The effect of Intravenous House Ultra Dressing in reducing Phlebitis Associated with Peripheral Intravenous Cannulation in Pediatric patients: Randomized Controlled Trial (RCT)
Keywords:
Intravenous House Ultra Dressing, Phlebitis, Peripheral intravenous Cannulation, Pediatric patientsAbstract
Background: Phlebitis is a common complication associated with peripheral intravenous (IV) cannulation in pediatric patients, often leading to discomfort, and it can result in pain, swelling, and complications that may prolong hospitalization.
Objective: to determine the effect of intravenous (I.V.) House Ultra Dressing in reducing phlebitis associated with peripheral intravenous cannulation in pediatric patients.
Methodology: It was a comparison and prospective randomised controlled trial (RCT). The study looked at 64 participants (2–34 months old) who were getting peripheral intravenous cannulation in paediatric wards. Randomly, 32 patients were put into the study group (Intravenous House Ultra Dressing) and 32 patients were put into the comparison group. Scores for phlebitis were kept for both groups. The Visual Infusion Phlebitis Scale (VIPS) was used to measure the severity of phlebitis, and scores were recorded every 8 to 12 hours from the start of intravenous treatment until the catheter was removed.
Results: The study showed a P-value of 0.000, which means that there were statistically significant differences between the study and control groups in terms of scores and signs of phlebitis. During the three days, there were big changes between the study group and the control group compared to both groups.
Conclusion: The statistically significant differences observed between the study and control groups across all three days (p-value = 0.000) indicate that this I.V. House Ultra Dressing significantly reduces the severity and scoring of phlebitis and improves intravenous site stability.
Downloads
References
Naser SA, Al-Fayyadh S. Impact of Shot Blocker on Alleviating Peripheral Intravenous Cannulation Associated Pain among School-Aged Children: A Randomized Controlled Trial. Malaysian Journal of Nursing. 2024 Oct 1;16(2):74–86. https://doi.org/10.31674/mjn.2024.v16i02.008
Shawq AH. Effectiveness of Deep Breathing Technique on Pain Level of School Children during Catheterization. Medical Journal of Babylon. 2024;21(Suppl 1):S120–5. https://doi.org/10.4103/mjbl.mjbl_258_23
Kadhum K, Bakey S. Evaluation Nurses’ Practices During Intravenous Canulation for Children in the Emergency Units. Mosul Journal of Nursing. 2023 Jan 1;11(1):16–21.https://doi.org/10.33899/mjn.2023.176930
.Al-Saadi SF, Moonaghi HK, Al-Fayyadh S, Bakhshi M. Effect of Near-Infrared Vein Finder Technology on Success Rate of Cannulation in Obese Diabetic Patients. Shiraz E Medical Journal. 2022 Jul 1;23(7). https://doi.org/10.5812/semj-120908
Melo Conceição C, Antonio Jose dos Santos AV, Ferreira Dantas AS, Alves Bemerguy RE, Rêgo da Cruz E, Moura Garcia JV, et al. Analysis of Nursing Team Knowledge About Phlebitis and Its Related Factors. Int J Innov Educ Res. 2020 Jun 1;8(6):351–66.https://doi.org/10.31686/ijier.vol8.iss6.2427
Alkhaledy A, Baqer Abbas Al-Jubouri M, Hussein AA, Baqer M. Effect of Shotblocker on Venipuncture Pain among Blood Donors: A Randomized Controlled Trial [Internet]. Vol. 46, Bahrain Medical Bulletin. 2024. Available from: https://www.researchgate.net/publication/379675464
De Souza Urbanetto J, De Oliveira F, Muniz M, Martins Da Silva R, Christo De Freitas AP, Ribeiro De Oliveira AP, et al. Incidence of phlebitis and post-infusion phlebitis in hospitalised adults. Rev Gaucna Enferm [Internet]. 2017;38(2):1–10. Available from: http://dx.doi.org/10.1590/1983-
Ying CX, Yusuf A, Keng SL. Perceptions of risk factors for phlebitis among Malaysian nurses. British Journal of Nursing. 2020 Jan 23;29(2):S18–23. https://doi.org/10.12968/BJON.2020.29.2.S18
Capdevila JA, Guembe M, Barberán J, de Alarcón A, Bouza E, Fariñas MC, et al. 2016 Expert consensus document on prevention, diagnosis and treatment of short-term peripheral venous catheter-related infections in adults. Cirugia Cardiovascular. 2016 Jul 1;23(4):192–8.https://doi.org/10.1016/j.circv.2016.06.001
Webster J, McGrail M, Marsh N, Wallis MC, Ray-Barruel G, Rickard CM. Postinfusion Phlebitis: Incidence and Risk Factors. Nurs Res Pract. 2015;2015:1–3.https://doi.org/10.1155/2015/691934
Nagpal P, Khera GK, Kumar Y. A study Assess the Clinical Pattern of Phlebitis among children admitted in selected hospital of Ambala, Haryana. Nursing & Midwifery Research Journal. 2015 Apr;11(2):68–77.https://doi.org/10.1177/0974150X20150203
