Predisposing factors for infiltration in children submitted to peripheral venous catheterization

J Infus Nurs. 2011 Nov-Dec;34(6):391-8. doi: 10.1097/NAN.0b013e3182306491.

Abstract

Aims: The aims were to compare characteristics of children with peripheral intravenous catheters who developed infiltration and those who did not and to identify risk factors for developing this complication.

Method: A retrospective cohort study carried out at a university hospital, with 338 children with peripheral intravenous catheters. Variables related to the children and therapies were investigated.

Results: Researchers identified infiltration in 54 children (16%). Characteristics statistically different in those who developed infiltration were the following: intravenous therapy for more than 5 days, presence of predisposing factors to peripheral venipuncture failure, history of previous infiltration, catheter readjustment to vein insertion, use of infusion pump, intermittent administrations, and shorter dwell time.

Conclusion: Only intravenous therapy variables showed a significant relation with the occurrence of infiltration and represented risk factors for its occurrence.

MeSH terms

  • Adolescent
  • Arm
  • Brazil / epidemiology
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / nursing
  • Child
  • Child, Hospitalized
  • Child, Preschool
  • Cohort Studies
  • Extravasation of Diagnostic and Therapeutic Materials / epidemiology*
  • Extravasation of Diagnostic and Therapeutic Materials / etiology
  • Extravasation of Diagnostic and Therapeutic Materials / prevention & control
  • Female
  • Hand
  • Humans
  • Infant
  • Infant, Newborn
  • Infusions, Intravenous / adverse effects*
  • Infusions, Intravenous / nursing
  • Male
  • Phlebitis / epidemiology
  • Phlebitis / etiology
  • Phlebitis / prevention & control
  • Retrospective Studies
  • Risk Factors