Survey of phlebitis due to peripheral intravenous catheter

Introduction:&lrm;&rlm; &rlm;Intravenous catheter despite its high value to deliver fluids and electrolytes has &lrm;side effects such as phlebitis that is a serious risk for patient. &lrm; Objective:&lrm;&rlm; &rlm;This study aims to determine prevalence of peripheral intravenous catheter &ndash; &lrm;induced phlebitis.&lrm; Methods: In This descriptive study, &lrm;&rlm;100&rlm;&lrm; hospitalized children in medical and infectious &lrm;wards of &lrm;&rlm;17&rlm;&lrm; Shahrivar hospital in order of entry to IV Room were selected and examined &lrm;during &lrm;&rlm;72&rlm;&lrm; hours. The data collection instrument consisted of a three part questionnaire &lrm;including demographic information (sex,&lrm;&rlm; &rlm;age,&lrm;&rlm; &rlm;type of illness), information on patients &lrm;status(serum type,&lrm;&rlm; &rlm;intravenous catheter size, the amount of serum received in &lrm;&rlm;24&rlm;&lrm; hours, place &lrm;of catheter, medications or other elements received through the catheter and child, s activity &lrm;level), phlebitis degree check list(from zero, meaning the lack phlebitis, to four,&lrm;&rlm; &rlm;by phlebitis &lrm;size more than &lrm;&rlm;7/5&rlm;&lrm; cm above the injection site) and the time of phlebitis occurrence was used. &lrm;Data analyzed in SPSS software by descriptive and inferential statistics such as frequency &lrm;distribution and Chi- square test. &lrm; Results:&lrm;&rlm; &rlm;The results showed that &lrm;&rlm;50&rlm;&lrm; percent of children were boys. The majority of them &lrm;&lrm;(&lrm;&rlm;41%&rlm;&lrm;) were under one year old. Seventy-five percent of children were suffering from &lrm;infectious diseases.&lrm;&rlm; &rlm;Serum D/W &lrm;&rlm;5%&rlm;&lrm; was used in &lrm;&rlm;81&rlm;&lrm; percent of children,&lrm;&rlm; &rlm;serum intake, of &lrm;&rlm;42&rlm;&lrm; &lrm;percent of children in &lrm;&rlm;24&rlm;&lrm; hours was &lrm;&rlm;200&rlm;&lrm; c c. Only &lrm;&rlm;19&rlm;&lrm; percent of children needed complete bed &lrm;rest ,the most common injection site (&lrm;&rlm;43%&rlm;&lrm;) was the back of hand , &lrm;&rlm;89&rlm;&lrm; percent of samples &lrm;suffered from phlebitis,&lrm;&rlm; &rlm;that majority of them(&lrm;&rlm;43%&rlm;&lrm;) occurred in second day. There were a &lrm;significant relationship between phlebitis complication and duration of catheter in place&rlm; &rlm;&lrm;(p<&lrm;&rlm;0001&rlm;&lrm;) and&rlm; &rlm;child activity (p<&lrm;&rlm;008&rlm;&lrm;) according to X&rlm;2&rlm;&lrm; test results. &lrm; &nbsp;Conclusion: The result of research showed that only &lrm;&rlm;11&rlm;&lrm; percent of children did not have &lrm;phlebitis so the prevalence of this problem and its relationship with duration use of catheter &lrm;and child activity needs more attention regarding prevention of phlebitis thus broader studies &lrm;in this area is recommended. &lrm; &lrm;