Factors Contributing to Phlebitis Among Adult Patients Admitted in the Medical-Surgical Units of a Central Hospital in Harare, Zimbabwe

J Infus Nurs. 2018 Mar/Apr;41(2):96-102. doi: 10.1097/NAN.0000000000000265.

Abstract

This descriptive survey identified factors contributing to phlebitis among 46 adult inpatients using a systematic random sample. The visual infusion phlebitis score was used for assessment. All participants had phlebitis, with stage 4 being most frequent. Factors identified were gender (males-91.7%); immunosuppression (human immunodeficiency virus-63.0%; diabetes-100%; immunosuppressive drugs-100%; absolute leucocyte count <1000 μL-100%); number of catheters inserted (>1-90.9%); site of catheterization (dorsum of wrist-100%); catheter dwell time (2-4 days-100%); catheter gauge (18-gauge-75%); catheter securement (unsecured/contaminated dressing-90%); regularity of catheter flushing (catheter never flushed-72.7%); and continuous infusion (94.2%).

MeSH terms

  • Adult
  • Catheters / adverse effects*
  • Equipment Contamination / prevention & control
  • Female
  • Hospitalization*
  • Humans
  • Immunosuppression Therapy
  • Male
  • Middle Aged
  • Phlebitis / etiology*
  • Risk Factors
  • Sex Factors
  • Zimbabwe