VISUAL OBSERVATION OF PHLEBITIS TO IDENTIFY FACTORS CONTRIBUTING TO THE DEVELOPMENT OF PHLEBITIS AMONG ADULT INPATIENT IN HCG HOSPITALS

Abstract

Introduction: Peripheral intravenous catheters are used for administration of uid-electrolytes, blood and blood products, medications and parenteral nutrition. Phlebitis is the most common complication affects 75% of inpatients and is a signicant clinical problem. It negatively affects the comfort of the patient, the duration of catheter use, the hospitalization period, and treatment costs. The purpose of this study is to determine the effect of PVC duration on the development of phlebitis in infectious diseases Materials and methods: A descriptive cross-sectional study was done among 652 samples to determine the effect of peripheral venous catheter (PVC) duration on the development of phlebitis in HCG hospitals. Patients between 18-80 years of age, who were on IV parenteral therapy were included according to inclusion and exclusion criteria. Results: Development of phlebitis was observed more during night shifts (p=0.049) and it was due to the solution used for site preparation(p=0.003), material of the needle(p=0.002), indwelling time of the catheter (0.001). Further, the number of attempts made for IV insertion(p=0.001) was showing statistically signicant association with the development of phlebitis. Conclusion: The results suggest that it is very important to focus on the problems associated with the development of phlebitis especially taking care of patients during night shifts by restricting hand movements. Furthermore, it is also noted that by reducing the number of attempts while inserting IVcannulas can lower the complications related to IVcannulation.