The endoscopy department can alert to complications associated with peripheral venous catheters in patients admitted to a tertiary teaching hospital
María Jesús Pérez-Granda,
Francisca Guzmán Blanco,
Sonia Aguado Díaz,
Rosario Jiménez Bautista,
Julia Orense Velilla,
Juana Rodríguez Calero,
María Luisa Valls,
Antonio Vicente Arellano,
Pilar García Santos,
Patricia Munoz,
María Guembe,
Francisco Jesús Carrascosa Tamayo,
Juliana Aguilar Vales,
Beatriz Martínez Lobo,
José Carlos Sánchez de la Torre,
María Antonia Soto González,
Rocío Barragán Lagar,
Helena Gil de Vicente,
María Amor Gámez,
Isabel Sigüenza Atienza,
Pilar Martín Nieto,
Ángeles Soto González
Affiliations
María Jesús Pérez-Granda
Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Department of Nursing, School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain; CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain; Corresponding author. Servicio de Microbiología Clínica y Enfermedades Infecciosas, Hospital General Universitario Gregorio Marañón, C/ Dr. Esquerdo, 46, 28007, Madrid, Spain.
Francisca Guzmán Blanco
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Sonia Aguado Díaz
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Rosario Jiménez Bautista
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Julia Orense Velilla
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Juana Rodríguez Calero
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
María Luisa Valls
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Antonio Vicente Arellano
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Pilar García Santos
Endoscopy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
Patricia Munoz
Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; CIBER Enfermedades Respiratorias-CIBERES (CB06/06/0058), Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; Department of Medicine, Universidad Complutense de Madrid, Madrid, Spain; Corresponding author. Servicio de Microbiología Clínica y Enfermedades Infecciosas Hospital General Universitario Gregorio Marañón C/ Dr. Esquerdo, 46 28007, Madrid, Spain.
María Guembe
Department of Clinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
Background: The more widespread use of peripheral venous catheters (PVC) has led to more frequent complications, not only in PVC-associated bacteremia, but also in phlebitis. This requires the catheter to be removed and increases healthcare costs. Our aim was to assess the PVC-associated complications in an endoscopy department. Methods: We performed a cross‐sectional, descriptive study on patients admitted to our center and undergoing a procedure in the endoscopy department. We analyzed the appearance of the following PVC-associated complications: obstruction, phlebitis, redness, extravasation, pain, and infection on the day of the study. All catheter tips were sent to the microbiology laboratory for culture using the roll-plate semiquantitative technique. Clinical and microbiological data were collected. Results: We included a total of 46 patients with 50 PVCs. The median (IQR) age was 70.0 (55.0–81.5) years, and 58.7% were female. The median (IQR) hospital stay was 9.00 (6.00–14.25) days. Of the 50 PVCs, most were inserted in the emergency room (74.0%), and the median (IQR) indwelling time was 5.00 (3.00–7.00) days. The phlebitis rate was 78.0%, which occurred mainly in PVCs inserted in the emergency room (74.3%). The tip was colonized in 9 PVCs (18.0%). Conclusion: The endoscopy department can alert clinicians to PVC-associated complications. PVCs inserted in the emergency room were subject to a higher risk of phlebitis and/or colonization. Therefore, we recommend systematically replacing PVCs inserted in the emergency room within 48 h if preventive measures during insertion cannot be guaranteed.