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Revista Iberoamericana de Educación e Investigación en Enfermería

Revista Iberoamericana de Educación e Investigación en Enfermería

OCTUBRE 2018 N° 4 Volumen 8

Evaluation of phlebitis occurring in a paulist hospital-Brazil

Section: Originals

How to quote

Tomazelli R, Oliveira MF, Gallo PF, Nascimento NI, Robazzi MLCC. Avaliação das flebites ocorridas em um hospital paulistabrasil. Rev. iberoam. Educ. investi. Enferm. 2018; 8(4):31-40.

Authors

1 Rodrigo Tomazelli 2 Mayra Fernanda de Oliveira 3 Paula Furquim Gallo 3 Nycole Israel do Nascimento 4 Maria Lucia do Carmo Cruz Robazzi

Position

1 Enfermeiro. Mestre em Ciências pela Escola de Enfermagem de Ribeirão Preto (EERP-USP). Centro Colaborador para o Desenvolvimento da Pesquisa em Enfermagem da OMS/OPS. Brasil.2 Enfermeira. Doutora em enfermagem pela Escola de Enfermagem de Ribeirão Preto (EERP-USP). Centro Colaborador para o Desenvolvimento da Pesquisa em Enfermagem da OMS/OPS. Brasil.3 Enfermeira. Mestre em Ciências pela Escola de Enfermagem de Ribeirão Preto (EERP-USP). Centro Colaborador para o Desenvolvimento da Pesquisa em Enfermagem da OMS/OPS. Brasil.4 Doutora em Enfermagem. Professora Titular da Escola de Enfermagem de Ribeirão Preto (EERP-USP). Centro Colaborador para o Desenvolvimento da Pesquisa em Enfermagem da OMS/OPS. Brasil.

Contact email: rodrigotomazelli@hotmail.com

Abstract

Objective: to assess the cases of phlebitis reported in a Brazilian hospital and the potential association of their categories with use of infusion drugs and catheter gauge.

Methods: a retrospective, cross-sectional study to evaluate 436 records of patients with phlebitis from January 2012 to December 2014. Patients’ characteristics and phlebitis features were evaluated; a Fisher's exact test was used to assess the association of phlebitis category with catheter gauge.

Results: 373 patients were treated for such adverse events over the study period; most of them were white, female, average age 59.3 years, with duration of stay being 10 days; 436 reports of phlebitis events were found in such patients.

Conclusion: Mean residence time for catheters was 2.27 days; most phlebitis events had a grade 2 severity and involved left higher limb; Among 436 assessed catheters, event occurrence was associated to diabetes (26%); in 243 cases an association of catheter gauge to phlebitis grade was found, with maximal association (28.4%) being found for 22-gauge catheter with grade 2 phlebitis. Furthermore, 96.2% of infusion drugs in 373 patients were antibiotics. Routine procedures and/or protocols are needed to ensure a higher surveillance for phlebitis and nursing practices, in order to avoid compromising the quality of health care.

Keywords:

Phlebitis; peripheral canulation; catheters; adverse effects; nursing care; Nursing Assessment

Versión en Español

Título:

AVALIAÇÃO DAS FLEBITES OCORRIDAS EM UM HOSPITAL PAULISTA-BRASIL

Artículo completo no disponible en este idioma / Full article is not available in this language

