Prevention Of Phlebitis Research Articles

The effect of nigella<i>sativa</i>oil on the prevention of phlebitis induced by chemotherapy: a clinical trial

The effect of nigella<i>sativa</i>oil on the prevention of phlebitis induced by chemotherapy: a clinical trial

Correction notice to: The effect of nigella <i>sativa</i> oil on the prevention of phlebitis induced by chemotherapy: a clinical trial

Correction notice to: The effect of nigella <i>sativa</i> oil on the prevention of phlebitis induced by chemotherapy: a clinical trial

Safeguarding Vascular Health: Unleashing the Potential of Smartphone Early Warning Systems to Elevate Phlebitis Prevention in IV Infusion Therapy

Intravenous (IV) infusion is a pervasive medical intervention, administered to approximately 90% of hospitalized patients. Phlebitis, characterized by inflammation of the veins resulting from infusion, stands as a prevalent complication, ranking fourth among hospitalacquired infections globally. This research investigates the efficacy of a Smartphone Early Warning System (EWS) display in mitigating the incidence of phlebitis within the Safa treatment room at Aisyiyah Hospital. Employing a pre-experimental research design with a Static-group Comparison approach, 16 respondents were allocated to treatment and control groups. The Mann-Whitney Test, a statistical analysis, unveiled a significant difference (P Value = 0.001 < 0.05) in phlebitis incidence between the treatment group, utilizing the Smartphone EWS display, and the control group, which relied on conventional monitoring methods. Notably, the average rank of phlebitis incidence in the control group (21.12) exceeded that in the treatment group (9.78). This study sheds light on the potential of the Smartphone EWS display to curtail phlebitis during infusion, emphasizing its role in advancing nursing care quality through real-time monitoring and early prevention strategies.

Evaluation of the effect of proximal massage and palm fisting in reducing the risk of peripheral venous catheter-related phlebitis: randomized control study.

Peripheral venous catheter (PVC) is a clinical procedure often performed by nurses in hospitals. Phlebitis can be prevented with more nursing care by applying PVC by trained nurses and using preventive methods. The aim of this study was to investigate the effect of proximal massage and palm fisting on the prevention of phlebitis in patients with a PVC. This randomized controlled study was conducted with patients who were hospitalized in the orthopaedics and traumatology service of a state hospital and had PVC. While the study group (n = 36) received proximal massage and palm fisting on the side with a PVC, the control group (n = 36) received standard care for PVC. The data were collected by using the 'Patient Demographics and Clinical Information Form', 'Peripheral Venous Catheter-Related Phlebitis Risk Scale', and 'Visual Infusion Phlebitis Assessment Scale'. There were no statistically significant differences between the groups regarding phlebitis development based on age, sex, chronic disease status, PVC insertion site, devices in the PVC, or fluids administered from the PVC. However, there was a significantly higher risk of PVC-induced phlebitis in patients who received proximal massage and palm fisting at 48 and 96 h, when the severity of phlebitis was evaluated on daily basis. The study showed promising results, suggesting that proximal massage and palm fisting may be a simple and inexpensive technique to prevent the occurrence of phlebitis in PVC patients. ClinicalTrials.gov: NCT05714137.

THE CORRELATION BETWEEN NURSES KNOWLEDGE AND PHLEBITIS PREVENTION EFFORTS AT IDAMAN HOSPITAL, BANJARBARU CITY

Background: A hospital is a type of healthcare facility that provides a variety of services. During the course of the treatment, patients may experience an increase in severity due to infectious diseases, one of which is Healthcare Associated Infections (HAIs). Another common type of HAIs is phlebitis. Phlebitis is a common infection associated with healthcare. Phlebitis prevention initiatives are primarily dependent on the expertise of nurses, this knowledge is directly tied to the nurses' performance of their duties and the success or failure of those duties in preventing patients from contracting phlebitis.
 Objectives: The purpose of this study was to determine the correlation between nurse’s knowledge and phlebitis prevention efforts at Idaman Hospital, Banjarbaru City
 Methods: A cross-sectional, correlational design was adopted for this research. Probability sampling using stratified random sampling is used for the sampling. In all, 129 nurses made up the study's sample. Data was gathered using questionnaires on basic demographics of the nurse, nursing knowledge, and phlebitis prevention efforts by nurse.
 Results: The results of the study found that there is a correlation between knowledge and efforts to prevent phlebitis at Idaman Hospital, Banjarbaru City (p value=0.001; OR=3.77). Nurses who have good knowledge have the opportunity to make efforts to prevent phlebitis events optimally by 3.77 times compared to nurses who have poor knowledge.
 Conclusion: The better the nurse's understanding of the incidence of phlebitis, the more effective will be the nurses' efforts to avoid phlebitis at Idaman Hospital in Banjarbaru City

