Abstract
Local inflammation associated with the peripheral intravenous cannula insertion is an important issue in nursing care which can lead to sepsis.
Objective: (1) Determination local inflammation rate associated with the use of peripheral intravenous catheter (2) the risk factors of local inflammation caused by peripheral intravenous catheter insertion.
Methods: A cross sectional study of 510 patients using peripheral intravenous catheter (PIC) in Hue Central Hospital. Inflammation level was assessed on the VIP scale.
Results: The incidence of local inflammation was (28,0%) while using PIC, with local inflammation Grade I was the highest proportion (45.5 %), Grade II was (35.0%), Grade III was (11.9%) and Grade IV was (7.6%). There is no Grade V. The risk factors of local inflammation after using PIC including: age (≥ 60), length of admission (> 5 days), the number of catheter placement (≥ 4), time catheter remained in place (≥ 3) days, group drug was protein - polymer.
Recommendations: Observe to detect local inflammation soon after using PIC to improve the quality of patient care.
References
Bộ Y tế (2012). Hướng dẫn phòng ngừa nhiễm
khuẩn huyết trên người bệnh đặt catheter trong
lòng mạch.
Phùng Thị Hạnh (2018). Tỉ lệ viêm tại chỗ
trong và sau thời gian đặt catheter tĩnh mạch
ngoại vi và một số yếu tố liên quan tại khoa
phẫu thuật thần kinh 1, Bệnh viện Hữu Nghị
Việt Đức.
Thái Đức Thuận Phong (2011). Khảo sát tỉ lệ
viêm tại chỗ do đặt catheter tĩnh mạch ngoại vi
tại khoa Hồi sức cấp cứu Bệnh viện Tim mạch
An Giang.
Lương Ngọc Quỳnh (2014). Một số đặc điểm
nhiễm khuẩn catheter tĩnh mạch trung tâm tại
khoa Hồi sức tích cực Bệnh viện Trung ương
Quân đội 108.
Nguyễn Ngọc Rạng H. T. M. H., Mai Nhật
Quang, Lê Thị Tuyết Nga, Lý Thị Hồng (2013).
Có nên thay kim luồn tĩnh mạch thường quy
mỗi 72 giờ. Hội nghị khoa học Điều dưỡng bệnh
viện An Giang, 6-11.
Cicolini G., Manzoli L., Simonetti V. et al.
(2014). Phlebitis risk varies by peripheral
venous catheter site and increases after 96
hours: a large multi-centre prospective study. J
Adv Nurs, 70(11), 2539-49.
Furtado L. C. d. R. (2011). Incidence and
predisposing factors of phlebitis in a surgery
department. British Journal of Nursing,
(Sup7), S16-S25.
Lisa Gorski L. H., Mary E. Hagle, Mary
McGoldrick, Marsha Orr, Darcy Doellman,
(2016). Infusion Therapy Standards of Practice
Journal of Infusion Nursing, 39(1).
Lynn H. (2006). Flushing vascular access catheters:
Risks for infection Infection Control, 4(2).
Marcia A. Ryder P., MS, RN (2005). CatheterRelated Infections: It’s All About Biofilm. Top
Adv Pract Nurs e-J, 5(3), 1-15.
Uslusoy E. and Mete S. (2008). Predisposing
factors to phlebitis in patients with peripheral
intravenous catheters: a descriptive study. J Am
Acad Nurse Pract, 20(4), 172-80.
Published | 08-01-2025 | |
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Issue | No. 63 (2020) | |
Section | Original article | |
DOI | 10.38103/jcmhch.2020.63.10 | |
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