Impact of interventions on the incidence of thrombophlebitis in peripheral venous cannulation in a tertiary care teaching hospital

Authors

  • Anuradha Tolpadi Department of Microbiology, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India http://orcid.org/0000-0003-0111-4379
  • Abhijeet Mane Department of Microbiology, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India http://orcid.org/0000-0002-6007-6942
  • Meera Modak Department of Microbiology, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India
  • Ashok Kumar Verma Department of Community Medicine, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India
  • Vishwas Ambekar Department of Infection Control, Bharati Hospital and Research Centre, Pune, India
  • Tanuja Shilawat Department of Infection Control, Bharati Hospital and Research Centre, Pune, India

DOI:

https://doi.org/10.18203/2349-2902.isj20212351

Keywords:

Cannulation, Thrombophlebitis, Visual infusion phlebitis score

Abstract

Background: In hospitalized patients the use of intravenous devices like cannula are indispensable. Nearly about 80% of hospitalized patients require peripheral venous cannulation, as a part of therapy. Thrombophlebitis is one of the prevalent complications of peripheral venous cannulation.

Method: The present study was aimed to find the incidence of thrombophlebitis after peripheral venous cannulations in the patients admitted in a tertiary care teaching hospital. Impact of regular trainings and interventions on the incidence and grades of thrombophlebitis was also studied. The study was conducted for period of 1 year.

Result: The total of 28850 cannulations carried out on 11686 patients was observed. Phlebitis was diagnosed in 1821 peripheral venous cannulations, giving the incidence of 6.3%. As per Visual Infusion Phlebitis (VIP) score, 1527 (83.86%) were grade 1 phlebitis, 274 (15.04%) were with grade 2 phlebitis and 20 (1.10 %) were grade 3 phlebitis. Regular surveillance, training and timely interventions were carried out during this period and the effect of these interventions was noted in the monthly phlebitis rate. Phlebitis rate reduced from 9.89% in January to 3.99% in the month of December. There was also reduction in grade 2 thrombophlebitis (from 21.05% in January to 6.09% in December). In the last 4 months of study period grade 3 phlebitis was not reported.

Conclusions: A significant reduction in the incidence of phlebitis associated with peripheral intravenous cannulations may be achieved by regular surveillance, training and timely interventions.

Author Biographies

Anuradha Tolpadi, Department of Microbiology, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India

Department of Microbiology, Associate Professor and Incharge, Infection Control Department

Abhijeet Mane, Department of Microbiology, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India

Department of Microbiology, Assistant Professor and Coordinator, Infection Control Department

Meera Modak, Department of Microbiology, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India

Department of Microbiology, Professor and Head

Ashok Kumar Verma, Department of Community Medicine, Bharati Vidyapeeth (DTU) Medical College, and Hospital, Pune, Maharashtra, India

Department of Community Medicine, Professor

Vishwas Ambekar, Department of Infection Control, Bharati Hospital and Research Centre, Pune, India

Infection Control Department, Infection Control Nurse

Tanuja Shilawat, Department of Infection Control, Bharati Hospital and Research Centre, Pune, India

Infection Control Department, Infection Control Nurse

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Published

2021-06-28

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Original Research Articles