Analisa Perubahan Perilaku Perawat Sebelum dan Sesudah dilakukan Pelatihan Pencegahan Phlebitis di Rumah Sakit Bunda Thamrin Medan Tahun 2022

. Phlebitis is the area of skin around an intravascular catheter that is swollen, red, hot and painful. The aim of this research is to find out how nurses prevent phlebitis in patients. For this research, the design used is descriptive. The population consisted of all inpatients who were placed on an IV by a nurse in the emergency room and then admitted to the hospital. Data was collected using probability sampling techniques using the Slovin formula for 69 samples, using checklists and observation sheets, and analyzed using frequency distribution. The results of research conducted on 69 nurses in the Thamrin Medan inpatient room showed that there was an increase in the actions of respondents before the training was carried out. The majority had "bad" actions, namely 39 people (65.5%), 30 people (43.5%) had "good" actions. %). After the phlebitis prevention training was carried out, the results showed that those with "bad" actions decreased to 24 people (34.8%) and those with "good" actions increased to 45 people (65.2%). The results of the study showed that nurses' actions in preventing phlebitis averaged a score of 8, a minimum score of 4 and a maximum score of 10. This happened because the majority of nurses had taken action to prevent nosocomial infections well, so it was seen that there was a change in nurses' behavior before and after after training in phlebitis prevention at Bunda Thamrin Hospital, Medan.
 

Effect of external application of Chinese medicine liquid on preventing phlebitis caused by intravenous indwelling needle: a retrospective study

ABSTRACT Object: To analyze the clinical effect of external application of self-made Chinese medicine liquid to prevent phlebitis caused by intravenous indwelling needle in our hospital. Methods: According to different nursing strategies, 600 patients were divided into control group and observation group. The observation group received external application of self-made Chinese medicine liquid in our hospital; the control group was treated with wet compress with 50% magnesium sulfate solution. Then the success rate of indwelling needle puncture, the incidence of phlebitis, the incidence of pain during intravenous drip and the patients' satisfaction with the effect of phlebitis prevention and treatment were compared between the two groups. Then, the success rate of indwelling needle puncture, the incidence of phlebitis, the incidence of pain during intravenous drip and the patients’ satisfaction with the effect of phlebitis prevention and treatment were compared between the two groups. Results: The success rate of one-time puncture was 93.33% in the observation group and 81.67% in the control group. Observation group average indwelling catheter time for (3.89±2.37) days, significantly higher than that of control group (3.00±1.82) days; the incidence of phlebitis in the observation group was 27.33%, lower than that in the control group (43.00%). The satisfaction rate of observation group was 94.00%, significantly higher than that of control group (80.00%). All the differences were statistically significant (P<0.05). Conclusion: Compared with magnesium sulfate wet compress, external application of self-made Chinese medicine liquid in our hospital can effectively prevent the occurrence of phlebitis caused by indwelling needle, especially relieve pain during intravenous drip in patients, with high patient satisfaction.

