SURVEY ON THE PREVALENCE OF PHLEBITIS AT PERIPHERAL INTRAVENOUS CATHETER SITES IN PEDIATRIC PATIENTS AT CAN THO CHILDREN’S HOSPITAL IN 2025
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Abstract
Background: Peripheral intravenous catheter–related phlebitis is the most common complication in clinical practice, adversely affecting treatment effectiveness. This complication not only prolongs hospital stay but also increases healthcare costs. Objectives: To determine the prevalence and associated factors of phlebitis at peripheral intravenous catheter insertion sites among pediatric patients at Can Tho Children’s Hospital in 2025. Materials and methods: We conducted a cross-sectional descriptive study on 223 pediatric patients with peripheral intravenous catheters maintained for ≥24 hours at the Dengue Fever Department, Can Tho Children’s Hospital, from February 2025 to June 2025. Results: The study included 223 pediatric patients with a median age of 5 years (IQR: 4–7), and the proportion of pediatric patients with catheter dwell time >48–72 hours was 60.5%. The incidence of phlebitis among children with peripheral intravenous catheters was 27.4%. Most cases were mild, with grade I accounting for 22.9%. More severe cases were rare, with 3.6% at grade II, 0.9% at grade III, and none at grade IV or V. Children aged 7–11 years had a 2.04-fold higher risk of developing phlebitis compared with children aged ≤6 years (OR = 2.04; p = 0.04).Overweight children had a 2.94-fold higher risk of developing phlebitis compared with children with normal BMI (OR = 2.94; p = 0.002). Conclusion: The prevalence of phlebitis in pediatric patients with peripheral intravenous catheters was 27.4%, with grade I accounting for the majority (22.9%). Age and BMI were associated with an increased risk of phlebitis.
Keywords
Phlebitis, Peripheral intravenous catheters, Pediatric patients
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References
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