نبذة مختصرة : RESUMO Objetivo: estimar a incidência de complicações locais relacionadas ao uso do cateter intravenoso periférico com sistema fechado de infusão e identificar os fatores de risco associados. Método: trata-se de um estudo quantitativo, de coorte prospectivo, realizado com 90 adultos. Realizou-se a coleta mediante a observação diária do cateter. Utilizaram-se, nas análises estatísticas, os testes Qui-Quadrado, Exato de Fisher, Correção de Williams, Mann-Whitney e Risco Relativo. Apresentaram-se os resultados em forma de tabelas. Resultados: informa-se que a incidência de complicações locais foi de 55,6%, sendo 15 (16,7%) flebites, 12 (13,3%) trações, dez (11,1%) infiltrações, sete (7,8%) extravasamentos, cinco (5,6%) obstruções e uma (1,1%) infecção local. Têm-se como fatores de risco o sexo feminino (p=0,005), o tempo de internação (p=<0,001) e a infusão em bomba (p=0,014). Conclusão: acredita-se que a taxa de complicações locais foi alta e identificaram-se três fatores de risco relacionados ao uso do cateter intravenoso periférico com sistema fechado de infusão. Descritores: Cateterismo Periférico; Tecnologia Biomédica; Fatores de Risco; Enfermagem Baseada em Evidências; Adulto; Infusões Intravenosas. ABSTRACT Objective: to estimate the incidence of local complications related to the use of a peripheral intravenous catheter with a closed infusion system and to identify the associated risk factors. Method: this is a quantitative, prospective cohort study with 90 adults. The collection was performed by daily observation of the catheter. The Chi-Square, Fisher's exact, Williams's Correction, Mann-Whitney and Relative Risk tests were used in the statistical analyzes. Results were presented in the form of tables. Results: the incidence of local complications was 55.6%, with 15 (16.7%) phlebitis, 12 (13.3%) traction, ten (11.1%) infiltrations, seven (7, 8%) extravasations, five (5.6%) obstructions and one (1.1%) local infection. The risk factors were female gender (p = 0.005), hospitalization time (p = 0.001) and ...
Relation: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/239008/32127; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/239008/32128; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/239008/27546; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/239008/27547; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/239008/27548; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/239008/27549; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/downloadSuppFile/239008/27550; Batista OMA, Coelho SNOA, Oliveira GM de, Madeira MZ de A, Vieira CPB, Santos AMR dos. Risk factors for local complications of peripheral intravenous therapy factores. Rev Enferm UFPI [Internet]. 2014 July-Sept [cited 2018 Nov 05];3(3):88-93. Available from: http://www.ojs.ufpi.br/index.php/reufpi/arti cle/view/1540 2. Rickard CM, Ulman AJ, Kleidon T, Marsh N. Ten tips for dressing and securement of IV devices wounds. Aust Nurs Midwifery J [Internet]. 2017 June [cited 2018 Nov 05];24(10):32-34. Available from: https://www.researchgate.net/publication/317184009_Ten_Tips_for_Dressing_and_Securement_of_IV_Device_Wounds 3. Wallis MC, McGrail M, Webster J, Marsh N, Gowardman J, Playford EG, et al. Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial. Infect Control Hosp Epidemiol [Internet]. 2014 Jan [cited 2018 Nov 12];35(1):63-8. Available from: http://www98.griffith.edu.au/dspace/bitstream/handle/10072/61124/91756_1.pdf?seq 4. Infusion Nurses Society. Infusion nursing standards of practice. J Infus Nurs [Internet]. 2016 [cited 2018 Nov 12];39(1S). Available from: https://goo.gl/ESNKoR 5. Danski MTR, Oliveira GLR, Johann DA, Pedrolo E, Vayego SA. Incidence of local complications in peripheral venous catheter and associated risk factors. Acta Paul Enferm [Internet]. 2015 [cited 2018 Oct 08];28(6):517-23. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103- 6. Danski MTR, Johann DA, Vayego SA, Oliveira GLR, Lind J. Complications related to the use of peripheral venous catheters: a randomized clinical trial. Acta Paul Enferm [Internet]. 2016 [cited 2018 Oct 08];29(1):84-92. Available from: http://www.scielo.br/scielo.php?pid=S0103-21002016000100084&script=sci_arttext&tlng=en 7. O’Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, et al. Guidelines for the Prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep [Internet]. 2011 [cited 2018 Oct 15];52(9):1-83. Available from: http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf 8. Bd. Becton, Dickinson and Company. Infusion Therapy. Bd Nexiva TM Closed IV Catheter System [Internet]. 2017 [cited 2018 Oct 15]. Available from: http://www.bd.com/infusion/products/ivcatheters/nexiva/index.asp 9. Rouquayrol Mz, Almeida Filho N de. Epidemiologia & Saúde. 6 Ed. Rio De Janeiro: Medsi; 2003. 10. Tertuliano AC, Borges JLS, Fortunato RAS, Oliveira AL, Poveda VB. Phlebitis associated with peripheral intravenous catheter among in-patients of a Hospital in Vale do Paraíba. Rev Min Enferm [Internet]. 2014 [cited 2018 Oct 22]; 18(2):334-9. Available from: http://www.reme.org.br/artigo/detalhes/931 11. Webster J, McGrail M, Marsh N, Wallis MC, Ray-Barruel G, Rickard CM. Postinfusion phlebitis: incidence and risk factors. Nurs Res Pract [Internet]. 