INCIDENCIA DE FLEBITIS EN EL HOSPITAL DEL NIÑO DR. OVIDIO ALIAGA URIA, DE AGOSTO A OCTUBRE DEL 2017, UN INDICADOR DE ATENCIÓN DE CALIDAD
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Rev. Méd. La Paz
Abstract
INTRODUCCIÓN. Las infecciones intra hospitalarias son un indicador de atención de calidad. La inserción y cuidado del catéter venoso periférico es responsabilidad del personal de enfermería. La incidencia de flebitis es un indicador sencillo de mensurar, barato y de ágil valoración. Nos trazamos determinar la incidencia de Flebitis y estimar una situación institucional. MATERIAL Y MÉTODOS. Estudio de tipo descriptivo, transversal, observacional, en pacientes internados, de 3 meses a 14 años de edad. Un universo de estudio de 219 pacientes con una muestra de 140 con nivel de confiablidad del 95%. La recolección de los datos fue realizada por el investigador y validado por el comité de IAAS (*), se implementó un Test de Vigilancia Clínica. RESULTADOS. Se obtuvo 16 casos de flebitis, que corresponde al 11,4% (n=140) de incidencia. La edad promedio de los pacientes estudiados fue de un año. El servicio con mayor incidencia fue Neurocirugía con un 25%. El sexo masculino presentó un 68,8%. La región de instalación del dispositivo fue predominante en flexura del codo y pie, ambos con un 37,5%; la infusión de Antibióticos se asoció a los casos encontrados en un 56,3% (p=0,411). La Flebitis Grado 2 reflejó mayor incidencia en un 50%. DISCUSIÓN. La Intravenous Nurse Society sugiere que la tasa de flebitis debe estar debajo del 5%. Sin embargo, nuestro estudio refleja un 11,4%. CONCLUSIONES. La atención de calidad está por debajo del estándar esperado, se aportó datos importantes como un "marcador cero" para siguientes trabajos de investigación en nuestra institución.
INTRODUCTION. Intra-hospital infections are an indicator of quality care. The insertion and care of the peripheral venous catheter is the responsibility of the nursing staff. The incidence of phlebitis is a simple indicator to measure, cheap and quick assessment. We set out to determine the incidence of phlebitis and estimate an institutional situation. MATERIAL AND METHODS. The study is a Cross-sectional, observational, descriptive study about hospitalized patients, in children from 3 months to 14 years old. This is a study with a universe of 219 patients with a sample of 140 with 95% confidence level. The data collection was done by the researcher and validated by the IAAS committee (*). For this purpose, a Clinical Surveillance Test was implemented. RESULTS. A total of 16 cases of phlebitis were obtained, corresponding to 11.4% (n = 140) of incidence. The average age of the patients studied was one year. The service with the highest incidence was Neurosurgery with 25%. The male sex was 68.8%. The region of installation of the device was predominant in the flexure of the elbow and in the foot, both with 37.5%, infusion of Antibiotics was associated to the cases found in 56.3% (p = 0.411). Phlebitis Grade 2 was the one that reflected the highest incidence by 50%. DISCUSSION. The Intravenous Nurse Society suggests that the phlebitis rate should be below 5%. However, our study reflects 11.4%. CONCLUSIONS. Quality care is below the expected standard, important data was provided as a "zero score" for further research work in our institution.
INTRODUCTION. Intra-hospital infections are an indicator of quality care. The insertion and care of the peripheral venous catheter is the responsibility of the nursing staff. The incidence of phlebitis is a simple indicator to measure, cheap and quick assessment. We set out to determine the incidence of phlebitis and estimate an institutional situation. MATERIAL AND METHODS. The study is a Cross-sectional, observational, descriptive study about hospitalized patients, in children from 3 months to 14 years old. This is a study with a universe of 219 patients with a sample of 140 with 95% confidence level. The data collection was done by the researcher and validated by the IAAS committee (*). For this purpose, a Clinical Surveillance Test was implemented. RESULTS. A total of 16 cases of phlebitis were obtained, corresponding to 11.4% (n = 140) of incidence. The average age of the patients studied was one year. The service with the highest incidence was Neurosurgery with 25%. The male sex was 68.8%. The region of installation of the device was predominant in the flexure of the elbow and in the foot, both with 37.5%, infusion of Antibiotics was associated to the cases found in 56.3% (p = 0.411). Phlebitis Grade 2 was the one that reflected the highest incidence by 50%. DISCUSSION. The Intravenous Nurse Society suggests that the phlebitis rate should be below 5%. However, our study reflects 11.4%. CONCLUSIONS. Quality care is below the expected standard, important data was provided as a "zero score" for further research work in our institution.
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Vol. 24, No. 2