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Risk factors for infiltration in children and adolescents with peripheral intravenous catheters

Luciano Marques Dos Santos1,2, Irlane Batista Figueredo1, Cleonara Sousa Gomes E Silva1

  • 1Universidade Estadual de Feira de Santana. Feira de Santana, Bahia, Brazil.

Revista Brasileira De Enfermagem
|April 20, 2022
PubMed

Insights

The incidence of peripheral intravenous catheter infiltration in pediatric surgical patients was 31.2%. Factors like non-eutrophic status and certain drug types increased risk, while female sex showed a protective association.

Area of Science:

  • Pediatric Surgery
  • Nursing Research
  • Patient Safety

Background:

  • Peripheral intravenous catheters (PIVCs) are crucial in pediatric care.
  • Infiltration is a common adverse event associated with PIVCs.
  • Understanding risk factors is vital for prevention.

Purpose of the Study:

  • To determine the incidence of PIVC infiltration in pediatric surgical patients.
  • To identify factors associated with PIVC infiltration during the operative period.

Main Methods:

  • A prospective, longitudinal study was conducted.
  • Participants included children and adolescents with PIVCs in a pediatric hospital's surgical clinic.
  • Statistical analyses included chi-square, Fisher's exact test, and Poisson regression.

Main Results:

  • The overall incidence of infiltration was 31.2%.
  • Associated factors included non-eutrophic status (RR=2.27), use of non-irritating/non-vesicant drugs (RR=1.72), vesicant drugs (RR=1.84), and irritating/vesicant electrolytes (RR=2.35).
  • Female sex was associated with a lower risk (RR=0.53).

Conclusions:

  • Knowledge of identified risk factors can guide preventative strategies.
  • Developing targeted interventions is recommended to reduce PIVC infiltration.
  • Improving patient safety in pediatric surgical care is paramount.
Abstract

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