2015 [cited 2018 Oct 22]. Doi:10.1155/2015/691934 12. Abdul-Hak CK, Barros AF. The incidence of phlebitis in a Medical Clinical Unit. Texto Contexto Enferm [Internet]. 2014 [cited 2018 Oct 22];23(3):633-8. Available from: http://www.index-f.com/textocontexto/2014/r23633.php 13. Rickard CM, Webster J, Wallis MC, Marsh N, McGrail MR, French V, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomized controlled equivalence trial. Lancet [Internet]. 2012 [cited 2018 Nov 12];380(22): 1066-74. Available from: http://www.sciencedirect.com/science/article/pii/S0140673612610824 14. Salgueiro-Oliveira A, Veiga P, Parreira P. Incidence of phlebitis in patients with peripheral intravenous catheters: the influence of some risk factors. Aust J Adv Nurs [Internet]. 2013 [cited 2018 Nov 12];30(2): 32-9. Available from: http://www.ajan.com.au/Vol30/ Issue2/4Salgueiro-Oliveira.pdf 15. Cicolini G, Manzoli L, Simonetti V, Flacco Me, Comparcini D, Capasso L, et al. Phlebitis risk varies by peripheral venous catheter site and increases after 96 hours: a large multi-centre prospective study. J Adv Nurs [Internet]. 2014 [cited 2018 Nov 19];70(11):253949. Available from: http://onlinelibrary.wiley.com/ doi/10.1111/jan.12403/epdf 16. Abolfotouh MA, Salam M, Bani-Mustafa A, White D, Balkhy HH. Prospective study of incidence and predictors of peripheral intravenous catheter-induced complications. Ther Clin Risk Manage [Internet]. 2014 [cited 2018 Nov 19];10:993-1001. Available from: https://www.dovepress.com/prospective-study-ofincidence-and-predictors-of-peripheral-intravenoupeer-reviewed-fulltext-article-TCRM 17. Mestre G, Berbel C, Tortajada P, Alarcia M, Coca R, Fernández MM, et al. Successful multifaceted intervention aimed to reduce short peripheral venous catheter-related adverse events: A quasiexperimental study. Am J Infect Control [Internet]. 2013 [cited 2018 Nov 20];41(6): 520-6. Available from: http://www.ajicjournal.org/article/S0196-6553(12)010656/abstract 18. López JLG, Vilela AA, Palacio EF, Corral JO, Martí CB, Portal PH. Indwell times, complications and costs of open vs closed safety peripheral intravenous catheters: a randomized study. J Hosp Infect [Internet]. 2014 [cited 2018 Nov 21];86(2):117-26. Available from: http://www.journalofhospitalinfection.com/article/ S0195-6701(13)00382-4/fulltext 19. Sebastian-Viana T, Núñez-Crespo F, Martín-Merino G, González-Ruiz J.M, Lema-Lorenzo I, Salvadores-Fuentes P. et al. Impacto de la implantación de recordatorios para disminuir eventos adversos en pacientes com accesos venosos periféricos. Anales Sis San Navarra [Internet]. 2012 [cited 2018 Nov 20]; 35 (3): 395-402. Available from: http://scielo.isciii.es/scielo.php?pid=S113766272012000300005&script=sci_arttext 20. Pasalioglu KB, Kaya H. Catheter indwell time and phlebitis development during peripheral intravenous catheter administration. Pak J Med Sci [Internet]. 2014[cited 2018 Nov 20];30(4):725-30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25097505 21. Roca GM, Bertolo Cb, Lopez PT, Samaranch GG, Ramirez MCA, Buqueras JC, et al. Assessing the influence of risk factors on rates and dynamics of peripheral vein phlebitis: an observational cohort study]. Med Clin. (Barc) [Internet]. 2012 [cited 2018 Nov 21];139(5):185-91. Available from: http://www.ncbi. nlm.nih.gov/pubmed/22538061 22. Halonen J, Loponen P, Järvinen O, Karjalainen J, Parviainen I, Halonen P, et al. Metoprolol versus amiodarone in the prevention of atrial fibrillation after cardiac surgery: a randomized trial. Ann Intern Med [Internet]. 2010 [cited 2018 Nov 23];153(11): 703-9. Available from: http://annals.org/aim/article/746503/metoprolol-versus-amiodarone-prevention-atrial-fibrillation-after-cardiac-surgery-randomized 23. Johann DA, Danski MTR, Vayego SA, Barbosa DA, Lind J. Risk factors for complications in peripheral intravenouscatheters in adults: secondary analysis of a randomized controlled trial. Rev Latino-Am Enfermagem [Internet] 2016 [cited 2018 Nov 22];24:e2833.Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5172614/ 24. Rojas-Sanchez LZ, Parra DI, Camargo-Figuera FA. Incidencia y factores associados al desarrollo de flebitis: resultados del estudio piloto de una cohort. Rev Enf Ref [Internet]. 2015 [cited 2018 Nov 22]; 4(1):61-7. Available from:http://www.scielo.mec.pt/pdf/ref/vserIVn4/serIVn4a07.pdf 25. Enes SMS, Opitz SP, Faro ARMC, Pedreira MLG. Phlebitis associated with peripheral intravenous catheter in adults admitted to hospital in the Western Brazilian Amazon. Rev Esc Enferm USP [Internet]. 2016 [cited 2018 Nov 23];50(2):261-9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000200263&lng=en&nrm=iso&tlng=en 26. Lee WL, Liao SF, Lee WC, Huang CH, Fang CT. Soft tissue infections related to peripheral intravenous catheter in hospitalized patients: a case-control study. J Hosp Infect [Internet]. 2010 [cited 2018 Nov 23];76(2):124-129. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0195-6701(10)00248-3 27. Uslusoy E, Mete S.Predisposing factors to phlebitis in patients with peripheral intravenous catheters: A descriptive study. J Am Acad Nurse Pract [Internet]. 2008 [cited 2018 Nov 23]; 20(4):172 180. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18387013; https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/239008
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