Revista de enfermería (Barcelona, Spain)
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In a very exhaustive way the authors describe the different types and usefulness of materials, among which some for arterial extraction (syringes for extracting blood from arteries) are included, although, in their majority, these materials which have biologically safe mechanisms have a venous utility. (They are used with veins).
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To determine the rate of phlebitis cases and their risk factors, the authors carried out a prospective follow-up study in an internal medicine unit. 553 catheters pertaining to 266 patients were analyzed. The length of time a catheter was used did not have any significant bearing on the development of phlebitis. The rate of phlebitis cases was more frequent when medication was infused at intermittent intervals. The use of intravenous antibiotics significantly increased the risk of phlebitis when compared to the administration of other types of medication.
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The authors carried out an analytic study on 2572 patients to reduce the occurrence of phlebitis having a traumatic cause. The authors conclude that the use of extensions after three way valves, or infusion systems and a venous catheter, considerably reduces the risk of traumatic phlebitis occurring. Furthermore, their use reduces 1. the bother patients incur, 2. the amount of work nursing professionals have derived by the appearance of traumatic phlebitis and 3. the cost of health care.
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The study group consisted of 121 patients, 37 or 30.5% women and 84 or 69.4% men, checked into the Internal Medicine and Infectious Diseases Hospitalization Unit who bore a total of 215 peripheral venous catheters. The authors of this study detected a high level occurrence of phlebitis in patients using peripheral venous catheters, with a low average duration time, during the period in which the authors carried out their study.
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The authors' objectives are to determine the occurrence of phlebitis in patients hospitalized in the General Pediatrics Unit and to define the possible factors associated to its development. The authors carried out a prospective study in the "Sant Joan de Deu" Hospital in Barcelona during the month of July and from the 15th of September until the 15th of October in 2002. A one variant and two variant analysis using the chi squared method as the basis for estimating which associations took place. There were 153 patients admitted having 201 peripheral veins canalized; occurrence of phlebitis was 8.4%; a venous cord (53%) was the most frequent clinical sign. In cases of phlebitis, the back of a patient's hands (64.7%) was the main spot to make an insertion using a 22G "Vasocán" catheter (70.6%). Phlebitis appeared 2 days after insertion; the high number of antibiotics administered increased the risk of phlebitis (p>0.05). ⋯ Phlebitis is a frequent problem in pediatrics patients having endo-venous treatment, susceptible to prevention by means of the implementation of control measures and a program of continuous vigilance.