Frequency of Peripheral Intravenous Infiltration and Determination of Risk Factors in Children: A Cohort Study

Yıl 2023, , 207 - 212, 04.10.2023

Ayşegül Şimşek , Birsen Mutlu , Şadiye Dur

https://doi.org/10.30934/kusbed.1339852

Öz

Objective: Intravenous therapy is one of the most commonly used routes for drug administration. The aim of this study was to determine the frequency of peripheral intravenous infiltration and risk factors in children.

Methods: This cross-sectional and cohort study was conducted in a university hospital in pediatric patients. An information form and the Infiltration Rating Scale were used. Data were obtained from patients, their parents, and patient records. Infiltration data was obtained by researchers through direct observation. Significance was assumed as p<0.05 at 95% confidence interval.

Results: A total of 176 pediatric patients made up the study cohort. Most of the peripheral venous catheters were inserted by nurses and into upper extremities. The incidence of infiltration was 57.9%, and most of the infiltrates were first-degree. The development of infiltration was significantly associated with the medical specialty being attended (p=0.001) and the number of catheter insertion attempts (p=0.013).

Conclusion: The specific medical specialty and the number of catheter insertion attempts were shown to play a significant role in the development of infiltration.

Anahtar Kelimeler

Infiltration, nurse, pediatric, venous catheterization

Kaynakça

• Olgun S, Demirary A, Eşer İ, Khorshid L. Phlebitis and infiltration status in peripheral intravenous catheterisation in children. Journal of Ege University Nursing Faculty. 2014;30(2):40-54.
• Braga LM, Parreira PM, Oliveira ASS, Mónico LSM, Arreguy-Sena C. Phlebitis and infiltration: vascular trauma associated with the peripheral venous catheter. Rev Latino-Am Enfermagem. 2018;26:e3002. doi:10.1590/1518-8345.2377.3002
• Huang L, Huang Y, Hu J. Current practices of peripheral intravenous catheter fixation in pediatric patients and factors influencing pediatric nurses’ knowledge, attitude and practice concerning peripheral intravenous catheter fixation: a cross-sectional study. BMC Nursing. 2021;20:236. doi:10.1186/s12912-021-00758-1
• Celik S, Avsar G. Nursing care in peripheral intravenous catheter application: evidence-based practices. University of Health Sciences Journal of Nursing. 2021;3(3):177-182. oi:10.48071/sbuhemsirelik.962136
• Infusion Nurses Society. Infusion Therapy Standards of Practice. Journal of Infusion Nursing. 2006; January/February:39(1S). Retrieved from at https://source. yiboshi.com/20170417/1492425631944540325.pdf Access date: 23.12.2019.
• Marsh N, Larsen EN, Takashima M, Kleidona T, Keogh S. Peripheral intravenous catheter failure: A secondary analysis of risks from 11,830 catheters. Int J Nurs Stud. 2021;12(124):1-9. doi:10.1016/j.ijnurstu.2021.104095
• Tasdelen Y, Caglar S. Effect of intravenous infiltration management program on peripheral intravenous catheter success and infiltration in hospitalized infants. Nurs Care Qual. 2020;36(3):E44–E49. doi:10.1097/NCQ.0000000000000511
• Van Rens MFPT, Hugill K, Mahmah MA, Bayoumi M, Francia ALV. Evaluation of unmodifiable and potentially modifiable factors affecting peripheral intravenous device- related complications in neonates: a retrospective observational study. BMJ Open. 2021;11:e047788. doi:10.1136/ bmjopen-2020-047788
• Indarwati F, Mathew S, Munday J, Keogh S. Incidence of peripheral intravenous catheter failure and complications in paediatric patients: systematic review and meta-analysis. Int J Nurs Stud. 2020;102:103488. doi:10.1016/j.ijnurstu.2019.103488
• Ozalp Gerceker G, Kahraman A, Yardimci F, Bilsin E, Binay S. Infiltration, and extravasation in pediatric patients: A prevalence study in a children’s hospital. The J Vasc Access. 2018;19(3):1–6. doi:10.1177/1129729817747532
• Bitencourt ES, Leal CN, Boostel R, Mazza V, Felix JVC. Prevalence of phlebitis related to the use of peripheral intravenous devices in children. Cogitare Enferm. 2018;23(1):e49361. doi:10.5380/ce.v23i1.49361
• Suliman M, Saleh W, Al-Shiekh H, Taan W, Al Bashtawy M. The incidence of peripheral intravenous catheter phlebitis and risk factors among pediatric patients. J Pediatr Nurs. 2020;50:89-93. doi:10.1016/j.pedn.2019.11.006.
• Farzam K, Richards JR. Premature Ventricular Contraction. Stat Pearls, Treasure Island (FL): Stat Pearls Publishing, 2022. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30422584/ Access date: 23.12.2019.
• Litao H, Yuxuan R, Yongxia S. Infiltration and extravasation of intravenous infusions in children-value of high-quality care on outcome. J Pak Med Assoc. 2021;71:1181. doi:10.47391/JPMA.02-194
• Santos LM, Nunes KJ, Silva CSG, Kusahara DM, Rodrigues EC. Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children. Rev Latino-Am Enfermagem. 2021;29:e3435. doi:10.1590/1518-8345.4314.3435.
• Gorski LA. A Look at 2021 Infusion Therapy Standards of Practice. Home Healthc Now. 2021;39(2):62-71. doi:10.1097/NHH.0000000000000972.
• Temizsoy E, Eriş Ö, Karakoç A, Cnagür Ş, Karatekin Gİ, Ovali HF. Turkish Validity Reliability of the Pediatric Peripheral Intravenous Infiltration Scale and Its Adaptation to Newborns. J Pediatr Res. 2017; 4(4):32-238.
• Atay S, Sen S, Cukurlu D. Incidence of infiltration/extravasation in newborns using peripheral venous catheter and affecting factors. Revista da Escola de Enfermagem da USP. 2018;4(52):e03360. doi:10.1590/S1980-220X2017040103360.
• Kahraman A, Ozalp Gerceker G, Yardimci F, Bilsin E, Binay Yaz S. The effect of a nurse education program on infiltration and extravasation in pediatric patients at a university hospital. J Pediatr Res. 2020;7(4):309-15. doi:10.4274/jpr.galenos.2020.98470
• Resnick O, Abu Ahmad W, Bancovsky D, Bancovsky D, Rogachev S. Predicting factors for complications in peripheral intravenous catheters in the pediatric population. Acta Paediatr. 2020;1–6. doi:10.1111/ apa.15687
• García-Exposito J, Reguant M, Canet-Velez O, Mata FR, Botigue T. Evidence of learning on the insertion and care of peripheral venous catheters in nursing students: A mixed study. Nurse Education Today. 2021;107:105157. doi:10.1016/j.nedt.2021.105157.
• Infusion Nurses Society. Infusion Therapy Standards of Practice. Infusion Therapy Standards of Practice, 8th Edition. 2021;44(1):Suppl:1-224. doi:1097/NAN.0000000000000396