Burke modified the scale developed by Maddox et al for grading phlebitis associated with a peripheral intravascular catheter.
Parameters:
(1) pain
(2) redness
(3) edema
(4) palpable venous cord
(5) pus or purulent drainage
(6) tissue necrosis or abscess
Parameters |
Grade 0 |
Grade 1 |
Grade 2 |
Grade 3 |
Grade 4 |
pain |
absent |
with or without |
with or without |
with or without |
with or without |
redness |
absent |
< 2 cm |
2 - 4 cm |
> 4 cm |
NA |
edema |
absent |
with or without |
with or without |
with or without |
with or without |
palpable venous cord |
absent |
with or without |
with or without |
with or without |
with or without |
pus or drainage |
absent |
absent |
absent |
with or without |
with or without |
necrosis or abscess |
absent |
absent |
absent |
absent |
present |
If pus, drainage or abscess are present, then cultures should be taken.
The catheter should be replaced for Grade 2 and higher.
Purpose: To grade the severity of phlebitis associated with a peripheral intravenous catheter using Burke's modification of the scale of Maddox et al.
Specialty: Cardiology, Emergency Medicine, Pulmonology
Objective: severity, prognosis, stage
ICD-10: I80,