Flebitis en pacientes adultos con catéter venoso periférico

Natalia Esquivel Garzón; Dora Inés Parra; Fabio Alberto Camargo-Figuera; Lyda Z. Rojas

doi:10.58807/indexenferm20247057

Natalia Esquivel Garzón Universidad Industrial de Santander, Facultad de Salud, Escuela de Enfermería. Bucaramanga, Colombia https://orcid.org/0000-0002-5354-6774
Dora Inés Parra Universidad Industrial de Santander, Facultad de Salud, Escuela de Enfermería. Bucaramanga, Colombia https://orcid.org/0000-0003-1527-973X
Fabio Alberto Camargo-Figuera Universidad Industrial de Santander, Facultad de Salud, Escuela de Enfermería. Bucaramanga, Colombia https://orcid.org/0000-0001-6070-9327
Lyda Z. Rojas Universidad Industrial de Santander, Facultad de Salud, Escuela de Enfermería. Bucaramanga, Colombia. Centro de Investigación, Fundación Cardiovascular de Colombia, Floridablanca, Colombia https://orcid.org/0000-0002-4252-7105

DOI: https://doi.org/10.58807/indexenferm20247057

Palabras clave: Enfermería, Seguridad del paciente, Cateterismo venoso periférico, Adulto, Flebitis

Key-words: Patient safety, Peripheal venous catheterization, Phlebitis, Adult

Resumen

Objetivo principal: determinar la incidencia y caracterizar la flebitis como evento adverso (EA) en catéteres intravenosos periféricos (CIVP) en adultos hospitalizados. Método: estudio de cohorte prospectivo que incluyó 817 pacientes, a quienes se les insertó un (CIVP) en el servicio de urgencias, se realizó seguimiento diario hasta el retiro a las 72 horas según protocolo institucional. Para evaluar la flebitis, se utilizó la escala de Jackson Standard Visual Phlebitis Scale (VIPS). Resultados principales: el 7% presentó flebitis a las 36 horas, proporción que se incrementó a las 72 horas alcanzando el 11,5% (n=94 IC 95% 9,31 a 13,69%); el grado más común de flebitis fue el 2 (81,91% IC 95% 72,63 - 89,09%). En el 92% el evento adverso no se notificó. Conclusión principal: se observó una incidencia de flebitis inferior a la encontrada en otros estudios. La notificación del evento adverso y el registro de las condiciones de inserción, mantenimiento y seguimiento del CIVP contribuye a la mejora de la atención.

Abstract

Objective: to determine the incidence and characterize phlebitis as an adverse event (AE) in peripheral intravenous catheters (PIVC) in hospitalized adults. Methods: prospective cohort study that included 817 patients, who underwent insertion of a (CIVP) in the emergency department, with daily follow-up until removal at 72 hours according to institutional protocol. The Jackson Standard Visual Phlebitis Scale (VIPS) was used to evaluate phlebitis. Results: the 7.0% presented phlebitis at 36 hours, a proportion that increased at 72 hours reaching 11.5% (n=94 CI 95% 9,31 to 13,69%); the most common grade of phlebitis was grade 2 (81,91% CI 95% 72,63 – 89,09%). In 92% the adverse event was not reported. Conclusions: The reporting of the adverse event and the recording of the conditions of insertion, maintenance and follow-up of the CIVP contributes to the improvement of care.

Bibliografía

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Flebitis en pacientes adultos con catéter venoso periférico

Phlebitis in adult peripheral venous catheter patients

Resumen

Abstract

Bibliografía