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Published on: November 11, 2014
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.
Insights
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.
Abstract:
This retrospective study was aimed to identify risk factors of intravenous (IV) infiltration for hospitalized children. The participants were 1,174 children admitted to a general hospital, who received peripheral intravenous injection therapy at least once, and had complete records. Data were analyzed with frequency and percentage or mean and standard deviation were calculated, and odds ratio (OR) from univariate and multiple logistic regressions. The number and % of infiltrations were 92 and 7.8%, respectively. IV infiltration risk factors were lower limb (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 combination (OR = 3.37). Nurses working at children's hospitals should consider the risk of IV infiltration for children receiving IV infusion therapy and make a preventive effort to identify IV infiltration in high-risk children at an early stage.
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