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Identification of Risk Factors for Intravenous Infiltration among Hospitalized Children: A Retrospective Study
Soon Mi Park1, Ihn Sook Jeong2, Seong Sook Jun2
1Department of Nursing, Pusan National University Yangsan Hospital, Yangsan, South Korea.
Plos One
|June 29, 2016
Summary
Identifying intravenous (IV) infiltration risk factors in hospitalized children is crucial. Lower limb IVs, phenytoin, 10% dextrose, steroids, vancomycin, high-concentration electrolytes, and ampicillin/sulbactam increase infiltration risk.
Area of Science:
- Pediatric Nursing
- Clinical Pharmacy
- Patient Safety
Background:
- Intravenous (IV) infiltration is a common complication in pediatric patients.
- Early identification and prevention of IV infiltration are essential for patient safety and effective treatment.
Purpose of the Study:
- To identify risk factors associated with peripheral intravenous (IV) infiltration in hospitalized children.
- To provide data for developing targeted preventive strategies.
Main Methods:
- Retrospective study analyzing records of 1,174 hospitalized children receiving peripheral IV therapy.
- Statistical analysis included frequency, percentage, mean, standard deviation, and logistic regression to calculate odds ratios (OR).
Main Results:
- The overall IV infiltration rate was 7.8% (92 cases).
- Significant risk factors identified included lower limb IV site (OR = 1.72), phenytoin (OR = 11.03), 10% dextrose (OR = 6.55), steroids (OR = 6.21), vancomycin (OR = 4.10), high-concentration electrolytes (OR = 3.49), and ampicillin/sulbactam (OR = 3.37).
Conclusions:
- Specific medications and IV site location are significant risk factors for IV infiltration in children.
- Nurses should be vigilant in monitoring high-risk children to enable early detection and intervention, minimizing complications.
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