| Summary: | 碩士 === 國立臺灣大學 === 流行病學研究所 === 97 === Introduction:
Infective complications arising from peripheral intravenous catheters (PICs) are potentially serious, with associated increase in health care costs, hospitalization days, and malpractice lawsuits. To improve patient safety, it is important to identify preventable risk factors. This study aimed to use a density case-control study design to examine whether different methods to maintain PICs are risk factors for infective complications.
Materials and Methods:
We retrospectively identified 46 patients with peripheral intravenous infusion-related infective complications. Each case was randomly matched with four control subjects by ward and the day when infective complication arose. Multivariate conditional logistic regression was used to adjust for the effects of confounding factors.
Results:
The following factors independently predicted PICs-related infective complications: intermittent injection only (odds ratio [OR]: 0.2), insertion sites at lower extremities (OR: 8.6), use of infusion pump (OR: 4.6), and neurologist/neurosurgeon as attending physician (OR: 3.6).
Conclusions:
Minimizing unnecessary intravenous infusion, inserting PIC lines in upper extremities and avoiding the use of infusion pumps may help to prevent PIC-related infective complications.
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