QUT ePrints

Phlebitis associated with peripheral intravenous catheters

Webster, Joan & Osborne, Sonya (2007) Phlebitis associated with peripheral intravenous catheters. American Journal of Infection Control, 35(4), p. 287.

View at publisher

Abstract

Malach et al1 suggest that presence of an intravenous peripheral catheter longer than 3 days is a risk factor for phlebitis. A point-prevalence research design was used in their study whereby patients with phlebitis were compared with an unmatched control group of patients who did not have phlebitis. There are significant problems with drawing strong conclusions from such a design, which the authors themselves acknowledge. Other prospective, longitudinal studies have found that it is within the first two days following peripheral catheter insertion that the patient is at highest risk for infection.2-3 These authors surmise that breaching skin integrity, which occurs more frequently with 72 hour changes, may contribute to this result. We have supported their conclusions in a recent randomized controlled trial, where the incidence of phlebitis was similar in the 3-day change group and the change when clinically indicated group.4 Among those who had their peripheral catheter removed for phlebitis, the mean length of time that the catheter was in-situ was 48.7 hours.

We believe, if patients are not matched for risk factors that may influence outcomes, incorrect conclusions may be drawn. This could have considerable patient care and economic implications. Consequently, it is important to use the correct study design when trying to understand significant health care questions.

Impact and interest:

0 citations in Scopus
Search Google Scholar™
0 citations in Web of Science®

Citation countsare sourced monthly from Scopus and Web of Science® citation databases.

These databases contain citations from different subsets of available publications and different time periods and thus the citation count from each is usually different. Some works are not in either database and no count is displayed. Scopus includes citations from articles published in 1996 onwards, and Web of Science® generally from 1980 onwards.

Citations counts from the Google Scholar™ indexing service can be viewed at the linked Google Scholar™ search.

Full-text downloads:

354 since deposited on 11 Dec 2007
43 in the past twelve months

Full-text downloadsdisplays the total number of times this work’s files (e.g., a PDF) have been downloaded from QUT ePrints as well as the number of downloads in the previous 365 days. The count includes downloads for all files if a work has more than one.

ID Code: 11172
Item Type: Journal Article
DOI: 10.1016/j.ajic.2006.09.013
ISSN: 0196-6553
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2007 Elsevier
Copyright Statement: Reproduced in accordance with the copyright policy of the publisher.
Deposited On: 11 Dec 2007
Last Modified: 09 Jun 2010 22:51

Export: EndNote | Dublin Core | BibTeX

Repository Staff Only: item control page