Evaluation of incidence of phlebitis in tertiary care hospital.

Evaluation of incidence of phlebitis in tertiary care hospital.

Registration ID: IJNRD_224019

Published ID: IJNRD2406450

DOI: Click Here to Get

Poonam Mohite , Rutuja Vedpathak , Dr. Nupuri Joshi , Dr. Trupti Tuse , Dr. Manoj Pisure

Phlebitis, VIP score, Incompatability, Flushing, Dwell time etc

BACKGROUND: The study was conducted to reduce the cost burden on patients and also it can reduces the further incidences of phlebitis and negative impact on patient. MATERIALS AND METHODS; A prospective observational study was carried out in the inpatient of a tertiary care hospital. Total 208 patients were studied over period of 6 months. RESULTS: The study was conducted in 208 patients in a tertiary care hospital (124 males and 84 females) being prescribed with 104 IV drugs. 136 patients developed phlebitis within 1-5 days of Intracath insertion, 53 patients developed it in 6-10 days, and 9 developed phlebitis after 10 days. Cannula size used was 22 in 145 patients, 20 in 60 patients, 18 in 2 patients, 24 in 1 patients. Suspected drugs resulting in phlebitis were Meropenem in 33 cases, Ceftriaxone in 27 cases, Cefuroxime in 26 cases, Piperacillin+Tazobactam in 18, Tramadol in 11, Cefoperazone+Salbactam in 10, Ceftazidine+Avibactam in 8, Frusemide in 8, Levetiracetam in 8, Mannitol in 8 and other drugs involving 59 cases. According to ATC classification the maximum numbers of antibiotics resulting in phlebitis. The severity and causality assessment was done using VIP score and WHO causality assessment scale. 162 cases had causality of possible, 34 had causality of probable and 12 cases were certainly related to the suspect drug. According to VIP score, 139 patients had score 1, 69 had score 2. To avoid incompatibility associated phlebitis, flushing is required. Appropriate flushing was done in 124 cases. CONCLUSION: Most of the cases of phlebitis were due to antibiotics. There were underlying causes such as nursing error which further increased the incidences. They were associated with wrong administration techniques, unawareness about incompatibilities etc. Although the VIP score was just 1 and 2. Many cases were preventable and so an attempt was made to educate the nursing staff in order to minimize incidences of phlebitis. The number of instances were less but this needs consult monitoring.

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"Evaluation of incidence of phlebitis in tertiary care hospital.", IJNRD - INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (www.IJNRD.org), ISSN:2456-4184, Vol.9, Issue 6, page no.e514-e526, June-2024, Available :https://ijnrd.org/papers/IJNRD2406450.pdf

Volume 9 Issue 6, June-2024

Pages : e514-e526

Paper Reg. ID: IJNRD_224019

Published Paper Id: IJNRD2406450

Downloads: 000121248

Research Area: Pharmacy

Country: Pune, Maharashtra , India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2406450.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2406450

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

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