Document Detail

Predisposing factors to phlebitis in patients with peripheral intravenous catheters: a descriptive study.
MedLine Citation:
PMID:  18387013     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this study was to investigate the predisposing factors in the development of phlebitis in peripheral intravenous (IV) catheterization sites in patients treated with a variety of IV infusion solutions and drugs. DATA SOURCES: Systematic observation of 568 IV sites inserted for fluid infusion and drug administration in 355 patients in the Department of General Surgery of a University Hospital in Turkey. A data collection tool was based on standards established by the Infusion Nurses Society. Patients' infusion sites were monitored every 24 h during treatment and for 48 h after discontinuation of the IV. CONCLUSIONS: In contrast to the usual findings in the literature, the authors found that infusion through an infusion pump and insertion of catheters in the veins around the elbow increased the risk of phlebitis. Also, the number of times infusions were started led to an increased rate of phlebitis. However, conflicting results were obtained about the relation between phlebitis, gender, and catheter size. IMPLICATIONS FOR PRACTICE: Phlebitis causes sepsis, pain, additional diagnostic investigations, and treatments, and may lead to increased duration of hospitalization, patient's stress level, and financial burden, as well as increasing staff workload. Advanced practice nurses need to be aware of the factors that increase the likelihood of phlebitis and take appropriate measures to prevent it.
Esin Uslusoy; Samiye Mete
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Nurse Practitioners     Volume:  20     ISSN:  1041-2972     ISO Abbreviation:  J Am Acad Nurse Pract     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-04     Completed Date:  2008-06-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8916634     Medline TA:  J Am Acad Nurse Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  172-80     Citation Subset:  N    
Health Science Institute, Dokuz Eylul University, Balçova, Izmir, Turkey.
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MeSH Terms
Catheterization, Peripheral / adverse effects*,  methods,  nursing
Catheters, Indwelling / adverse effects*
Chi-Square Distribution
Clinical Nursing Research
Cost of Illness
Elbow / blood supply
Equipment Design
Hospitals, University
Infection Control / methods
Infusions, Intravenous / adverse effects*,  methods,  nursing
Logistic Models
Middle Aged
Phlebitis / epidemiology,  etiology*,  prevention & control
Risk Assessment
Severity of Illness Index
Surgery Department, Hospital
Turkey / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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