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KMID : 0377619740260040446
Korean Jungang Medical Journal
1974 Volume.26 No. 4 p.446 ~ p.450
Infusion and Phlebitis


Abstract
The frequent use of intravenous alimentation as a routine measure in hospitalized patients makes phlebitis one of the most common source of hospital morbidity. This. study was performed to explore the relationship between the incidence of phlebitis_, in continuous intravenous infusions and type of solutions, solution pH, size of needles, sites of infusions and duration of infusions. 181 adult patients admitted to St. Mary¢¥s. Hospital were observed for symptoms of phlebitis during four month period from November, 1973 to February, 1974.
The results of the study were as follows.
1) Among 181 patients, clinical signs and symptoms of various degrees of phlebitis occured in 59 patients (36.20); slight reaction in 43 patients, moderate reaction in 12 patients and severe reaction in 4 patients.
2) The younger age group of 20 to 40 showed to be particularly susceptible to phle bitis. The age group of 30 to 40 revealed the highest incidence of susceptiblility to this complication.
3) There was 38.9% of incidence of phlebitis from infusion.placed in the dorsum of hand, and 32.9% in the forearm. Smaller veins were more susceptible than. larger veins.
4) -It was considered that there was a close relation between the incidence and the amount and time required for infusion. High incidence of 33.0-44.0% was shown after the infusions which required over 12 hours and relatively lower incidence (24.3%) in the infusions completed within 12 hours.
5) pH level of solutions was considered to be an important factor there was 61.5% of incidence in pH 3.0-3.9, and lower incidence in normal pH.
6) No, difference was found between solutions containing antibiotics and solutions not containing them.
According to the results obtained from-the study, the duration of infusion ~ appeares "to be one of the most important variable relating the incidence of phlebitis, and it ;could be better prevented if infusion solutions are neutralized.
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