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[Phlebitis in children]
Magda Boltá1, Mireya Urreya Ayal
1Unidad de Pediatría General, Programa Control de Infecciones Nosocomiales, Hospital Sant Joan de Déu de Barcelona.
Insights
Phlebitis, an inflammation of veins, occurred in 8.4% of pediatric patients. High antibiotic use was linked to increased phlebitis risk, highlighting the need for preventative measures.
Area of Science:
- Clinical Medicine
- Pediatrics
- Infectious Disease Epidemiology
Context:
- Phlebitis is a common complication in hospitalized pediatric patients receiving intravenous therapy.
- Understanding the incidence and associated factors of phlebitis is crucial for improving patient care in pediatric units.
Purpose:
- To determine the occurrence of phlebitis in pediatric inpatients.
- To identify factors associated with the development of phlebitis in this population.
Summary:
- A prospective study in a pediatric unit found an 8.4% incidence of phlebitis among 153 patients with 201 peripheral venous cannulations.
- The most frequent clinical sign was a venous cord (53%). Phlebitis commonly occurred on the back of the hand using a 22G catheter and typically appeared two days post-insertion.
- Increased administration of antibiotics was associated with a higher risk of phlebitis (p>0.05).
Impact:
- The findings underscore the significance of phlebitis as a frequent issue in pediatric intravenous treatment.
- Implementing control measures and continuous vigilance programs can help prevent phlebitis in pediatric patients.
- This study provides valuable data for healthcare providers to mitigate phlebitis risks in pediatric care settings.
Unlabelled:
The authors' objectives are to determine the occurrence of phlebitis in patients hospitalized in the General Pediatrics Unit and to define the possible factors associated to its development. The authors carried out a prospective study in the "Sant Joan de Deu" Hospital in Barcelona during the month of July and from the 15th of September until the 15th of October in 2002. A one variant and two variant analysis using the chi squared method as the basis for estimating which associations took place. There were 153 patients admitted having 201 peripheral veins canalized; occurrence of phlebitis was 8.4%; a venous cord (53%) was the most frequent clinical sign. In cases of phlebitis, the back of a patient's hands (64.7%) was the main spot to make an insertion using a 22G "Vasocán" catheter (70.6%). Phlebitis appeared 2 days after insertion; the high number of antibiotics administered increased the risk of phlebitis (p>0.05).
Conclusion:
Phlebitis is a frequent problem in pediatrics patients having endo-venous treatment, susceptible to prevention by means of the implementation of control measures and a program of continuous vigilance.
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