Bibliography

  1. Paiva MCMDS, Paiva SAR, Berti HW. Adverse events: analysis of a notification instrument used in nursing management. Rev. Esc. Enferm. USP. [internet]. 2010 [cited 8 sep 2018]; 44(2):287-94. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20642037
  2. Rojas-Sánchez LZ, Parra DI, Camargo-Figuera FA. Incidencia y factores asociados al desarrollo de flebitis: resultados del estudio piloto de una cohorte. Rev. Enf. Ref [internet]. 2015 [citado 8 sep 2018]; 4(4):61-7. Disponível em: http://www.scielo.mec.pt/scielo.php?script=sci_arttext&pid=S0874-02832015000100007&lng=en&nrm=i&tlng=es
  3. Higginson R, Parry A. Phlebitis: treatment, care and prevention. Nurs Times [internet]. 2011 [cited 8 sep 2018]; 107(36):18-21. Available from: https://www.nursingtimes.net/Journals/2011/09/09/a/x/r/130911_review_Higginson.pdf
  4. Tertuliano AC, Borges JLDS, Fortunato RAS, Oliveira AL, Poveda VDB. Phlebitis associated with peripheral intravenous catheter among in-patients of a Hospital in Vale do Paraíba. REME rev. min. enferm. [internet]. 2014 [cited 8 sep 2018]; 18(2):334-5. Available from: http://www.reme.org.br/artigo/detalhes/931
  5. Abdul-Hak CK, Barros AF. The incidence of phlebitis in a medical clinical unit. Texto & context enferm [internet]. 2014 [cited 8 sep 2018]; 23(3):633-8. Available from: http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0104-07072014000300633&lng=pt&nrm=iso&tlng=en
  6. Jacinto AKL, Avelar AFM, Wilson AMMM, Pedreira MLG. Phlebitis associated with peripheral intravenous catheters in children: study of predisposing factors. Esc. Anna Nery [internet]. 2014 [cited 8 sep 2018]; 18(2):220-6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452014000200220
  7. Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs. [internet]. 2011 [cited 8 sep 2018]; 34(1S). Available from: https://www.ncbi.nlm.nih.gov/pubmed/16429002
  8. Chiu PC, Lee YH, Hsu HT, Feng YT, Lu IC, Chiu SL, et al. Establish a perioperative check forum for peripheral intravenous access to prevent the occurrence of phlebitis. Kaohsiung J Med Sci [internet]. 2015 [cited 8 sep 2018]; 31(4):215-21. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25835279
  9. Ferreira LR, Pedreira MLG, Diccini S. Flebite no pré e pós-operatório de pacientes neurocirúrgicos. Acta paul. enferm. [internet]. 2007 [citado 8 sep 2018]; 20(1):30-6 . Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-21002007000100006
  10. Oliveira ECS, Oliveira APB, Oliveira RC. Caracterização flebites notificadas à gerência de risco em hospital da rede sentinela. Rev. baiana enferm. [internet]. 2016 [citado 8 sep 2018]; 30(2):1-9. Disponível em: https://portalseer.ufba.br/index.php/enfermagem/article/download/15361/pdf_42
  11. Urbanetto JS, Peixoto CG, May TA. Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. Rev. Latino-Am. Enfermagem [internet]. 2016 [cited 8 sep 2018]; 24:e2746. Available from: http://www.scielo.br/pdf/rlae/v24/pt_0104-1169-rlae-24-02746.pdf
  12. Palese A, Ambrosi E, Fabris F, Guarnier A, Barelli P, Zambiasi P, et al. Nursing care as a predictor of phlebitis related to insertion of a peripheral venous cannula in emergency departments: findings from a prospective study. J Hosp Infect [internet]. 2016 [cited 8 sep 2018]; 92(3):280-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26792683
  13. Milutinović D, Simin D, Zec D. Risk factor for phlebitis: a questionnaire study of nurses’ perception. Rev. Latino-Am. Enfermagem [internet]. 2015 [cited 8 sep 2018]; 23(4):677-84. Available from: http://www.scielo.br/pdf/rlae/v23n4/0104-1169-rlae-23-04-00677.pdf
  14. Li XF, Liu W, Qin Y. Nurses' perception of risk factors for infusion phlebitis: A cross-sectional survey. Chinese Nursing Research [internet]. 2016 [cited 8 sep 2018]; 3(1):37-40. Available from: http://www.sciencedirect.com/science/article/pii/S2095771816300251
  15. Associação Paulista Medicina (BR). Conselho Regional de Medicina (BR). Manual de indicadores de enfermagem NAGEH, APM/CREMESP. 2ª ed. São Paulo: CREMESP; 2012. p. 30.
  16. Souza AEBR, de Oliveira JLC, Dias DC, Nicola AL. Prevalence of phlebitis in adult patients admitted to a university hospital. Rev Rene. [internet]. 2015 [cited 8 sep 2018]; 16(1):114-22. Available from: http://www.revistarene.ufc.br/revista/index.php/revista/article/viewFile/1918/pdf_1
  17. Magerote NP, Lima MHM, Silva JB, Correia MDL, Secoli SR. Relation between phlebitis and peripheral intravenous catheter removal. Texto & context enferm. [internet]. 2011 [cited 8 sep 2018]; 20(3):486-92. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072011000300009
  18. Urbanetto JS, Rodrigues AB, Dornelles FF, Rosa JM Filho, Gustavo AS, et al. Prevalência de flebites em pacientes adultos com cateter venoso periférico. R Enferm. UFSM [internet]. 2011 [cited 8 sep 2018]; 1(3):440-8. Disponível em: https://periodicos.ufsm.br/reufsm/article/view/3283/2409
  19. Santos ACS, Santo FHE, Pestana L, Daher DV, Santana R. Insuficiência cardíaca: estratégias usadas por idosos na busca por qualidade de vida. Ver Bras Enferm [internet]. 2011 [cited 8 sep 2018]; 64(5):857-63. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672011000500009
  20. O’Grady NP, Alexander M, Burns LA, Dellinger P, Garland J, Heard S, et al. Healthcare Infection Control Practices Advisory Committee. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control [internet]. 2011 [cited 8 sep 2018]. Available from: http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf
  21. Rickard CM, Webster J, Wallis MC, Marsh N, McGrailMR, French V, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. Lancet [internet]. 2012 [cited 8 sep 2018]; 380(9847):1066-74. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22998716
  22. Rego Furtado LC. Incidence and predisposing factors of phlebitis in a surgery department. Br J Nurs. [internet] 2011 [cited 8 sep 2018]; 20(14 suppl):S16-S25. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21841668
  23. Bitencourt ES, Leal CN, Boostel R, Mazza VA, Felix JVC, Pedrolo E. Prevalência de flebite relacionada ao uso de dispositivos intravenosos periféricos em crianças. Cogitareenferm. 2018; 23(1): e49361.