Risk Factors for Infusion-related Phlebitis with Small Peripheral Venous Catheters

Maki, Dennis G.; Ringer, Marilyn

doi:10.7326/0003-4819-114-10-845

Cited by 470 publications

(385 citation statements)

References 47 publications

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“…Studies of short peripheral venous catheters indicate that the incidence of thrombophlebitis and bacterial colonization of catheters increases when catheters are left in place 172 hours [66,67,127]. However, rates of phlebitis are not substantially different in peripheral catheters left in place 72 hours compared with 96 hours [128].…”

Section: Peripheral Venous Cathetersmentioning

confidence: 98%

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Guidelines for the prevention of intravascular catheter-related infections

O’Grady¹,

Alexander²,

Dellinger³

et al. 2002

American Journal of Infection Control

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635

843

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These guidelines have been developed for practitioners who insert catheters and for persons responsible for surveillance and control of infections in hospital, outpatient, and home health-care settings. This report was prepared by a working group comprising members from professional organizations representing the disciplines of critical care medicine, infectious diseases, health-care infection control, surgery, anesthesiology, interventional radiology, pulmonary medicine, pediatric medicine, and nursing. The These guidelines are intended to provide evidencebased recommendations for preventing catheter-related infections. Major areas of emphasis include 1) educating and training health-care providers who insert and maintain catheters; 2) using maximal sterile barrier precautions during central venous catheter insertion; 3) using a 2% chlorhexidine preparation for skin antisepsis; 4) avoiding routine replacement of central venous catheters as a strategy to prevent infection; and 5) using antiseptic/antibiotic impregnated short-term central venous catheters if the rate of infection is high despite adherence to other strategies (i.e., education and training, maximal sterile barrier precautions, and 2% chlorhexidine for skin antisepsis). These guidelines also identify performance indicators that can be used locally by health-care institutions or organizations to monitor their success in implementing these evidence-based recommendations.

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Section: Peripheral Venous Cathetersmentioning

confidence: 98%

“…Teflon or polyurethane catheters have been associated with fewer infectious complications than catheters made of polyvinyl chloride or polyethylene [27,65,66]. Steel needles used as an alternative to catheters for peripheral venous access have the same rate of infectious complications as do Teflon catheters [67,68].…”

Section: Type Of Catheter Materialsmentioning

confidence: 99%

Guidelines for the prevention of intravascular catheter-related infections

O’Grady¹,

Alexander²,

Dellinger³

et al. 2002

American Journal of Infection Control

Self Cite

635

843

View full text Add to dashboard Cite

show abstract

“…Among the reasons for CVC use, one should highlight difficulty identified in obtaining peripheral intravenous access. For the installation of a PICC line, on the other hand, the taking of the decision follows an inverse path, that is, it is necessary for there to be a healthy peripheral vein for catheter introduction, which has not been the subject of failed attempts in the past (24) . The use of a centrally-placed catheter is more related with serious adverse events when compared to a PIC; it is necessary to identify methods and technology which promote greater effectiveness and possible use, for longer periods of time, of the peripheral route for insertion of catheters (25) .…”

Section: Discussionmentioning

confidence: 99%

Predisposing factors for peripheral intravenous puncture failure in children

Negri

Avelar

Andreoni

et al. 2012

Rev. Latino-Am. Enfermagem

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Objective: To identify predisposing factors for peripheral intravenous puncture failure in children.Methods: Cross-sectional cohort study conducted with 335 children in a pediatric ward of a university hospital after approval of the ethics committee. The Wald Chi-squared, Prevalence Fatores predisponentes para insucesso da punção intravenosa periférica em criançasObjetivo: verificar fatores predisponentes para o insucesso da punção intravenosa periférica realizada em crianças. Método: trata-se de estudo de coorte transversal, realizado com 335 crianças internadas em unidade pediátrica de um hospital universitário, após aprovação do mérito ético. Utilizaram-se testes qui-quadrado de Wald, razão de prevalência (RP) e procedimento de backward (p≤0,05). Resultados: evidenciou-se sucesso da punção em 300 (89,5%) crianças e insucesso em 35 (10,4%). Influenciaram significantemente as proporções de fracasso: apresentar história clínica para dificuldade na punção, estar desnutrido, uso prévio de cateter central de inserção periférica, uso prévio de cateter venoso central e antecedentes de flebite e de infiltração. No modelo multivariado, estar desnutrido e ter sido submetido previamente a cateterização venosa central foram os fatores predisponentes para o insucesso.Conclusões: a proporção de 10,4% de insucesso na punção é similar à identificada em estudos sobre a temática e foi influenciada por características da criança e da terapia. Em associação, as variáveis desnutrição e uso prévio de cateter venoso central foram as características mais importantes para o aumento da proporção de insucesso da punção intravenosa periférica.Este estudo traz novas evidências sobre os fatores de risco que contribuem para o insucesso na punção intravenosa periférica de crianças, constituindo aspecto a ser considerado no planejamento e execução da prática assistencial de enfermagem pediátrica, com vistas à obtenção de melhores resultados na punção intravenosa periférica e promoção da segurança do paciente.Descritores: Enfermagem Pediátrica; Cateterismo Periférico; Segurança do Paciente; Pediatria. Factores predisponentes para fracaso de la punción intravenosa periférica en niñosObjetivo: Verificar factores predisponentes para el fracaso de la punción intravenosa periférica realizada en niños. Método: Estudio de cohorte transversal realizado con 335 niños internados en unidad pediátrica de un hospital universitario, después de la aprobación del mérito ético.Se utilizaron testes Jue-cuadrado de Wald, Razón de Superioridad (RP) y procedimiento de backward (p≤0,05). Resultados: se evidenció éxito de la punción en 300 (89,5%) niños e fracaso en 35 (10,4%). Influenciaron significantemente las proporciones de fracaso: presentar historia clínica para dificultad en la punción, estar desnutrido, uso previo de catéter central de inserción periférica, uso previo de catéter venoso central y antecedentes de flebitis y de infiltración.En el modelo multivariado, estar desnutrido y haber sido sometido antepasadamente a cateterización venosa central fuero...

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“…3,4 Best practice guidelines suggest that, in the absence of a dedicated intravenous-catheter monitoring team, the duration of cannulation should be limited to 72 hours or less. 5,6 Recently, healthcare providers have involved patients in playing a more active role in ensuring that best practice is followed by healthcare workers. Partners in Your Care, a US patient education behavioral model for increasing hand hygiene adherence and for empowering patients with responsibility for their own care, has increased hand hygiene adherence among healthcare workers.…”

Section: Role Of Patient Awareness In Prevention Of Peripheral Vasculmentioning

confidence: 99%