Incidence of Phlebitis Among Adult Patients with Peripheral Intravenous Catheter in an East Coast Hospital Malaysia
DOI:
https://doi.org/10.31436/ijcs.v1i2.62Keywords:
Phlebitis, Adult Patients, Intravenous, Peripheral Intravenous CatheterAbstract
Objective: This study aims to determine the incidence rate of phlebitis among patients with a peripheral intravenous catheter. Methods: An observational study was conducted in one of the hospitals in East Coast Malaysia. There were 321 data collected from patients who had a peripheral intravenous catheter in medical, gynaecology and orthopaedic wards. The incidence of phlebitis was evaluated using a modified Visual Infusion Phlebitis score checklist. Results: The incidence of phlebitis, was found out to be 36.1% (n=116/321). Most patients who developed phlebitis had visual infusion phlebitis, with a score of two (34.9%) and the rest developed phlebitis with a score of three (1.2%). Conclusion: This high incidence of phlebitis indicated a worrying outcome. Therefore, the study findings suggested that a specific guideline on post insertion management of peripheral intravenous catheter should be revised which may help in reducing more incidence of phlebitis, subsequently reduce infection in an award, and provide more safety environment in hospital and reducing cost in managing infection control.
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18. Lee W L, Chen HL, Tsai TY, Lai IC, Chang WC, Huang CH, Fang CT. Risk factors for peripheral intravenous catheter infection in hospitalized patients: A prospective study of 3165 patients. American Journal of Infection Control. 2009;37 (8):683–686.
19. Urbanetto JDS, May TA. Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. 2016. http://doi.org/10.1590/1518-8345.0604.2746
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21. Roca GM, Bertol, CB, Lopez PT, Samaranchb GG, Ramirez MCA, Buqueras JC, Martinez JA. Assessing the influence of risk factors on rates and dynamics of peripheral vein phlebitis :
An observational cohort study. 2012;139 (5):185–191. http://doi.org/10.1016/j.medcli.2011.12.021
22. Arias-fernández,L, Suérez-mier B, MartÃnez-ortega C, Lana A. Incidence and risk factors of phlebitis associated to peripheral intravenous catheters ଠIncidencia y factores de riesgo de flebitis asociadas a catéteres venosos periféricos. EnfermerÃa ClÃnica (English Edition). 2016. http://doi.org/10.1016/j.enfcle.2016.07.002
23. Singh R, Bhandary S, Pun K. Peripheral intravenous catheter related phlebitis and its contributing factors among adult population at KU Teaching Hospital. 2008;6 (4):443–447.
24. Kaur P, Thakur R, Kaur S, Bhalla A. Assessment of risk factors of phlebitis amongst intravenous cannulated patients. 2011; (2):106–114.
25. Choong CLK, Kee TK, Abdullah AJ, Mustafa, Mahiran, G. a/p R, William T, Zain RM. Policies and Procedure On Infection Control: Ministry of Health Malaysia; 2010.
2. Ho KHM, Cheung DSK. Guidelines on timing in replacing peripheral intravenous catheters. Journal of Clinical Nursing. 2012;21 (11–12):1499–1506.
3. Tee FY, Siew C, Low L, Matizha P. Patient Perceptions and Experience of Pain , Anxiety and Comfort during Peripheral Intravenous Cannulation in Medical Wards : Topical Anaesthesia, Effective Communication, and Empowerment. International Journal of Nursing Science. 2015;5 (2):41–46.
4. Wallis MC, Mcgrail M, Webster J, Marsh N, Gowardman J, Playford EG, Rickard CM. Risk Factors for Peripheral Intravenous Catheter Failure : A Multivariate Analysis of Data from a Randomized Controlled Trial. Infection Control and Hospital Epidemiology. 2014;35 (1). 63-68.
5. Abdul-hak CK, Barros ÂF. The incidence of phlebitis in a medical clinical unit. Texto contexto - enferm. 2014;23 (3). Date of access 11 October 2017 http://dx.doi.org/10.1590/0104 07072014000900013.
6. Urbanetto JDS, May TA. Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. Rev. Latino-Am. Enfermagem. 2016;24.
7. Powell J, Tarnow KG, Perucca R. The relationship between peripheral intravenous catheter indwell time and the incidence of phlebitis. Journal of Infusion Nursing. 2008;31 (1):39–45.
