مرکز منطقه ای اطلاع رساني علوم و فناوري - PHLEBITIS AND INFILTRATION STATUS IN PERIPHERAL INTRAVENOUS CATHETERISATIONIN CHILDREN

Abstract :

Objective: Periferal intravenous catheters can cause local comlications such as phlebitis andinfiltration. Phlebitis and infiltration needs catheter removal and replacement. Routinelyreplacement of intravenous catheters in childrens is not recommended. A descriptive study wasperformed to examine the status of phlebitis and infiltration associated with peripheral intravenouscatheterisation.Methods: Children (n=74) hospitalized in pediatric clinic between 3-18 years were included tothe study. The catheterisation sites examined daily by one of the investigator for the presence andseverity of phlebitis and infiltration using a scale. Local research ethics committee approved thestudy and written informed consent was obtained from parents of children. Patients those whowere immunocompromised and those receiving chemotherapy were excluded from the study. Datawere collected between the date of 18 December 2010- 26 th January 2012. Numerical andpercentage distribution, Chi-square test and correlation were used in analysis of the data.Results: The mean age of children was 8.29 ± 3.83 year. Mean dwell time for catheters in situ inour study were 3-303 hours. The mean catheterisation time was 83.52 ± 56.44 hours.Corticosteroids have been given to 64.9% of the patients and 40.5% of the patients have been givendrugs or fluids iV 1/3 izomiks with a set of the pump. The phlebitis in 45.9% of patients was occured,and the infiltration was occured in 54.1% of patient. The severity of phlebitis in 23% of patientswas in 3 degree, and the severity of infiltration in 20.3% of patients was in I degree. Catheters werremoved in 45.9% of patients because of discontinuation of treatment and in 4.1% because ofocclusion of catheters. The rate of patients that developed infiltration was significantly more inpatients in whom a catheter was inserted in pediatric clinic. The percentage of patients thatdeveloped infiltration and phlebitis was significantly more in patients in whom the same area havebeen used repeatedly for insertion of a catheter.Conclusion: It was found that the rate for phlebitis and infiltration were high. Future studieswith large samples should implemented both in general pediatric units and in pediatric intensivecare unit.