PREVALENCE OF PHLEBITIS AMONG PATIENTS RECEIVING PERIPHERAL INTRAVENOUS THERAPY IN A TERTIARY CARE HOSPITAL IN INDIA

Background: Phlebitis is a common complication associated with the use of peripheral intravenous catheters. Main uses of a peripheral intravenous catheter are infusions, blood sampling, administration of parenteral medications and blood products. It is one of the commonly performed procedure in hospital. Almost all of hospital admissions lead to intravenous catheter placement. Aim:To assess the prevalence of phlebitis among patients on peripheral intravenous catheter and identify predisposing factors of phlebitis in patients. Methodology: 398adult patients in wards, with Peripheral intravenous catheter (PIVC) were included in the study during a period of 4 months. Catheter insertion site of these patients were observed for signs of phlebitis using Visual Infusion Phlebitis scale, until discharge or until the resite of next catheter. The data collection and analysis included patient demographic details and data related to catheter (including number of attempts during insertion, experience of staff performing the cannulation, reasons for removal etc.), as well as the data on the type of administered medications and intravenous therapy. Results:A total of 398 patients were enrolled, among which 228 were males and 170 were females. A total of 192 patients (48.24%) showed one or other early signs of phlebitis. Among these 192 patients with early signs of phlebitis, 128 patients (66.67%) had score 1 in VIP scale while 64 patients (20.47%) had score 2 and 3.Phlebitis was found to be associated with mobility status of the patients (&lt;0.001). Conclusion:This study showed a high prevalence of phlebitis among inpatients in wards. However, most of these cases were mild Grade 1 phlebitis.Its crucial to train and upskill staffs on PIVC insertion and monitoring to ensure proper placement and assessment. Daily assessment of insertion site and need for PIVC and patient awareness on PIVC maintenance is crucial in prevention of phlebitis.

Efektivitas Assessment Peripheral Vascular Access Device (PVAD) terhadap Pencegahan Plebhitis

This study aims to analyze the effectiveness of the Peripheral Vascular Disease Access Device (PVAD) assessment for the prevention of phlebitis. The method used is a literature review by searching for articles in the Scopus, ScienceDirect, CINAHL, Pubmed, Oxford, and SAGE databases. The results showed that patient assessment on intravenous therapy is helpful for patients undergoing intravenous therapy. Assessment made during insertion can increase the safety of administering intravenous therapy. Nurses' perceptions of the safety of intravenous administration are increasing. Some of the literature states that the assessment does not have a standard. This assessment is appropriate for identifying the need for intravenous therapy and facilitating intravenous therapy intervention. An understanding of the administration of intravenous therapy supports the implementation of the assessment. In conclusion, peripheral vascular access device (PVAD) assessment has clinical value in screening for phlebitis prevention. &#x0D; Keywords: Phlebitis Prevention, Assessment, Peripheral Devices

Risk factors for peripheral venous catheter-related phlebitis stratified by body mass index in critically ill patients: A post-hoc analysis of the AMOR-VENUS study.

Phlebitis is an important complication in patients with peripheral intravascular catheters (PIVCs). Although an association between body mass index (BMI) and phlebitis has been suggested, the risk of phlebitis according to BMI has not been well elucidated. Therefore, in this study, we analyzed the risk of phlebitis according to BMI in patients in the intensive care unit (ICU). This study undertook a secondary analysis of the data from a prospective multicenter observational study assessing the epidemiology of phlebitis at 23 ICUs in Japan. Patients admitted into the ICU aged ≥18 years with a new PIVC inserted after ICU admission were consecutively enrolled and stratified into the following groups based on BMI: Underweight (BMI < 18.5 kg/m2), normal weight (18.5 ≤ BMI < 25.0 kg/m2), and overweight/obese (BMI ≥ 25.0 kg/m2). The primary outcome was phlebitis. The risk factors for phlebitis in each BMI-based group were investigated using a marginal Cox regression model. In addition, hazard ratios and 95% confidence intervals were calculated. A total of 1,357 patients and 3,425 PIVCs were included in the analysis. The mean BMI for all included patients was 22.8 (standard deviation 4.3) kg/m2. Among the eligible PIVCs, 455; 2,041; and 929 were categorized as underweight, normal weight, and overweight/obese, respectively. In the underweight group, catheter size ≥ 18 G and amiodarone administration were independently associated with the incidence of phlebitis. Drug administration standardization was associated with the reduction of phlebitis. In the normal weight group, elective surgery as a reason for ICU admission, and nicardipine, noradrenaline, and levetiracetam administration were independently associated with the incidence of phlebitis. Heparin administration was associated with the reduction of phlebitis. In the overweight/obese group, the Charlson comorbidity index, catheter size ≥ 18 G, and levetiracetam administration were independently associated with the incidence of phlebitis. Catheters made from PEU-Vialon (polyetherurethane without leachable additives) and tetrafluoroethylene were associated with the reduction of phlebitis. We investigated the risk factors for peripheral phlebitis according to BMI in ICU and observed different risk factors in groups stratified by BMI. For example, in underweight or overweight patients, large size PIVCs could be avoided. Focusing on the various risk factors for phlebitis according to patients' BMIs may aid the prevention of phlebitis.

