The endoscopy department can alert to complications associated with peripheral venous catheters in patients admitted to a tertiary teaching hospital

Background The more widespread use of peripheral venous catheters (PVC) has led to more frequent complications, not only in PVC-associated bacteremia, but also in phlebitis. This requires the catheter to be removed and increases healthcare costs. Our aim was to assess the PVC-associated complication...

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Detalles Bibliográficos
Autores: Pérez Granda, María Jesús, Guzmán Blanco, Francisca, Aguado Díaz, Sonia, Jiménez Bautista, Rosario, Orense Velilla, Julia, Rodríguez Calero, Juana, Valls, María Luisa, Arellano, Antonio Vicente, García Santos, Pilar, Muñoz García, Patricia Carmen, Guembe, María, Carrascosa Tamayo, Francisco Jesús, Vales, Juliana Aguilar, Lobo, Beatriz Martínez, Sánchez de la Torre, José Carlos, Soto González, María Antonia, Lagar, Rocío Barragán, Gil de Vicente, Helena, Gámez, María Amor, Atienza, Isabel Sigüenza, Nieto, Pilar Martín, González, Ángeles Soto
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/119932
Acceso en línea:https://hdl.handle.net/20.500.14352/119932
Access Level:acceso abierto
Palabra clave:61
Ciencias Biomédicas
3299 Otras Especialidades Médicas
Descripción
Sumario:Background The more widespread use of peripheral venous catheters (PVC) has led to more frequent complications, not only in PVC-associated bacteremia, but also in phlebitis. This requires the catheter to be removed and increases healthcare costs. Our aim was to assess the PVC-associated complications in an endoscopy department. Methods We performed a cross‐sectional, descriptive study on patients admitted to our center and undergoing a procedure in the endoscopy department. We analyzed the appearance of the following PVC-associated complications: obstruction, phlebitis, redness, extravasation, pain, and infection on the day of the study. All catheter tips were sent to the microbiology laboratory for culture using the roll-plate semiquantitative technique. Clinical and microbiological data were collected. Results We included a total of 46 patients with 50 PVCs. The median (IQR) age was 70.0 (55.0–81.5) years, and 58.7% were female. The median (IQR) hospital stay was 9.00 (6.00–14.25) days. Of the 50 PVCs, most were inserted in the emergency room (74.0%), and the median (IQR) indwelling time was 5.00 (3.00–7.00) days. The phlebitis rate was 78.0%, which occurred mainly in PVCs inserted in the emergency room (74.3%). The tip was colonized in 9 PVCs (18.0%). Conclusion The endoscopy department can alert clinicians to PVC-associated complications. PVCs inserted in the emergency room were subject to a higher risk of phlebitis and/or colonization. Therefore, we recommend systematically replacing PVCs inserted in the emergency room within 48 h if preventive measures during insertion cannot be guaranteed.

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