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Peripheral intravenous catheter insertion, maintenance and outcomes in Indonesian paediatric hospital settings: A

Ferika Indarwati1, Judy Munday2, Samantha Keogh3

  • 1Queensland University of Technology (QUT), School of Nursing and Centre for Healthcare Transformation, Brisbane, Queensland, Australia; School of Nursing, Faculty of Medicine and Health Sciences, Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia; Alliance of Vascular Access Teaching and Research Group, Griffith University, Queensland, Australia.

Journal of Pediatric Nursing
|September 2, 2023
PubMed

Insights

Paediatric peripheral intravenous catheter complications in Indonesia mirror those in developed nations. Improving catheter care requires better assessments, training, dressing choices, and documentation for enhanced patient safety.

Area of Science:

  • Medical Research
  • Infection Control
  • Patient Safety

Background:

  • Peripheral intravenous catheters (PIVCs) are crucial for paediatric care.
  • Understanding PIVC use and complications in developing countries is vital for improving patient outcomes.

Purpose of the Study:

  • To evaluate the utilization, maintenance, and outcomes of PIVCs in paediatric patients in Indonesia.
  • To identify factors associated with PIVC complications in a resource-limited setting.

Main Methods:

  • A point prevalence survey was conducted across ten Indonesian hospitals.
  • Data collection involved site observation and medical record review of 386 paediatric patients.

Main Results:

  • Over 90% of patients had a PIVC, primarily inserted by nurses for infusions and medications.
  • Inadequate site visibility (47%) and poor documentation of daily care (40%) were noted.
  • Complications were documented for 43% of PIVCs, with diagnosis, ward, catheter specifics, dressings, and flushing significantly associated with outcomes.

Conclusions:

  • Paediatric PIVC complications in Indonesia are comparable to those in developed countries.
  • Low and middle-income countries share similar challenges in catheter insertion and care.
  • Recommendations include vascular access needs assessments, training, optimized dressing methods, and improved documentation.
Abstract

Keywords:
Catheterisation, peripheralComplicationInsertionMaintenancePaediatricPoint prevalence

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