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Incidence of infiltration/extravasation in newborns using peripheral venous catheter and affecting factors

Incidência de infiltração/extravasamento em recém-nascidos usando catéter venoso periférico e fatores correlacionados

Incidencia de infiltración/fuga en recién nacidos utilizando catéter venoso periférico y factores correlacionados

ABSTRACT

Objective

The objective of this study was to identify the incidence of infiltration and extravasation in newborns using peripheral venous catheter, and affecting factors.

Method

This observational study examined catheters inserted into newborns who received inpatient care in the neonatal intensive care unit of a state hospital located in the west of Turkey. A total of 452 peripheral venous catheters inserted into 152 newborns were observed. The forms were completed by the researchers based on their observations at each shift.

Results

The infiltration/extravasation occurred in 45.6% of peripheral venous catheters inserted into newborns; 19.7% were stage I and 11.7% were stage IV. A statistically significant relationship was found between the gestation week as well as the birth weight of newborns and the occurrence of infiltration/extravasation complication. In addition, there were statistically significant relationships between the administration of single or multiple antibiotics, total parenteral nutrition and the incidence of infiltration/extravasation complication.

Conclusion

It is recommended to use an appropriate scale for the assessment of infiltration/extravasation as well as to implement measures for preventing the occurrence of infiltration/extravasation.

Infant, Newborn; Catheterization, Peripheral; Extravasation of Diagnostic and Therapeutic Materials; Neonatal Nursing

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