Mechanical stimulation is a risk factor for phlebitis associated with peripherally inserted central venous catheter in neonates
| Autor: | Aiko Igarashi, Yusei Ohshima, Genrei Ohta, Takashi Okuno, Tatsuto Shimizu |
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| Rok vydání: | 2021 |
| Předmět: |
Catheterization
Central Venous medicine.medical_specialty Neonatal intensive care unit Peripherally-inserted central venous catheter 030204 cardiovascular system & hematology Palpation 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Risk Factors 030225 pediatrics Catheterization Peripheral medicine Central Venous Catheters Humans Risk factor Retrospective Studies medicine.diagnostic_test business.industry Incidence (epidemiology) Medical record Infant Newborn Infant Surgery Discontinuation Pediatrics Perinatology and Child Health High incidence Phlebitis business |
| Zdroj: | Pediatrics International. 63:561-564 |
| ISSN: | 1442-200X 1328-8067 |
| Popis: | Background Our peripherally inserted central venous catheter (PICC) management plan for neonates previously included routine inspection for swelling and induration of the insertion site of a PICC using palpation. However, we discontinued routine palpation from July 13, 2018, owing to a peculiarly high incidence of PICC-related phlebitis. The aim of this study was to prove that routine palpation was the cause of PICC-related phlebitis. Methods We retrospectively reviewed medical records of infants who were admitted to the neonatal intensive care unit and underwent PICC placement from January 2018 to January 2019. The infants were classified into palpating (before July 13, 2018) and non-palpating (after or on July 13, 2018) groups. We analyzed and compared the incidence of PICC-related phlebitis in the two groups. Results Phlebitis related to PICC was more frequently observed in the palpating group (10/29 infants, 34.5%) than in the non-palpating group (1/31, 3.2%) (P = 0.002). After discontinuation of routine palpating in PICC management, the frequency of non-scheduled removal of the PICC due to phlebitis decreased. The indwelling period was significantly longer in the non-palpating group than in the palpating group. Conclusions Our results suggest that mechanical stimulation using palpation of the insertion site was the cause of PICC-related phlebitis, resulting in early non-scheduled removal. |
| Databáze: | OpenAIRE |
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