PREVALENCE OF CATHETER-RELATED PHLEBITIS AND RELATED FACTORS IN CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL
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Tóm tắt
Background: Peripheral intravenous catheters (PIVCs) are widely used for medication, fluid, and transfusion administration; however, they are frequently associated with complications, particularly phlebitis. Phlebitis can cause pain, local inflammation, catheter failure, and may lead to treatment interruption and prolonged hospitalization, highlighting the need for reliable and systematic monitoring. The Visual Infusion Phlebitis (VIP) score offers a validated and standardized method for early detection and assessment of catheter-related phlebitis. Objectives: This study aimed to determine the prevalence of phlebitis and related factors among patients at Can Tho University of Medicine and Pharmacy Hospital. Materials and methods: A cross-sectional descriptive study was conducted among 307 inpatients at Can Tho University of Medicine and Pharmacy Hospital. Eligible participants were aged 18 years or older and had a PIVC in place for at least 24 hours. Data collection included demographic and clinical information obtained through structured survey forms, direct observation of catheter sites, and review of medical records. Phlebitis was assessed according to the VIP scale. Results: Among 307 patients, the majority were over 50 years of age (67.8%), female (54.1%). Most catheters were inserted in the upper extremities (95.4%) for transfusion purposes (96.7%). The overall prevalence of phlebitis was 27.4%. Among the 84 patients with phlebitis, 95.2% were classified as grade 1, while grades 2 and 5 accounted for 3.6% and 1.2%, respectively. No cases of grade 3 or 4 were observed. Prolonged catheter dwell time (≥3 days), use of an open infusion system, and non-specialized dressings were significantly associated with an increased risk of phlebitis. Conclusion: Phlebitis remains a common complication of PIVCs, although most cases were mild (grade 1). Enhanced monitoring using the Visual Infusion Phlebitis (VIP) scale, avoiding prolonged catheter dwell time, employing a closed infusion system, and adhering to standardized dressing changes are essential to minimize complications.
Từ khóa
Peripheral intravenous catheter, phlebitis, Visual Infusion Phlebitis score, catheter-related complications
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Tài liệu tham khảo
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