Incidence of infiltration/extravasation in newborns using peripheral venous catheter and affecting factors

Rev Esc Enferm USP. 2018 Oct 4:52:e03360. doi: 10.1590/S1980-220X2017040103360.

Abstract

Objective: The objective of this study was to identify the incidence of infiltration and extravasation in newborns using peripheral venous catheter, and affecting factors.

Method: This observational study examined catheters inserted into newborns who received inpatient care in the neonatal intensive care unit of a state hospital located in the west of Turkey. A total of 452 peripheral venous catheters inserted into 152 newborns were observed. The forms were completed by the researchers based on their observations at each shift.

Results: The infiltration/extravasation occurred in 45.6% of peripheral venous catheters inserted into newborns; 19.7% were stage I and 11.7% were stage IV. A statistically significant relationship was found between the gestation week as well as the birth weight of newborns and the occurrence of infiltration/extravasation complication. In addition, there were statistically significant relationships between the administration of single or multiple antibiotics, total parenteral nutrition and the incidence of infiltration/extravasation complication.

Conclusion: It is recommended to use an appropriate scale for the assessment of infiltration/extravasation as well as to implement measures for preventing the occurrence of infiltration/extravasation.

Publication types

  • Observational Study

MeSH terms

  • Anti-Bacterial Agents / administration & dosage
  • Birth Weight
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / methods
  • Extravasation of Diagnostic and Therapeutic Materials / epidemiology*
  • Female
  • Gestational Age
  • Humans
  • Incidence
  • Infant, Newborn
  • Intensive Care Units, Neonatal*
  • Male
  • Parenteral Nutrition, Total / methods
  • Prospective Studies
  • Risk Factors
  • Turkey

Substances

  • Anti-Bacterial Agents