Infiltration and extravasation in pediatric patients: A prevalence study in a children's hospital

Gülçin Özalp Gerçeker1, Ayşe Kahraman2, Figen Yardimci2

  • 11 Department of Pediatric Nursing, Faculty of Nursing, Dokuz Eylül University, İzmir, Turkey.

Insights

Pediatric infiltration and extravasation rates are high, with current interventions being insufficient. Enhanced training for nurses is crucial for prevention and improved patient outcomes.

Area of Science:

  • Pediatric Nursing
  • Vascular Access Devices
  • Patient Safety

Background:

  • Infiltration and extravasation are common complications of peripheral intravenous therapy in children.
  • Effective management and prevention strategies are essential for pediatric patient care.

Purpose of the Study:

  • To determine the prevalence of infiltration and extravasation in pediatric patients.
  • To identify interventions used for these complications in a children's hospital.

Main Methods:

  • Prospective, descriptive research design.
  • Study conducted from September 2015 to February 2016.
  • Sample included 297 peripheral catheters in 173 pediatric patients.

Main Results:

  • Infiltration occurred in 2.9% of patients and extravasation in 2.3%.
  • Prevalence rates were 5.5 and 4.4 per 1000 patient-days, respectively.
  • Interventions included gauze dressing, cold application, saline irrigation, and elevation.

Conclusions:

  • High prevalence of infiltration and extravasation noted.
  • Current interventions were found to be inadequate.
  • Need for targeted training and implementation strategies for pediatric nurses to prevent these events.
Abstract