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与使用外周静脉导管及拔除导管后相关的静脉炎发生率。

Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal.

作者信息

Urbanetto Janete de Souza, Peixoto Cibelle Grassmann, May Tássia Amanda

机构信息

PhD, Adjunct Professor, Faculdade de Enfermagem, Nutrição e Fisioterapia, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.

RN, Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.

出版信息

Rev Lat Am Enfermagem. 2016 Aug 8;24:e2746. doi: 10.1590/1518-8345.0604.2746.

Abstract

OBJECTIVE

to investigate the incidence of phlebitis and its association with risk factors when using peripheral IV catheters (PIC) and following their removal - (post-infusion phlebitis) in hospitalized adults.

METHOD

a cohort study of 171 patients using PIC, totaling 361 punctures. Sociodemographic variables and variables associated with the catheter were collected. Descriptive and analytical statistical analyses were performed.

RESULTS

average patient age was 56.96 and 51.5% of the sample population was male. The incidence of phlebitis was 1.25% while using PIC, and 1.38% post-infusion. The incidence of phlebitis while using PIC was associated with the length of time the catheter remained in place, whereas post-infusion phlebitis was associated with puncture in the forearm. Ceftriaxone, Clarithromycin and Oxacillin are associated with post-infusion phlebitis.

CONCLUSIONS

this study made it possible to investigate the association between risk factors and phlebitis during catheter use and following its removal. The frequency of post-infusion phlebitis was larger than the incidence of phlebitis with the catheter in place, with Phlebitis Grade III and II being the most frequently found in each of these situations, respectively. Aspects related to post-infusion phlebitis can be explained, given the limited number of studies addressing this theme from this perspective.

OBJETIVO

investigar a incidência de flebites e a associação de fatores de risco com a sua ocorrência durante o uso e após a retirada do cateter intravenoso periférico - CIP (Flebite pós-infusão) em adultos hospitalizados.

MÉTODO: estudo de coorte com 171 pacientes com CIP, totalizando 361 punções. Foram coletadas variáveis sociodemográficas e relacionadas ao cateter. Análise estatística descritiva e analítica.

RESULTADOS

dos pacientes, 51,5% eram homens e a média de idade foi de 56,96 anos. A incidência de flebites durante o uso do CIP foi de 1,25% e a pós-infusão foi de 1,38%. Associou-se à flebite durante o uso do CIP ao tempo de permanência do cateter e, com a flebite pós-infusão, a punção em antebraço. Os medicamentos Ceftriaxona, Claritromicina e Oxacilina foram associados à flebite pós-infusão.

CONCLUSÕES: este estudo possibilitou investigar a associação de fatores de risco e a ocorrência de flebites durante o uso e após a retirada do cateter. A frequência da flebite pós-infusão foi maior do que o número de flebites durante a permanência do cateter, sendo as de grau III e II, respectivamente, as mais frequentes. Podem ser elucidados aspectos relacionados à flebite pós-infusão, considerando-se poucos estudos abordam o tema sob esta perspectiva.

OBJETIVO

investigar la incidencia de flebitis y la asociación de factores de riesgo con su ocurrencia durante el uso y después de la retirada del catéter intravenoso periférico (CIP) (flebitis post-infusión) en adultos hospitalizados.

MÉTODO: estudio de cohorte con 171 pacientes con CIP, totalizando 361 punciones. Fueron recolectadas variables sociodemográficas y relacionadas al catéter. Análisis estadístico descriptivo y analítico.

RESULTADOS

de los pacientes, 51,5% eran hombres y el promedio de edad fue de 56,96 años. La incidencia de flebitis durante el uso del CIP fue de 1,25% y de post-infusión fue de 1,38%. Se asoció la flebitis durante el uso del CIP al tiempo de permanencia del catéter y con la post-infusión (punción en el antebrazo). Los medicamentos Ceftriaxona, Claritromicina y Oxacilina fueron asociados a la flebitis post-infusión.

CONCLUSIONES

este estudio posibilitó investigar la asociación de factores de riesgo y la ocurrencia de flebitis durante el uso y después de la retirada del catéter. La frecuencia de la flebitis post-infusión fue mayor que el número de flebitis asociada a la permanencia del catéter, siendo las de grado III y II, respectivamente, las más frecuentes. Se trato de elucidar aspectos relacionados a la flebitis post-infusión, considerando que existen pocos estudios que abordan el tema bajo esta perspectiva.

摘要

目的

调查住院成人使用外周静脉导管(PIC)时及拔除导管后(输液后静脉炎)静脉炎的发生率及其与危险因素的关联。

方法

对171例使用PIC的患者进行队列研究,共穿刺361次。收集社会人口统计学变量和与导管相关的变量。进行描述性和分析性统计分析。

结果

患者平均年龄为56.96岁,样本人群中51.5%为男性。使用PIC时静脉炎的发生率为1.25%,输液后为1.38%。使用PIC时静脉炎的发生率与导管留置时间有关,而输液后静脉炎与在前臂穿刺有关。头孢曲松、克拉霉素和苯唑西林与输液后静脉炎有关。

结论

本研究得以调查导管使用期间及拔除后危险因素与静脉炎之间的关联。输液后静脉炎的发生率高于导管留置期间静脉炎的发生率,在每种情况下,分别以Ⅲ级和Ⅱ级静脉炎最为常见。鉴于从这一角度探讨该主题的研究数量有限,输液后静脉炎的相关方面可以得到解释。

目的

调查住院成人使用外周静脉导管(CIP)时及拔除导管后(输液后静脉炎)静脉炎的发生率及其与危险因素的关联。

方法

对171例使用CIP的患者进行队列研究,共穿刺361次。收集社会人口统计学变量和与导管相关的变量。进行描述性和分析性统计分析。

结果

患者中51.5%为男性,平均年龄为56.96岁。使用CIP时静脉炎的发生率为1.25%,输液后为1.38%。使用CIP时静脉炎与导管留置时间有关,输液后(在前臂穿刺)也有关。头孢曲松、克拉霉素和苯唑西林与输液后静脉炎有关。

结论

本研究得以调查危险因素与导管使用期间及拔除后静脉炎发生之间的关联。输液后静脉炎的发生率高于与导管留置相关的静脉炎发生率,分别以Ⅲ级和Ⅱ级最为常见。考虑到从这一角度探讨该主题的研究较少,可以阐明与输液后静脉炎相关的方面。

目的

调查住院成人使用外周静脉导管(CIP)时及拔除导管后(输液后静脉炎)静脉炎的发生率及其与危险因素的关联。

方法

对171例使用CIP的患者进行队列研究,共穿刺361次。收集社会人口统计学变量和与导管相关的变量。进行描述性和分析性统计分析。

结果

患者中51.5%为男性,平均年龄为56.96岁。使用CIP时静脉炎的发生率为1.25%,输液后为1.38%。使用CIP时静脉炎与导管留置时间有关,输液后(在前臂穿刺)也有关。头孢曲松、克拉霉素和苯唑西林与输液后静脉炎有关。

结论

本研究得以调查危险因素与导管使用期间及拔除后静脉炎发生之间的关联。输液后静脉炎的发生率高于与导管留置相关的静脉炎发生率,分别以Ⅲ级和Ⅱ级最为常见。考虑到从这一角度探讨该主题的研究较少,试图阐明与输液后静脉炎相关的方面。

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