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

Abstract

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.

Incidence, severity and risk factors of peripheral intravenous cannula‐induced complications: An observational prospective study

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“…(15) Como desenlaces desfavorables relacionados al uso catéter se tiene la ocurrencia de flebitis, que tiene estrecha relación con el ambiente de cuidado y la calidad de la práctica de enfermería. (16) La relación entre el tiempo de permanencia del CIP y la ocurrencia de flebitis precisa ser más investigada, pues recomendaciones de práctica brasileñas, principalmente de la Agencia Nativa de Vigilancia Sanitaria (ANVISA), advierten cambio cada 72-96 horas. (17) O, si la incidencia de flebitis es superior al 5%, cada 48 horas.…”

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“…A incidência de eventos adversos (flebite e extravasamento) neste estudo ocorreu em seis (7,5%) pacientes, não havendo predominância em uma unidade específica, porém, esta proporção é superior aos 5% considerados como padrão aceito nas recomendações da Infusion Nurses Society (23) . Alguns autores constataram incidência de flebite de 31,1%, estes descrevem que as instituições pesquisadas não adotavam o uso de curativos estéreis e sugerem isto como fator relacionado à alta proporção de flebite (24) .…”