infiltration) and revealed new risk factors related to infiltration. It also allowed a reflection on the nursing care necessary to prevent these vascular traumas and on the indications and contraindications of the PVC, supporting the implementation of the PICC as an alternative to PVC.

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Published

2018-01-01

Issue

Vol. 26 (2018)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Braga, L. M., Parreira, P. M., Oliveira, A. de S. S., Mónico, L. dos S. M., Arreguy-Sena, C., & Henriques, M. A. (2018). Phlebitis and infiltration: vascular trauma associated with the peripheral venous catheter. Revista Latino-Americana De Enfermagem, 26, e3002. https://doi.org/10.1590/1518-8345.2377.3002