Analisis Hubungan Pelaksanan Supervisi Dengan Pengetahuan Perawat Dalam Pemakaian Dressing Transparan

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background&lt;/em&gt;&lt;/strong&gt;&lt;em&gt;: The incidence of phlebitis is a health problem both worldwide and in Indonesia, and the highest infectious disease in health services. The quality committee in the prevention of phlebitis is looking for a solution through the FMEA method which recommends that the solution is to supervise the implementing nurses, but the incidence of phlebitis has not decreased. This study aims to analyze the relationship between the implementation of supervision and the knowledge of nurses in the use of transparent dressings in an effort to prevent phlebitis at RSI Ibnu Sina Padang. &lt;strong&gt;Methods: &lt;/strong&gt;This study uses a descriptive analytic design with a sample of 55 nurses. Non-probability sampling sampling technique, then categorized. The dependent and independent variables were analyzed using the chi square test. The univariate test showed that most of the nurses were in early adulthood and almost all of the nurses were female. When viewed from the level of education, most of them are qualified nurses and have &amp;gt;5 work. &lt;strong&gt;Results: &lt;/strong&gt;From statistical testThe results of the analysis of the relationship between the implementation of supervision and the knowledge of nurses showed that 33 nurses perceived that the implementation of supervision was good, but 9 (27.30%) had poor knowledge. Bivariate test shows the value ofp-value =0.007, it shows that there is a significant relationship between the implementation of supervision and the knowledge of nurses. The analysis is also known to have OR = 5.17, meaning that the nurse's knowledge increases 5 times if the implementation of supervision is good.&lt;strong&gt; Conclusion: &lt;/strong&gt;It is hoped that the management will carry out regular supervision of implementing nurses so that they can increase knowledge in efforts to prevent phlebitis.&lt;/em&gt;&lt;/p&gt;

A Study to Assess the Occurrence and Risk Factors of Phlebitis among Peripheral Intravenous Cannulated Patients admitted in Emergency Wards of SKIMS, Soura, Srinagar with a view to develop Phlebitis Prevention Protocol

Introduction: Almost half of the patients who are administered intravenous fluid infusion or blood transfusion via IV cannula insertion develop phlebitis. This study was conducted to assess the occurrence and risk factors of phlebitis among peripheral intravenous cannulated patients admitted in the emergency wards of SKIMS, Soura, Srinagar with a view to develop phlebitis prevention protocol. Methodology: A non-experimental descriptive research design was used for the study. Convenient sampling technique was used for the selection of 250 patients. The prepared tool (semi-structured observation checklist) and phlebitis prevention protocol were validated by experts. Pre-testing and pilot study was conducted on patients other than the study sample. The data collected were analysed using descriptive and inferential statistics.Results: The results of our study showed that phlebitis occurred in more than half of the patients (58%). Among these, grade-1 phlebitis was seen in most of the patients (32.8%) and grade 4 phlebitis was seen in only 0.4%. Most of the patients developed phlebitis within the first 48 hours (26.4%) and 72 hours (20.4%) of cannulation time. There was a significant association of phlebitis with age and gender, site of cannulation, disinfection of cannula site, size/ gauge of cannula, infusion of ionotropic drugs and blood and its products, mode of infusion of IV fluids potassium chloride, and phenytoin, administration of piperacillin/ tazobactam, vancomycin, metronidazole, and imipenem. Conclusion: Staff nurses should be made aware of the various risk factors associated with phlebitis. Appropriate training and education programmes should be implemented.

The effect of a low-color-temperature-based yellow light source on the prevention of phlebitis induced by chemotherapy.

In recent years, light therapy has been gradually applied to the treatment of inflammation. Different from conventional high-color-temperature light sources, low-color-temperature yellow light (1900 K) without a blue light spectrum was selected as the light source to research its preventive effects on chemotherapy-induced phlebitis in this study. Based on a series of inflammatory characterization experiments, the results manifested that the reasonable utilization of 1900 K yellow light had a good effect on the prevention of phlebitis. This study shows that this is a feasible and promising method for preventing phlebitis and relieving pain, while providing a theoretical basis for the further investigation of the anti-inflammatory effects on phlebitis.

