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Risk Factors for Infusion-Related Phlebitis with Vascular Catheter

Purpose: To evaluate a patient with a peripheral intravenous (IV) catheter based on the risk factors identified by Maki and Ringer.

Description

Maki and Ringer identified risk factors for phlebitis in patients with a peripheral venous catheter. This can help identify patients who may be at greater risk for phlebitis and who may benefit from closer monitoring or a change in catheter placement. The authors are from the University of Wisconsin.


 

Risk factors for phlebitis:

(1) material (Teflon)

(2) insertion in the Emergency Department, operating room or under emergency circumstances

(3) female gender

(4) duration of catheter placement > 48 hours

(5) infusing antibiotics

(6) location in upper extremity (hand best place, forearm worst)

(7) person predisposed to infection

(8) history of phlebitis with a previous catheter

(9) presence of local infection involving the catheter

 

Factors reducing the risk of phlebitis

(1) insertion and maintenance by an experienced intravenous therapy team

 


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Specialty

Objective

ICD-10