Peripheral Intravenous Catheter-Related Phlebitis, Infiltration, and Its Contributing Factors among Patients at Port Said Hospitals

Document Type : Original Article

Authors

1 medical surgical department, faculty of nursing, port said university, port said, Egypt

2 Assist Prof. of Medical-Surgical Nursing Department, Faculty of Nursing - Port Said University

3 Assist Prof.of Medical-Surgical Nursing Department, Faculty of Nursing - Port Said University

Abstract

ABSTRACT
Background: Up to 80% of hospitalized patients require intravenous therapy, making peripheral venous catheters the most widely used endovascular device in hospitals. Peripheral Intravenous Catheters  is a safe device and have a low risk of life-threatening consequences when appropriately used, but it frequently experiences peripheral intravenous catheters problems such as phlebitis and infiltration. aimed : This study aimed to assess peripheral intravenous catheter related phlebitis, infiltration and its contributing factors among patients at Port-Said hospital. Subjects and method: Design: The study design was descriptive. Setting: The study was conducted at the Universal Health Insurance Hospital in Port-Said medical and surgical departments. Subjects: The convenient sample contained (364) adult patients with intravenous catheters.  Tools: Tool I: Contributing factors include four parts (patient characteristics, nurses' characteristics, intravenous characteristics, medication and fluid characteristics).Tool II: Part I Phlebitis Scale, Part II: Infiltration Scales. The Results: This study showed that 45.6% of studied patients developed phlebitis, and 25.5% of them developed infiltration. There were statistically significant relation between phlebitis, infiltration, and patients' age, Type of chronic diseases, nurses' years of experience, the IV catheter site, extension tube, medications as antibiotics, and infusion method.  Conclusion: patients' age, body mass index, type of chronic diseases, nurses' years of experience, the IV catheter site, medications, and infusion method were contributing factors of phlebitis and infiltration.  Recommendations: Provide a continuing continual education for nurses to teach them how to manage IV catheters and the problems of phlebitis and infiltration.

Keywords


Anand, L., Lyngdoh, V., Chishi, L., Chyne, I. D., Gandhimathi, M., &Borgohain, U. (2020). Risk factors of phlebitis in adult patients of tertiary teaching hospital of North-Eastern India. IOSR Journal of Nursing and Health Science, 9(2), 27-39.
Atay, S. E. L. M. A., Şen, S., & Cukurlu, D. (2018). Phlebitis-related               peripheral venous catheterization and the associated risk factors. Nigerian journal of clinical practice, 21(7), 827-831.‏
Banks, J. (2015). Identifying risk factors for high incidence of peripheral intravenous catheters complications: Reducing infiltration rate within the hospital. published thesis Doctor of Nursing Practice degree (Doctoral dissertation, Walden University).
Beecham, G. B., & Tackling, G. (2019). Peripheral Line Placement. StatPearls                           [Internet]. Retrieved 5oct2022>
             Retrived from https://www.ncbi.nlm.nih.gov/books/NBK539795/.   
Blanco-Mavillard, I., de Pedro-Gómez, J. E., Rodríguez-Calero, M. Á., Bennasar-Veny, M., Parra-García, G., Fernández-Fernández, I., ... & Castro-Sánchez, E. (2021). Multimodal intervention for preventing peripheral intravenous catheter failure in adults (PREBACP): a multicentre, cluster-randomised, controlled trial. The Lancet Haematology, 8(9), e637-e647.‏
Blauw, M., Foxman, B., Wu, J., Rey, J., Kothari, N., & Malani, A. N. (2019, April). Risk factors and outcomes associated with hospital-onset peripheral intravenous catheter–associated staphylococcus aureus bacteremia. In Open forum infectious diseases,6(4), 111. 
Charan, J., & Biswas, T. (2013). How to calculate sample size for     different study designs in medical research? Indian journal of       psychological medicine, 35(2), 121–126.
Enes, S. M. S., Opitz, S. P., Faro, A. R. M. D. C. D., & Pedreira, M. D. L. G. (2016). Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon. Revista da Escola de  Enfermagem da USP, 50(2), 263-271.‏
Gargar, A. P., Cutamora, J. C., & Abocejo, F. T. (2017). Phlebitis, infiltration, and localized site infection among patients withperipheral ;Intravenous catheters. European Scientific Journal, 13(18), 148-170.‏
Gibian, J. T., Zakria, D., March, C., Schaheen, B., & Drolet, B. C. (2022). Outcomes and management of peripheral intravenous infiltration injuries. HAND17(1), 148-154.‏
Gorski, L. A., Hadaway, L., Hagle, M. E., Broadhurst, D., Clare, S., Kleidon, T., ... & Alexander, M. (2021). Infusion therapy standards of practice. Journal of infusion nursing, 44(1S), S1-S224.
Groll, D., Davies, B., Mac Donald, J., Nelson, S., & Virani, T. (2010).     Evaluation of the psychometric properties of the phlebitis and    infiltration scales for the assessment of complications of  peripheral vascularaccess devices. Journal of Infusion   Nursing, 33(6), 385-390.‏
Joaquin-Apaza, A., Vásquez, M. C., &Díaz, S. P. O. (2021). Intrinsic and extrinsic factors associated with phlebitis in hospitalized patients: Systematic Review [Factoresintrínsecos y extrínsecosasociados a flebitisenpacienteshospitalizados: RevisiónSistemática]. Journal of Global Health and Medicine, 5(2), 26-30.‏
Kassahun, C. W., Abate, A. T., Tezera, Z. B., Beshah, D. T., Agegnehu, C. D., Getnet, M. A., ... &Alemu, M. T. (2022). Incidence and Associated Factors of Failed First Peripheral Intravenous Catheters among Adult Patients at Medical Surgical Wards in Public Referral Hospitals of West Amhara, Ethiopia. Nursing Research and Practice, 2022, 9.
Larsen, E. N., Marsh, N., Mihala, G., King, M., Zunk, M., Ullman, A. J., ... & Rickard, C. M. (2022). Intravenous antimicrobial administration though peripheral venous catheters–establishing risk profiles from an analysis of 5252 devices. International Journal of Antimicrobial Agents, 59(4), 106552
 
