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[Complications due to peripheral venous catheterization. Prospective study].

F Barbut1, T Pistone, M Guiguet

  • 1Unité d'hygiène et de lutte contre les infections nosocomiales (UHLIN) Hôpital Saint-Antoine 184, rue du faubourg Saint-Antoine 75012 Paris. frederic.barbut@sat.ap-hop-paris.fr

Presse Medicale (Paris, France : 1983)
|May 8, 2003
PubMed
Summary
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Peripheral venous catheter (PVC) complications like phlebitis are common but generally mild. Regular catheter replacement every 72-96 hours may reduce these risks.

Area of Science:

  • Infectious Diseases
  • Clinical Medicine
  • Medical Microbiology

Context:

  • Peripheral venous catheters (PVCs) are widely used for intravenous therapy.
  • Complications associated with PVCs can impact patient outcomes and healthcare costs.
  • Understanding the incidence and risk factors for PVC complications is crucial for effective patient care.

Purpose:

  • To prospectively evaluate the frequency and types of complications associated with peripheral venous catheters.
  • To identify risk factors for catheter colonization and phlebitis.
  • To assess the clinical significance of PVC-associated complications.

Summary:

  • A study of 525 PVCs found high rates of clinical complications, including erythema (22.1%), tenderness (21.9%), and swelling (20.9%). Phlebitis occurred in 22% of cases, and catheter colonization in 13%.

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  • Risk factors for colonization included older age, insertion site, and duration. Phlebitis was associated with skin lesions, unrelated infections, vein quality, and duration.
  • While frequent, PVC complications were generally benign, suggesting that adherence to guidelines for catheter replacement every 72-96 hours could mitigate risks.

    • Impact:

    • Provides data on the incidence of PVC complications, informing clinical practice and patient safety protocols.
    • Identifies specific patient and procedural factors that increase the risk of PVC-related infections and inflammation.
    • Highlights the importance of timely catheter management to minimize patient morbidity.