THE SURVEY ON PHLEBITIS BY VENOUS CATHETER IN THE PATIENTS RESTED IN ICU IN BESAT HOSPITAL IN SANANDAJ

In order to let the water and other fluids flow, keeping the balance of the electrolytes
and treating the patient in ICU, having a venous line is essential, and one of the commonest invasive
methods is putting venous catheter. Although this kind of treatment can be considered so effective, it
can cause some infections at hospital .According to harrison, with putting catheter in the proper place
and in a proper time period, considering special cares in clinics catheter will seldom cause infection in
the body of the patient who is immunologically normal.
Materials and Methods: The research was a descriptive one.and the research community contained all
patients confined to bed in ICU section when the research was done. 100 samples were chosen
accidentally and the information was gathered using questionnaire containing phlebitis classification
with the researchers’ observation and fingering the phlebitis location. The statistical analysis was done
using x2 method.
Results: results showed that the majority of samples were male (73%) with an age of 41 to 60 years
(59%) and confined to bed more than 14 days(73%) and 68% had GCS between 4 to 8 with a
Indotracheal intubation or tracheotomy and majority 19% catheter was in the right foot venous. And
the majority of 49% had angiocat connected between 49 to 72 hours and with 1/3-2/3 serum 69% and
all the samples used antibiotic. Also results showed that 31% didn’t have any phlebitis, 32% had
phlebitis class 1, 25% phlebitis class 2, 14% phlebitis class 3 and 8% phlebitis class 4. Also results
showed that patients having catheter less than 24 hours, had no phlebitis or minimum phlebitis. On the
other hand, patients having catheter between 25-48 hours had phlebitis class 2 and patients between
49-72 hours catheter had phlebitis class 3 or 4.
Conclusion: Hospital infections have an important role in increasing the treatment difficulties and
death rate and also additional costs for patients .One of the reasons of infection could be putting
catheter intravenous that may cause phlebitis. In this research this case was partly seen among some of
the research units. It is to be said that in 19% of samples, catheter was located in the right foot venous.
According to andrewly:-The more important factor in infection probability is intravenous catheter in
the very bottom of femoral and not in the top. Hospital infection control committee should use a
training procedure to improve the anti-infection methods in using invasive instruments to decrease
infections to minimum and also using all known prevention and observing methods to provide a place
as safe as possible for patients, visitors and hospital staff