Lee, S., Kim, K., & Kim, J. S. (2019). A model of phlebitis associated with peripheral intravenous catheters in orthopedic inpatients. International journal of environmental research and public health, 16(18), 3412.
Lee, Y., & Lee, E. (2019). Factors Associated with Development of Early Symptoms of Phlebitis in Hospitalized Patients in General Wards: A ;Retrospective Study. Korean Journal of Adult Nursing, 31(2), 136-145.‏
Liu, C., Chen, L., Kong, D., Lyu, F., Luan, L., & Yang, L. (2022). Incidence, risk factors and medical cost of peripheral intravenous catheter-related complications in hospitalized adult patients. The Journal of Vascular Access, 23(1), 57-66.
Lv, L., & Zhang, J. (2020). The incidence and risk of infusion phlebitis with peripheral intravenous catheters: A meta-analysis. The journal of vascular access, 21(3), 342-349.‏
‏ Marsh, N., Larsen, E. N., Takashima, M., Kleidon, T., Keogh, S., Ullman, A. J., ... & Rickard, C. M. (2021). Peripheral intravenous catheter failure: A secondary analysis of risks from 11,830 catheters. International Journal of Nursing Studies, 124, 104095.
Mandal, A., & Raghu, K. (2019). Study on incidence of phlebitis following the use of pherpheral intravenous catheter. Journal of family medicine and primary care, 8(9), 2827–2831.
             Retrived from:   https://doi.org/10.4103/jfmpc.jfmpc_559_19
Marsh, N., Webster, J., Ullman, A. J., Mihala, G., Cooke, M., Chopra, V., & Rickard, C. M. (2020). Peripheral intravenous catheter non-infectious complications in adults: A systematic review and meta-analysis. Journal of Advanced Nursing, 76(12), 3346-3362.
Osti, C., Khadka, M., Wosti, D., Gurung, G., & Zhao, Q. (2019). Knowledge and practice towards care and maintenance of peripheral intravenous cannula among nurses in Chitwan Medical College Teaching Hospital, Nepal. Nursing open, 6(3), 1006-1012.‏
Özalp Gerçeker, G., Kahraman, A., Yardimci, F., Bilsin, E., Binay, Ş., Çevik Özdemir, H. N., ... & Akpınar, S. (2018). Infiltration and extravasation in pediatric patients: A prevalence study in a children’s hospital. The journal of vascular Access, 19(3), 266-271.‏
Ozger, H. S., Yasar, M., Başyurt, R., Bucak, F., &Dizbay, M. (2021). Evaluation of the risk factors on time to phlebitis-and nonphlebitis-related failure when peripheral venous catheters were replaced as clinically indicated. The Journal of Vascular Access, 22(1), 69-74.
Ray-Barruel, G., Xu, H., Marsh, N., Cooke, M., & Rickard, C. M. (2019). Effectiveness of insertion and maintenance bundles in preventing peripheral intravenous catheter-related complications and bloodstream infection in hospital patients: A systematic review. Infection, disease & health, 24(3), 152-168.‏
Rodríguez-Calero, M. A., Blanco-Mavillard, I., Morales-Asencio, J. M., Fernández-Fernández, I., Castro-Sánchez, E., & de Pedro-Gómez, J. E. (2020). Defining risk factors associated with difficult peripheral venous Cannulation: A systematic review and meta-analysis. Heart & Lung, 49(3), 273-286.
Salma, U., Sarker, M. A. S., Zafrin, N., & Ahamed, K. S. (2019). Frequency of peripheral intravenous catheter related phlebitis and related risk factors: A prospective study. Journal of medicine, 20(1), 29-33.
‏ Salgueiro-Oliveira, A. D. S., Basto, M. L., Braga, L. M., Arreguy-Sena, C., Melo, M. N., &Parreira, P. M. D. S. D. (2019). Nursing practices in peripheral venous catheter: Phlebitis and patient safety. Texto&Contexto-Enfermagem,28,1-13
‏ Smith, C. (2021). Should nurses be trained to use ultrasound for intravenous access to patients with difficult veins?. Emergency Nurse, 29(1).
Tertuliano, A. C., Borges, J. D. S., Fortunato, R. A. S., Oliveira, A. L., &Poveda, V. D. B. (2018). Phlebitis associated with peripheral intravenous catheter among in-patients of a Hospital in Vale do Paraíba. Rev Min Enferm, 18(2), 334-9.
World Health Organization (WHO). 2020. Phlebitis. [Online]. ,
Yasuda, H., Yamamoto, R., Hayashi, Y., Kotani, Y., Kishihara, Y., Kondo,      N., ... & Ishii, J. (2021). Occurrence and incidence rate of peripheral intravascular catheter-related phlebitis and complications in critically ill patients: A prospective cohort study (AMOR-VENUS study). Journal of Intensive Care, 9(1), 1-12.‏