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Infusion thrombophlebitis--histological and bacteriological study.

M Subrahmanyam

    Indian Journal of Medical Sciences
    |September 1, 1989
    PubMed
    Summary

    Thrombophlebitis developed in 99 of 560 intravenous infusions. Histopathology revealed non-bacterial inflammation, with thrombus and endothelial damage, suggesting mechanical or chemical irritation rather than infection.

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    Area of Science:

    • Medical Research
    • Clinical Pathology
    • Infectious Disease

    Background:

    • Thrombophlebitis is a common complication of intravenous infusions.
    • Understanding the etiology of thrombophlebitis is crucial for patient care.

    Purpose of the Study:

    • To investigate the causes of thrombophlebitis in patients receiving intravenous infusions.
    • To differentiate between bacterial and non-bacterial causes of infusion-related thrombophlebitis.

    Main Methods:

    • A four-year study involving 560 intravenous infusions.
    • Bacteriological analysis of infusion fluids and needles from patients with thrombophlebitis.
    • Histopathological examination of affected veins.

    Main Results:

    • 99 out of 560 infusions resulted in thrombophlebitis.
    • Bacteriological cultures were positive in only two cases, indicating non-bacterial inflammation.
    • Histopathology showed venous thrombus, endothelial destruction, and inflammatory cell infiltration.

    Conclusions:

    • Infusion-related thrombophlebitis is predominantly non-bacterial.
    • Histopathological findings suggest mechanical or chemical irritation as primary causes.
    • Further research into non-infectious etiologies is warranted.

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