[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 4, Number 1 (Military Caring Sciences 2017) ::
MCS 2017, 4(1): 19-29 Back to browse issues page
The Effect of 2% Chlorhexidine Gluconate Solution on Prevention of Phlebitis Related to Peripheral Venous Catheter in Patients Hospitalized in Cardiac Care Units of a Military Hospital
Poormohamadi. M1, Farsi. Z *2, Rajai. N3
1- MSc Student of Critical Care Nursing, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Medical –Surgical Department.
2- Ph.D. in Nursing, Associate Professor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Community Health Department.
3- MSC in Nursing Care of Newborns, Instructor, Iran, Tehran, AJA University of Medical Sciences, Faculty of Nursing, Maternal Newborn Health Department.
Abstract:   (563 Views)

Introduction: Peripheral intravenous catheterization is the most common invasive therapy for hospitalized patients to administer fluids, drugs, and blood products. Phlebitis is one of the serious complications that could influence the patient›s health status.

Objective: This study aimed at investigating the effect of 2% chlorhexidine gluconate solution on prevention of phlebitis related to peripheral venous catheter in patients hospitalized in cardiac care units.

Material and Methods: This double-blind randomized clinical trial study was conducted on 40 patients admitted to cardiac care units of Beasat Military Hospital, Tehran, Iran during years 2016 and 2017. Patients were recruited by the convenience sampling method and randomly allocated to 2 intervention and control groups. The Jackson Phlebitis Scale (Visual Infusion Phlebitis Scale) was used to assess phlebitis. The 2% chlorhexidine gluconate solution was used daily around the peripheral venous catheter in the intervention group for 3 days. Degree of phlebitis was recorded at the same time and IV dressing was changed. In the control group, degree of phlebitis was recorded and IV dressing was changed in 3 days.

Results: The Mann-Whitney U and chi-square tes showed no significant differences between the 2 groups regarding intensity (degree) and incidence of phlebitis at 24, 48, and 72 hours after the intervention (P >0.05). Friedman test showed that average of phlebitis in both groups increased during the 1st, 2nd, and 3rd day (P >0.05).

Discussion and Conclusion: It seems that the IV dress changing is effective and daily use of the 2% chlorhexidine gluconate solution is not recommended. Future studies with a large sample size is recommended.

Keywords: Cardiac Care Unit, Chlorhexidine Gluconate Solution 2%, Phlebitis, Prevention, peripheral venous catheter.

