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    PHLEBITIS AND INFILTRATION STATUS İN PERIPHERAL INTRAVENOUS CATHETERISATION INCHILDREN
    (Ege Üniversitesi, 2014) Olgun, Sevil; Demiray, Ayşe; Eşer, İsmet; Khorshıd, Leyla
    Objective: Periferal intravenous catheters can cause local comlications such as phlebitis and infiltration. Phlebitis and infiltration needs catheter removal and replacement. Routinely replacement o f intravenous catheters in childrens is not recommended. A descriptive study was performed to examine the status o f phlebitis and infiltration associated with peripheral intravenous catheterisation.Methods: Children n=74 hospitalized in pediatric clinic betvveen 3-18years were included to the study. The catheterisation sites examined daily by one o f the investigator for the presence and severity o f phlebitis and infiltration using a scale. Local research ethics committee approved the study and written informed consent was obtained from parents o f children. Patients those who were immunocompromised and those receiving chemotherapy were excluded from the study. Data were collected betvveen the date o f 18 December 2010- 26 th January 2012. Numerical and percentage distribution, Chi-square test and correlation were used in analysis o f the data.Results: The mean age o f children was 8.29 ± 3.83 year. Mean dwell time for catheters in situ in our study were 3-303 hours. The mean catheterisation time was 83.52 ± 56.44 hours. Corticosteroids have been given to 64.9% o f the patients and 40.5% o f the patients have been given drugs or fluids İV 1/3 izomiks with a set o f the pump. The phlebitis in 45.9% o f patients was occured, and the infiltration was occured in 54.1% ofpatient. The severity o f phlebitis in 23% o f patients was in 3 degree, and the severity o f infiltration in 20.3% o f patients was in 1 degree. Catheters wer removed in 45.9% o f patients because o f discontinuation o f treatment and in 4.1 % because o f occlusion o f catheters. The rate o f patients that developed infiltration was significantly more in patients in whom a catheter was inserted in pediatric clinic. The percentage o f patients that developed infiltration and phlebitis was significantly more in patients in whom the same area have been used repeatedly for insertion o f a catheter.Conclusion: it was found that the rate for phlebitis and infiltration were high. Future studies with large samples should implemented both in general pediatric units and in pediatric intensive çare unit