A comparison between the preventive effect of Nitroglycerin and Clobetasol on cannulation-induced phlebitis; A clinical trials study

Aim: The primary aim of this study is to determine the effect of clobetasol ointment with nitroglycerin ointment on the prevention of superficial phlebitis caused by Angio catheter. Secondary aim is to compare the effect of mentioned ointments on prevention of phlebitis. Design: prospective randomized trial Method: the study did not receive any funding. The target sample is 144patients admitted to surgical ward, randomized to 3 groups. The intervention involves application of clobetasol and nitroglycerin ointment in the distal part of the cannula; while the usual care group did not receive any tropical ointment in cannulation site. the data collection tools included demographic information, information about intravenous treatment and phlebitis measurement scale. In the intervention groups, after venipuncture, 1.5 cm (about 2 g) of ointment was applied, and the site was dressed with sterile gauze. In three time periods of 24, 48 and 72 hours from the time of venipuncture. Results: the age group of 18 to 30 years was the most common age group. The most common site of cannulation was the back of hand.in the first 24hours after the placement of cannula, there was no significant difference between the three groups. But at 48 and 72 hours after placement, the difference between intervention and control groups was significant (P <0.0001). Conclusion: it is recommended to use clobetasol ointment and nitroglycerin ointment to prevent the occurrence of phlebitis in patients who need long-term use of Angio catheter (more than 48 hours). Trial registration: NCT04685031 registered on https://www.clinicaltrials.gov/

Reduction in the incidence of infusion-related phlebitis in a pediatric critical care unit of Eastern India: A quality improvement initiative

BackgroundPhlebitis is one of the most common complications of the peripheral venous catheter (PVC) and adversely impacts future venous access, and bacterial phlebitis may lead to bloodstream infection. The objective of the study was to reduce the to reduce the incidence of infusion-related phlebitis in children admitted to the pediatric critical care unit. MethodsThis Quality Initiative was implemented in the pediatric critical care unit of a tertiary care hospital between November 2019 and April 2020. Five interventions were identified (hand hygiene, use of transparent dressing, use of extension lines with PVCs, use of hard cardboard splints for joint immobilization, use of heparinized flush after medication administration) and were introduced sequentially. Over the next five weeks, a new intervention was introduced weekly while continuing the previous ones, if found to be working well as per improvement parameter, the phlebitis rate. From the sixth week onwards, all five interventions were applied together as a bundle. ResultsTotal seven hundred eighteen PVCs were sited in 284 (Male: female 1.58:1) patients during study period and a total of 56 incidences of phlebitis were observed. Mean baseline phlebitis rate was 48.5%. In the next 5 weeks when interventions were implemented as planned, phlebitis rate was 35.7% (n = 10), 16.6% (n = 03), 21.6% (n = 8), 10% (n = 05), and 13.3% (n = 2) respectively. Implementation of all five interventions together as a bundle led to reduction in phlebitis rate below 5 % consistently over the next 18 weeks (n = 8). ConclusionA consistent reduction in PVC-related phlebitis can be achieved by the implementation of evidence-based interventions for the prevention of phlebitis, as a bundle.

Ointment therapy and prevention of cannulation-induced superficial phlebitis

The primary aim of this prospective randomized trial is to determine the effect of clobetasol ointment with nitroglycerin ointment on the prevention of phlebitis caused by cannulation. The target sample is 144 patients admitted to surgical ward, randomized to 3 groups. the data collection tools included demographic information, information about intravenous treatment and phlebitis measurement scale. In the intervention groups, after venipuncture, 1.5 cm of ointments (clobetasol and nitroglycerin) was applied n three time periods of 24, 48 and 72 hours from the time of venipuncture. In the first 24 hours after cannulation, there was no significant difference between the three groups. But at 48 and 72 hours after placement, the difference between intervention and control groups was significant (P&lt;0.0001). It is recommended to use clobetasol ointment and nitroglycerin ointment to prevent the occurrence of phlebitis in patients who need long-term use of cannula (more than 48 hours).

Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective

The objective of this work was to identify available evidence on nursing interventions for the prevention and treatment of phlebitis secondary to the insertion of a peripheral venous catheter. For this, a scoping systematic review was carried out following the guidelines in the PRISMA declaration of documents published between January 2015 and December 2020. The search took place between December 2020 and January 2021. Scielo, Pubmed, Medline, Scopus, WOS, CINHAL, LILACS, and Dialnet databases were consulted, and CASPe, AGREE, and HICPAC tools were used for the critical reading. A total of 52 studies were included to analyze nursing interventions for treatment and prevention. Nursing interventions to prevent phlebitis and ensure a proper catheter use included those related to the maintenance of intravenous therapy, asepsis, and choosing the dressing. With regard to the nursing interventions to treat phlebitis, these were focused on vigilance and caring and also on the use of medical treatment protocols. For the prevention of phlebitis, the highest rated evidence regarding asepsis include the topical use of >0.5% chlorhexidine preparation with 70% alcohol or 2% aqueous chlorhexidine, a proper hygienic hand washing, and the use clean gloves to handle connections and devices. Actions that promote the efficacy and safety of intravenous therapy include maintenance of venous access, infusion volume control, verification of signs of phlebitis during saline solution and medication administration, and constant monitoring. It is recommended to remove any catheter that is not essential. Once discharged from hospital, it will be necessary to warn the patient about signs of phlebitis after PVC removal.

Effect of Chahuang ointment on prevention of phlebitis from peripherally inserted central catheter: randomized clinical trial.

To assess the effect of Chahuang ointment, a Chinese herbal ointment, on the prevention of phlebitis in patients with peripherally inserted central catheters. This was a multicenter randomized controlled trial, with 171 eligible patients randomly assigned into one of three groups: the Chahuang ointment group, the Mucopolysaccharide Polysulfate cream group, and the control group. The degrees of vein injuries at 72 hours after peripherally inserted central catheter insertion were the primary outcome. Secondary outcomes were the vascular wall thickness, tissue edema and microthrombus evaluated by Color Doppler Flow Imaging, the vascular endothelial growth factor, and endothelin-1 (ET-1) expression in vivo. Compared with the control group, the Chahuang ointment group showed significantly lower incidence of postoperative phlebitis, tissue edema, and microthrombus at 72 hours after peripherally inserted central catheter insertion (all P<0.01). The VEGF and ET-1 expression were significantly inhibited in the Chahuang ointment group after 3 days of treatment (both P<0.01). There were no statistical differences in the degree of vein injuries, microthrombus, or tissue edema between the Chahuang ointment and mucopolysaccharide polysulfate groups (all P>0.05). Chahuang ointment was shown to provide effective prevention and protection against phlebitis after peripherally inserted central catheter insertion.

Analisis faktor risiko terjadinya phlebitis di RSUD Puri Husada Tembilahan

Phlebitis is one of the standard indicators of hospital's minimum service with the dimension of patient safety quality. Risk factors for phlebitis include disease, intravenous catheter size, distance insertion place with joints, type of fluid, technique disinfection, dressing techniques and long infusion attached. The research aims to analyse the risk factors of phlebitis. The methods used were observational crossectional analytic conducted in Puri Husada Tembilahan HOSPITAL against 97 patients. The results showed that the factors related to the occurrence of phlebitis is the distance of insertion place with the joints, types of liquids, techniques of disinfection, technique dressings, and prolonged infusion is attached, while the disease factors and the size of the catheter intravenously unrelated to the occurrence of phlebitis. The most dominant factor is related to Phlebitis is disinfection technique (OR = 4.567). The results of this research can be information for nurses in the prevention of phlebitis by conducting disinfection and dressing with sterile technique during the installation of infusion, monitor drip infusion according to therapy, insertion with Distance &gt; 3.5 cm from the joints, and replacing the place of insertion in the patient's attached infusion &gt; 72 hours.

A clinical study on the prevention of phlebitis caused by Cinobufagin using hand exercise combined with Jinhuang ointment

A clinical study on the prevention of phlebitis caused by Cinobufagin using hand exercise combined with Jinhuang ointment