Incidence of Phlebitis Following the Use of Peripheral IV Line at X Hospital

Authors

  • Margareta Sijabat Universitas Pelita Harapan
  • Sisilia Desiana Nduru Universitas Pelita Harapan
  • Ayu Monaretha B Universitas Pelita Harapan
  • Yenni Ferawati Sitanggang Universitas Pelita Harapan
  • Elissa Oktoviani Hutasoit Universitas Pelita Harapan

DOI:

https://doi.org/10.20956/icon.v5i2.10859

Keywords:

Phlebitis Incidence, Peripheral IV line, IV Line Infusion

Abstract

Introduction: Intravenous (IV) line infusion therapy is a therapy given to patients who are admitted or having a specific therapy. The IV-line therapy may include fluid therapy, medication administration and blood therapy. Based on the data found in Hospital X, there were 30 incidence of phlebitis in 2017. This study aimed to describe the factors of phlebitis incidence in X hospital. Method: This study was a retrospective study using 50 clinical record of the inpatient patients. The inclusion criteria were all documents of those who are hospitalized at least three days. Result: The result describes three factors following the incidence of phlebitis, such as intrinsic factors, chemical factors, and mechanical factors. The Intrinsic factors included age, gender and medical diagnosis. While Mechanical factors consist of the size of catheter, location and length of infusion. The Chemical factors were of infusion fluid type and infusion rate. Conclusion: The conclusion of this study was the three factors are modifiable factors. Thus, nurses need to assess and evaluate patients’ infusion in order to prevent a higher case of phlebitis. As a recommendation for further study is to analyze the correlation between those factors to the incidence of phlebitis. 

Author Biography

Elissa Oktoviani Hutasoit, Universitas Pelita Harapan

Faculty of Nursing

References

Brunner, S. (2016). Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth edisi 8 Volume 1,2. Jakarta: penerbit Buku Kedokteran Indonesia EGC. Water (Switzerland).

Cicolini, G., Manzoli, L., Simonetti, V., Flacco, M. E., Comparcini, D., Capasso, L., Di Baldassarre, A., & Eltaji Elfarouki, G. (2014). Phlebitis risk varies by peripheral venous catheter site and increases after 96 hours: A large multi-centre prospective study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.12403

Do Rego Furtado, L. C. (2011). Incidence and predisposing factors of phlebitis in a surgery department. British Journal of Nursing. https://doi.org/10.12968/bjon.2011.20.sup7.s16

Engbers, M. J., van Hylckama Vlieg, A., & Rosendaal, F. R. (2010). Venous thrombosis in the elderly: Incidence, risk factors and risk groups. In Journal of Thrombosis and Haemostasis. https://doi.org/10.1111/j.1538-7836.2010.03986.x

Fatimah, S. H. & S. (2016). Faktor yang berhubungan dengan kejadian phlebitis di ruang anak RSUD DR. R. Soetrasno Rembang. Motorik.

Health Department of Government of Australia. (2017). Insertion and Management of Peripheral Intravenous Cannulae in Western Australian Healthcare Facilities Policy. https://ww2.health.wa.gov.au/-/media/Files/Corporate/Policy-Frameworks/PublicHealth/Policy/Insertion-and-Management-of-Peripheral-Intravenous-Cannulae/MP38-Insertion-and-Management-of-Peripheral-Intravenous-Cannulae.pdf

Hidayat, A. A. A., Sukadiono, & Wijayanti, E. (2020). Predictor factors of phlebitis incidence for children in hospital private in Sidoarjo, Indonesia. Systematic Reviews in Pharmacy. https://doi.org/10.31838/srp.2020.6.39

Jannah, I., Suhartono, S., & Adi, M. (2016). Prevalensi phlebitis pada pasien rawat inap dengan infus di RSUD Tugurejo Semarang. Jurnal Kesehatan Masyarakat Universitas Diponegoro.

Joae Brett Nito, P., Sari Mulia Banjarmasin, S., & Ahmad Yani, S. (2017). Relationship of age, gender, location insertion and catheter size of incidence phlebitis. Dinamika Kesehatan.

Laudenbach, N., Carie A., B., Klaverkamp, L., & Hedman-Dennis, S. (2014). Peripheral IV stabilization and the rate of complications in children: An exploratory study. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2014.02.002

Mandal, A., & Raghu, K. (2019). Study on incidence of phlebitis following the use of pherpheral intravenous catheter. Journal of Family Medicine and Primary Care. https://doi.org/10.4103/jfmpc.jfmpc_559_19

Marleni, L., Novayelinda, R., & Dewi, Pristiana, A. (2009). Faktor– faktor yang mempengaruhi kejadian ekstravasasi infus pada pasien anak. Jurnal Ilmiah Ilmu Keperawatan Indonesia.

Nursalam. (2015). Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan Edisi 2. In Salemba Medika.

Nyika, M. L., Mukona, D., & Zvinavashe, M. (2018). Factors contributing to phlebitis among adult patients admitted in the medical-surgical units of a central hospital in Harare, Zimbabwe. Journal of Infusion Nursing. https://doi.org/10.1097/NAN.0000000000000265

O’Grady, N. P., Alexander, M., Burns, L. A., Dellinger, E. P., Garland, J., Heard, S. O., Lipsett, P. A., Masur, H., Mermel, L. A., Pearson, M. L., Raad, I. I., Randolph, A. G., Rupp, M. E., Saint, S., & Healthcare Infection Control Practices Advisory Committee (HICPAC). (2011). Guidelines for the prevention of intravascular catheter-related infections. Clinical Infectious Diseases : An Official

Publication of the Infectious Diseases Society of America. https://doi.org/10.1093/cid/cir257

Potter, P. A., & Perry, A. G. (2010). Fundamental Keperawatan (7th ed.).

Ray-Barruel, G. (2017). Infection prevention: Peripheral intravenous catheter assessment and care. Australian Nursing & Midwifery Journal.

Rizky, W. (2016). Analisis faktor yang berhubungan dengan kejadian phlebitis pada pasien yang terpasang kateter intravena di ruang bedah rumah sakit Ar. Bunda Prabumulih. Jurnal Ners Dan Kebidanan Indonesia. https://doi.org/10.21927/jnki.2016.4(2).102-108

Singh, A. K., Dwivedi, R., & Ghaharwar, A. P. S. (2018). Risk factors of thrombophlebitis at infusion sites in patients admitted in surgical ward: A prospective observational study International Surgery Journal. https://doi.org/10.18203/2349-2902.isj20181570

Urbanetto, J. de S., Peixoto, C. G., & May, T. A. (2016). Incidence of phlebitis associated with the use of peripheral IV catheter and following catheter removal. Revista Latino-Americana de Enfermagem. https://doi.org/10.1590/1518-8345.0604.2746

Wayunah, W., Nurachmah, E., & Mulyono, S. (2013). Pengetahuan perawat tentang terapi infus mempengaruhi kejadian plebitis dan kenyamanan pasien. Jurnal Keperawatan Indonesia. https://doi.org/10.7454/jki.v16i2.12

Downloads

Published

2021-03-07

Issue

Section

ARTICLES