8. Infusion Nursing Standard. Infusion Nursing Standards of Practice. Journal of Infusion Nursing. 2011. Supplement.
9. Gonza JL, Corral JO, Marti CB. Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: a randomized study. Journal of Hospital Infection. 2014;86
(2):117-126.
10. Pasalioglu KB, Kaya H. Catheter indwell time and phlebitis development during peripheral intravenous catheter administration. Pakistan Journal Of Medical Sciences. 2014;30 (4):725–730.
11. Tan J, Yeap JW, Sulaiha S. Risk factors of peripheral venous catheterization thrombophlebitis. International eJournal of Science Medicine and Education. 2012; 6(1):24–30.
12. Royal College of Nursing., Standards for infusion therapy. 2010. Date of access 11 August 2017 http://www.rcn.org.uk/__data/assets/pdf_file/0005/78593/002179.pdf
13. Danski MTR, Oliveira GLR, deJohann DA, Pedrolo E, Vayego SA. Incidence of local complications in peripheral venous catheters and associated risk factors. Acta Paul Enferm. 2015;28 (6):517–523.
14. Maria S, Enes S, Opitz SP. Phlebitis associated with peripheral intravenous catheters in adults admitted to hospital in the Western Brazilian Amazon. Journal of School of Nursing. 2016;50
(2):261–269.
15. Salgueiro-Oliveira A, Parreira P, Veiga P. Incidence of phlebitis in patients with peripheral intravenous catheters: The influence of some risk factors. Australian Journal of Advanced Nursing. 2012;30 (2):32–39.
16. Nassaji-Zavareh M, Ghorbani R. Peripheral intravenous catheter- related phlebitis and related risk factors. Singapore Med J. 2007;48 (8):733–736.
17. Abolfotouh MA, Salam M, Bani Mustafa A, White D, Balkhy H. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Therapeutics and Clinical Risk Management. 2014;10 993. http://doi.org/10.2147/TCRM.S74685.
18. Lee W L, Chen HL, Tsai TY, Lai IC, Chang WC, Huang CH, Fang CT. Risk factors for peripheral intravenous catheter infection in hospitalized patients: A prospective study of 3165 patients. American Journal of Infection Control. 2009;37 (8):683–686.
19. Urbanetto JDS, May TA. Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. 2016. http://doi.org/10.1590/1518-8345.0604.2746
20. Saini R, Agnihotri M, Gupta A, Walia I.). Epidemiology of Infiltration and Phlebitis. 2011; (1):22–33.
21. Roca GM, Bertol, CB, Lopez PT, Samaranchb GG, Ramirez MCA, Buqueras JC, Martinez JA. Assessing the influence of risk factors on rates and dynamics of peripheral vein phlebitis :
An observational cohort study. 2012;139 (5):185–191. http://doi.org/10.1016/j.medcli.2011.12.021
22. Arias-fernández,L, Suérez-mier B, MartÃnez-ortega C, Lana A. Incidence and risk factors of phlebitis associated to peripheral intravenous catheters ଠIncidencia y factores de riesgo de flebitis asociadas a catéteres venosos periféricos. EnfermerÃa ClÃnica (English Edition). 2016. http://doi.org/10.1016/j.enfcle.2016.07.002
23. Singh R, Bhandary S, Pun K. Peripheral intravenous catheter related phlebitis and its contributing factors among adult population at KU Teaching Hospital. 2008;6 (4):443–447.
24. Kaur P, Thakur R, Kaur S, Bhalla A. Assessment of risk factors of phlebitis amongst intravenous cannulated patients. 2011; (2):106–114.
25. Choong CLK, Kee TK, Abdullah AJ, Mustafa, Mahiran, G. a/p R, William T, Zain RM. Policies and Procedure On Infection Control: Ministry of Health Malaysia; 2010.
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Published
2018-07-31
How to Cite
Daud, A. (2018). Incidence of Phlebitis Among Adult Patients with Peripheral Intravenous Catheter in an East Coast Hospital Malaysia. INTERNATIONAL JOURNAL OF CARE SCHOLARS, 1(2), 5–8. https://doi.org/10.31436/ijcs.v1i2.62
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