Research Article | Open Access
Volume 2025 - 1 | Article ID 301 | http://dx.doi.org/10.51521/WJIPC.2025.11102
Academic Editor: John Bose
Nattawipa Boonkerdram, MSN¹*, Kamonwan
Promudom, MSN¹, Amonrut Hongton, BSN¹, Julaluk Deerattanaporn, BSN¹, Sukanya
Kinnarisae, BSN¹, Sutthida Kaeotha, BSN¹, Thassanee Singkham, BSN¹
¹Department of Nursing, Sakon Nakhon
Hospital, Sakon Nakhon, Thailand
Corresponding
Author: Nattawipa
Boonkerdram, MSN, Sakon Nakhon Hospital, 1041 Charoen Mueang
Road, Thart Choeng Chum, Mueang Sakon Nakhon, Sakon Nakhon, 47000, Thailand.
Citation: Nattawipa Boonkerdram, Kamonwan Promudom, Amonrut Hongton, Julaluk Deerattanaporn, Sukanya Kinnarisae, Sutthida Kaeotha, Thassanee Singkham, (2025) Peripheral Intravenous Catheter Complications in a Thai Tertiary Hospital: A Cross-Sectional Prevalence Study. World J Infect Prevent Contr, 1(1);1-5.
Abstract:
Background: Peripheral intravenous catheter
(PIVC) use is a common practice in hospital settings but is often associated
with complications such as phlebitis, infiltration, and extravasation, which
may compromise patient safety. Objectives: To determine the prevalence
and types of complications from peripheral intravenous catheter use in a
tertiary hospital in Thailand. Design: A cross-sectional descriptive
study. Setting: A tertiary care hospital in northeastern Thailand. Participants:
A total of 697 patients with 781 peripheral intravenous sites were included
using purposive sampling. Methods: This study employed a cross-sectional
descriptive design to determine the point prevalence of peripheral intravenous
complications including phlebitis, infiltration, and extravasation, conducted
in August 2024. This study was conducted and reported according to the
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE)
guidelines. Results: Total
complication prevalence was 1.91% (95% confidence interval: 1.0-2.9). Phlebitis
was most common at 1.15% (95% confidence interval: 0.4-1.9), followed by
infiltration and extravasation each at 0.38% (95% confidence interval:
0.0-0.8). Most complications were Grade 3 severity (53.33%). The dorsum of hand
was the most affected site (33.3%). Antibiotics, particularly Clindamycin and
Ceftriaxone, were most frequently associated with complications (20.0% each).
Internal Medicine (45.6%) and Surgery (32.4%) departments had the highest
number of intravenous sites. Conclusions:
The peripheral intravenous complication prevalence of 1.91% falls within
acceptable international standards. Key risk factors included patient age
(69.4% aged ≥45 years), department type, insertion site, and medication types.
These findings provide baseline data for quality improvement initiatives and
support the implementation of systematic surveillance and prevention protocols
to further reduce complication frequency and severity.
Keywords: Catheterization, Peripheral;
Phlebitis; Extravasation of Diagnostic and Therapeutic Materials; Patient
Safety; Prevalence; Cross-Sectional Studies.
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