Keywords: Cardiac Care Unit, Chlorhexidine Gluconate Solution 2%, Phlebitis, Prevention, peripheral venous catheter.
Full-Text [PDF 424 kb]   (114 Downloads)    
Type of Study: Research | Subject: Special
Received: 2017/02/14 | Accepted: 2017/02/28 | Published: 2017/06/21
References
1. Rickard CM, Webster J, Wallis MC, Marsh N, McGrail MR, French V, et al. Routine versus clinically indicated replacement of peripheral intravenous catheters: a randomised controlled equivalence trial. J Lancet. 2012;380(9847):1066-74. DOI: 10.1016/s0140-6736(12)61082-4 [DOI]
2. Borzou S, Salavati M, Zandyeh M, Zamanparvar A, Torckman B. [The effect of sterile gauze bandage on preventing of phlebitis and local infections due to using intravenous catheter]. J Gorgan Univ Med Sci. 2003;5(2):71-6.
3. Koh D. Exploration of the patterns of microbial colonization of intravascular devices in severely ill patients: University Tasmania; 2011.
4. Kliegman RM, Behrman RE, Jenson HB, Stanton BM. Nelson textbook of pediatrics. Philadelphia: Elsevier Health Sciences; 2008.
5. Hadaway L. Short peripheral intravenous catheters and infections. J Infus Nurs. 2012;35(4):230-40. DOI: 10.1097/NAN.0b013e31825af099 PMID: 22759827 [DOI] [PubMed]
6. Kalani Z, Pourmovahed Z, Vaezi AA, Vaziri SF. [Risk factors to peripheral catheter related phlebitis incidence: an analytical study]. J Hosp Res. 2015;14(3):93-9.
7. Sarani H, Ahmadi F, Dabiri S. [Comparison of Alcohol, Betadineand Alcohol-Iodine in the Incidence of Complications Venous Catheter]. J Arak Nurs Sci. 2000;3:11-7.
8. Potter P, Perry A. Basic Nursing – A Critical Thinking Approach. Philadelphia: Mosby co; 2004.
9. Larypoor M, Frsad S. [Evaluation of nosocomial infections in one of hospitals of Qom, 2008]. Iranian J Med Microbiol. 2011;5(3):7-17.
10. Borji Kermani E, I M, A S, Sivandipur H, Nekhei M, Afshar G. [a study on the rate and the types of hospital infection in the trauma ICU departments of Kerman hospitals in the first half of 1393]. J Iran Soc Anaesthesiol Intensive Care. 2015;2(3):166-71.
11. Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015;38(3):189-203. DOI: 10.1097/NAN.0000000000000100 PMID: 25871866 [DOI] [PubMed]
12. Rmayy A. [ Assessment Of Phlebitis Caused By Intravenous Catheters In Patients Hospitalized In I. C. U. Beast City Medical Center]. Oromiyeh J Nurs Midwifery. 2008;6(3):127-34.
13. Eghbali-Babadi M, Ghadiriyan R, Hosseini SM. [The effect of saline lock on phlebitis rates of patients in cardiac care units]. Iranian J Nurs Midwifery Res. 2015;20(4):496.
14. Avazeh A, Elahi N, Asadizaker M, Rasekh A, Haji HF. [Effect Of Topical Nitroglycerin On The Occurence And Severity Of Phlebitis Due To Indwelling Intravenous Catheter In Hospitalized Patients]. J Zanjan Univ Med Sci Health Serv. 2004;47(12):15-21.
15. Zoljalali F, Saffar zade M. [The Impact Of Education On The Nursing Staff To Reduce The Incidence Of Phlebitis in Orthopedic Men]. The first National Conference on teaching and learning methods in the Universities Bojnord, Iran2014
16. Malach T, Jerassy Z, Rudensky B, Schlesinger Y, Broide E, Olsha O, et al. Prospective surveillance of phlebitis associated with peripheral intravenous catheters. Am J Infect Control. 2006;34(5):308-12. DOI: 10.1016/j.ajic.2005.10.002 PMID: 16765211 [DOI] [PubMed]
17. O'Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011;52(9):e162-93. DOI: 10.1093/cid/cir257 PMID: 21460264 [DOI] [PubMed]
18. Furtado LCdR. Incidence and predisposing factors of phlebitis in a surgery department. Br J Nurs. 2011;20(7):16-25. DOI: 10.12968/bjon.2011.20.Sup7.S16 [DOI]
19. Gorski L. Infusion Nursing Standards of Practice. J Infusion Nurs. 2007;30(3):151-2.
20. Dychter SS, Gold DA, Carson D, Haller M. Intravenous therapy: a review of complications and economic considerations of peripheral access. J Infus Nurs. 2012;35(2):84-91. DOI: 10.1097/NAN.0b013e31824237ce PMID: 22382792 [DOI] [PubMed]
21. Yaribeygi H, Hosseini MJ, Rokhsarizadeh H, Meftahi GH, Salesi M. [Routine Offered Protocol is not reliable for Thrombophlebitis Prevention]. Hosp Pract Res. 2016;1(2):41-4. DOI: 10.20286/hpr-010241 [DOI]
22. Norton L, Ottoboni LK, Varady A, Yang-Lu CY, Becker N, Cotter T, et al. Phlebitis in amiodarone administration: incidence, contributing factors, and clinical implications. Am J Crit Care. 2013;22(6):498-505. DOI: 10.4037/ajcc2013460 PMID: 24186821 [DOI] [PubMed]
23. Mousavi MS, Alikhani M. [Procedures in Clinical Nursing And Physical Assessment 7th ed]. Ayande Sazan Shahreab. 2014:421-4.
24. Brunner L, Suddarth D. Textbook of Medical Surgical Nursing. Philadelphia: Lippincott Co 2012. 2033-60 p.
25. Marino P. The ICU Book. Philadelphia: Lippincott Williams & Wilkins; 2007.
26. Nesami Bagheri M, Miri Khodadadian J, Cherati Yazdani J, Tabiban S, Ala S. [The Comparison Of 2% Nitroglycerin Ointment And 2% Chlorhexidine Solution Effect In Preventing Catheter-Related Phlebitis]. J Babol Univ Me Sci. 2014;16(6):7-25.
27. Ashk Torab T, Soleymanian T, Borzabadi Farahani Z, Majd Alavi H, Samini M. [Effects Of Skin Disinfection By Alcohol And Chlorhexidine On Catheter-Related Phlebitis: A Clinical Trial Study]. J Shahid Beheshti Univ Med Sci. 2006;16(53):39-46.
28. Kolahdoozipour J, Abdollahzadeh F, Zamanzadeh V, Vahedi A, Lotfi M, Heidarzadeh M. [The comparison of the effect of chlorhexidine gloconate 2% and alcohol ethylic 70% in prevention of phlebitis]. Horiz Med Sci. 2009;14(4):48-54.
29. Zamanzadeh V, Kolahdoozipour J, Abdollahzadeh F, Lotfi M. [The Effect of 2% chlorhexidine gluconate antiseptic solution,70% ethyl alcohol, 10% povidone iodine in the prevention of phlebitis]. J Tabriz Univ Med Sci. 2008;30(3):55-60.
30. Hajihoseini F, Beheshti Z, Nazari R, Rezaie R, Hajiahmadi M. [Comparison of warm and moist compresses and piroxicam topical gel on catheter-related phlebitis peripheral veins]. J Babol Univ Med Sci. 2007;9(3):33-8.
31. Moureau NL. Reducing the cost of catheter-related bloodstream infections. Nurs. 2009;39(7):14-5. DOI: 10.1097/01.NURSE.0000357259.58840.eb PMID: 19543031 [DOI] [PubMed]
32. Hemmati Maslakpak M, Baghaie R, Yosefi M, GHavami H. [Investigates Complaints Incoming To The Medical Council Of West Azarbaijan Province During 1385 To 1389]. J Urmia Nurs Midwifery Fac. 2013;1(42):7-13.
Send email to the article author

Add your comments about this article
Your username or email:

Write the security code in the box >



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

M P, Z F, N R. The Effect of 2% Chlorhexidine Gluconate Solution on Prevention of Phlebitis Related to Peripheral Venous Catheter in Patients Hospitalized in Cardiac Care Units of a Military Hospital. MCS. 2017; 4 (1) :19-29
URL: http://mcs.ajaums.ac.ir/article-1-161-en.html
Volume 4, Number 1 (Military Caring Sciences 2017) Back to browse issues page
مجله علوم مراقبتی نظامی Military Caring Sciences
Persian site map - English site map - Created in 0.052 seconds with 822 queries by yektaweb 3430