Incidence of phlebitis among children having peripheral intravenous line in selected hospital, Siliguri

Authors

  • Primi Kumar Department of Pediatric Nursing, Anandaloke Institute of nursing Education, Siliguri, West Bengal, India https://orcid.org/0000-0002-2538-8289
  • Ankita Dhar Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Susmita Banik Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Anannya Saha Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Amrita Banik Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Prity Biswas Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Dipika Roy Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Nitushree Mondal Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Sabina Khatun Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Aditi Ghosh Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India
  • Riya Chanda Anandaloke Institute of Nursing Education, Siliguri, West Bengal, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20232589

Keywords:

PIVC, Incidence, Phlebitis, Children

Abstract

Background: Vascular access is the most common and widely used medical device in hospital setting especially peripheral intravenous line rather than central venous line and it is more essential in the pediatric and newborn group in accessing and maintaining a safe and reliable venous access for continuous management. Though it is the most common procedure, complication like phlebitis, extravasation, induration, dislodgement related to PIVC are also high.

Methods: A prospective cohort study which included 86 children of age 1-7 years admitted in pediatric ward in selected hospital, Siliguri during the year 2023 in the month of May and June. Objective of the study was to find out the incidence of phlebitis among children admitted in pediatric ward. Observational method was adopted to collect data from the participants. Jackson’s VIP scale and FLACC scale was used to collect data along with demographic variables and peripheral intravenous catheter characteristics.

Results: The study revealed that all the 86 children developed phlebitis where 64% of children developed phlebitis Grade 2 of phlebitis and 19% grade 3 on day 2 from the day of insertion where on day 3 8% had grade 2 and 9% had grade 3. The mean duration of PIVC was 53.11±0.87 hours and the major risk factor associated with phlebitis was site of insertion (OR=33.8, 95% CI-0.5, 207).

Conclusions: By identifying early signs of phlebitis among children, one can manage it at appropriate time and can reduce the further complication related to the PIVC.

Metrics

Metrics Loading ...

References

Tefera M, Letta S, Ararsa A. Incidence and Its associated factor of phlebitis among Pediatric patient with peripheral Intravenous Cannula at Hiwot Fana Specialized University Hospital, Harar Eastern Ethiopia. East Afr J Health Biomed Sci. 2020;4(1):1-12.

Bitencourt ES, Legal CN, Boostel R, Mazza VDA, Felix VC, Pedrolo E, et al. Prevalence of Phlebitis Related to the use of Peripheral Intravenous Devices in Children. Cogitare Enferm. 2018;1(23):632-80.

Vicknesh R, Vetriselvi P. Comparison of Risks from Central Venous Catheters and Peripheral Intravenous Lines among Term Neonates in a Tertiary Care Hospital, India. J Caring Sci. 2021;10(2):57-61.

Suliman M, Saleh W, Al-Shiekh-H, Taan W, Ai Bashawy M. The Incidence of peripheral Introvenous catheter phlebitis and Risk Factors among pediatric patients. J Pediatr Nurs. 2019;50(6):89-93.

Hidayat AAA, Sukaidiono L, Wijayanti E. Predictor Factors of Phlebitis Incidence for Children in Hospital Private in Sidoarjo. Sys Rev Pharm. 2020;11(6): 249-53.

Grady NPO, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Replacement of peripheral and midline catheter related infections, Guidelines for the prevention of Intravenous Catheter Related Infections. J Dis Control. 2011;16:23.

Torabi MT, Namnabati M, Allameh Z, Talakous S. Vancomycin Infusion methods on phiebitis prevention in Children. Iranian J Nurs Midwifery Res. 2019;24(6): 432-36.

Nagpal P, Khera GK, Kumar Y. A study Assess the clinical pattern of Phlebitis among children admitted in selected hospital of Ambala, Haryana. Nurs Midwif Res J. 2015;11(2):68-77.

Jacinto AKL, Avelar AFM, Wilson AM, Redreira MLG. Phlebitis associated with peripheral intravenous catheters in children; study of predisposing factors. Esc Anna Nery. 2014;18(2):220-6.

Karaoglan N, Sari HY, Devrim I. Complications of peripheral intravenous catheters and phlebitis in children. Br J Nurs. 2022;31(8):23-9.

Myaneh ZT, Abdollahi F, Harikandele SST. Chlorhexidine or Povidone iodine and alcohol: A Pilot study for evaluating the incidence of Phlebitis in neonates. J Neonat Nurs. 2022;29(5):23-9.

Kumar D, Kumar S, Srivastava P, Uddin MW, Mishra S. Reduction in the incidence of infusion related Phlebitis in a pediatric critical care unit of Eastern India: A quality improvement initiative. Med J Armed Forces India. 2021.

Ainsworth S, McGuire W. Percutaneous central venous catheter versus peripheral cannulae for delivery of parenteral nutrition in neonates. Cochrane Database Syst Rev. 2015;10:19-24.

Barria M, Lorca P, Munoz S. Randomized Controlled Trial of Vascular Access in Newborns in the Neonatal Intensive Care Unit. J Obstet Gynecol Neonat Nurs. 2007;11:450-6

Sharma PK, Singh SK. Venous access in neonates: our experience. Int J Contemp Pediatr. 2018;5:1571-5.

Lilleby K, Altman GB, Barenz TA. Starting and IV. Delmar’s fundamentals and advanced nursing skills. 2nd ed. New York: Thomson Learning Inc; 2004: 1035-43.

Cote CJ, Ryan JF, Todres ID, Goudsouzian NG. A practice of anesthesia for infants and children. 5th ed. Philadelphia: WB Saunders; 2013:1022-26.

Essential newborn Nursing for Small Hospitals. Available at: https://www.who.int.

Downloads

Published

2023-08-25

How to Cite

Kumar, P., Dhar, A., Banik, S., Saha, A., Amrita Banik, Biswas, P., Roy, D., Mondal, N., Khatun, S., Ghosh, A., & Chanda, R. (2023). Incidence of phlebitis among children having peripheral intravenous line in selected hospital, Siliguri . International Journal of Contemporary Pediatrics, 10(9), 1431–1435. https://doi.org/10.18203/2349-3291.ijcp20232589

Issue

Section

Original Research Articles