The Causes and Stages of Phlebitis

Thursday, 15 July 2010: 8:50 AM

Hamidah Ashiqali Ismail, BScN
Gernal ward, special Care unit, Memeon Medical Institute, Karachi, Pakistan

Learning Objective 1: The learner will be able to discuss the stages of phelebitis

Learning Objective 2: The learner will be able todiscuss the causes of phlebitis and recommendation to reduce the rate of phlebitis.

Purpose: The major purpose of the study was to identify the causes of phlebitis and do certain intervention to reduce the rate of  infection.

Methods: The Analytical observational study was conducted from  April 2009 to  May 2009 in one of the medical ward of 450 tertiary care hospital. 474 Patients were considered for inclusion in the study; when there was a specific medical order for the intravenous fluids and antibiotics administration. insertion of a peripheral catheter and it was expected to remain in place for at least 24 h. To avoid any variance in results, first time peripheral catheter insertion  during ward stay were evaluated only once. Patients on chemotherapy and peripheral catheter less than 24 hours were excluded.  A tool has been develop to obtain data which consist of  demographic data, grades of phlebitis, chemical irritant, WBC counts , peripheral line policy compliance.

Results: Out of 474 patients it has been observed that 4.64% peoples get phlebitis at 0.84 % on grade 1 and grade 3 where as  1.89 % patient developed grade 2 phlebitis :all were on IV antibiotic. On other hand 0.63% patient get phlebitis at grade2 that was not receive any antibiotic. Eventually the WBC count in study shows that 2.53% phlebitis could be due to pathological changes as shown by their WBC count raised on very first day of admission ,perhaps other phlebitis developed due to chemical irritant such as antibiotic usage.

Conclusion:   The study suggest that the rate of phlebitis increased in medical ward is due to chemical irritants and lack of knowledge among compliance of peripheral line care from insertion to administration of antibiotics. Its therefore Recommended that separate IV cannulation nurse take care of all cannulation and its care also do surveillance on monthly basis