Suliman M, Saleh W, Al-shiekh H, Taan W, AlBashtawy M. The incidence of peripheral intravenous catheter phlebitis and risk factors among pediatric patients. J Pediatr Nurs. 2020 Jan 1;50:89–93.https://doi.org/10.1016/j.pedn.2019.11.006
O’Grady NP, Alexander M, Burns LA, Dellinger EP, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. Clin Infect Dis. 2011 May;52(9).https://doi.org/10.1093/cid/cir257
Kumar P, Dhar A, Banik S, Saha A, Amrita Banik, Biswas P, et al. Incidence of phlebitis among children having peripheral intravenous line in selected hospital, Siliguri. Int J Contemp Pediatrics. 2023 Aug 25;10(9):1431–5.https://doi.org/10.18203/2349-3291.ijcp20232589
Danski MTR, Mingorance P, Johann DA, Vayego SA, Lind J. Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates. Revista da Escola de Enfermagem. 2016;50(1):22–8. https://doi.org/10.1590/S0080-623420160000100003
Tayal A, Lodha R. Improving the Detection of Phlebitis in Hospitalized Children. Vol. 88, Indian Journal of Pediatrics. Springer; 2021. p. 328–9.https://doi.org/10.1007/s12098-021-03703-x
Bitencourt ES, Leal CN, Boostel R, Mazza V de A, Felix JVC, Pedrolo E. Prevalence of phlebitis related to the use of peripheral intravenous devices in children. Cogitare Enfermagem. 2018;23(1).https://doi.org/10.5380/ce.v23i1.49361
Guanche-Sicilia A, Begoña Sánchez-Gómez M, Elisa Castro-Peraza M, Ángel Rodríguez-Gómez J, Gómez-Salgado J, Duarte-Clíments G. Prevention and Treatment of Phlebitis Secondary to the Insertion of a Peripheral Venous Catheter: A Scoping Review from a Nursing Perspective. Healthcare [Internet]. 2021 May 19;9(611):1–24. Available from: https://doi.org/10.3390/healthcare9050611
Ezzat AL-Shammary S, AL-Fayyadh S. The Effectiveness of Non-Pharmacological Interventions on Reducing Intramuscular Injection-related Pain in Adult’s Patients: A Randomized Control Trial. INJNS. 2024 Jun 30;1(37):36–49.https://doi.org/10.58897/d17ypv79
Gallant P, Schultz AA. Evaluation of a Visual Infusion Phlebitis Scale for Determining Appropriate Discontinuation of Peripheral Intravenous Catheters. Journal of Infusion Nursing. 2006;29(6):338–45.
I.V. House UltraDressing, IV Site Protection for Sensitive Skin | I.V. House [Internet]. 2025 [cited 2025 Apr 4]. Available from: https://www.ivhouse.com/iv-house-ultradressing-overview
Mizal AAK, Mohammed AQ. Comparison of sleep quality between outpatient and hospitalized children with respiratory tract dysfunction. Vol. 49, Current Problems in Cardiology. Elsevier Inc.; 2024.https://doi.org/10.1016/j.cpcardiol.2024.102639
Shaker N. Monitoring Peripheral Intravenous Catheters Complications in Pediatric Patients in Erbil City/Iraq. Erbil Journal of Nursing and Midwifery [Internet]. 2023 Jan 25;5(2):105–13. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/221
Al-Musawi KM, Shawq AH, Majeed Z, Zaid S, Ibraheem H. Risk factors for congenital anomalies in neonatal intensive care unit in Baghdad city. Medico-Legal Update. 2020 Jan 1;20(1):1168–74. . https://doi.org/10.37506/v20/il/2020/mlu/194460
Jasim Kalel M, Hussein Shawq A. Effect of Music Medicine Intervention on Child`s Pain Level During Bone Marrow Aspiration and Lumber Puncture Procedures. Iraqi National Journal of Nursing Specialties. 2024 Jun 30;1(37):103–11.https://doi.org/10.58897/99mxqa51
Baye ND, Teshome AA, Ayenew AA, Amare TJ, Mulu AT, Abebe EC, et al. Incidence, time to occurrence and predictors of peripheral intravenous cannula-related complications among neonates and infants in Northwest Ethiopia: an institutional-based prospective study. BMC Nurs. 2023 Dec 1;22(1).https://doi.org/10.1186/s12912-022-01164-x
Büyükyılmaz F, Şahiner NC, Cağlar S, Eren H. Effectiveness of an Intravenous Protection Device in Pediatric Patients on Catheter Dwell Time and Phlebitis Score. Asian Nurs Res (Korean Soc Nurs Sci). 2019 Oct 1;13(4):236–41. https://doi.org/10.1016/j.anr.2019.09.001
Cho YH, Yen LL, Yu KL, Chang CC, Chen HL. [Reducing the Incidence of Phlebitis Related to Intravenous Injection in Pediatric Patients]. Hu Li Za Zhi [Internet]. 2015 Jan 1 [cited 2025 Apr 4];62(3 Suppl):49–57. Available from: https://pubmed.ncbi.nlm.nih.gov/26074117/
Atay S, Yilmaz Kurt F. Effectiveness of transparent film dressing for peripheral intravenous catheter. Journal of Vascular Access. 2021 Jan 1;22(1):135–40.https://doi.org/10.1177/1129729820927238
Aziz A. Comparison The Use Transparent Dressing with Conventional Fixation on Phlebitis Rates in Rumkitban 05.08.03 Sidoarjo. Vol. 1, JSRET (Journal of Scientific. 2022.
Ravindra H, Patel KD. A quasi experimental study to evaluate effectiveness of glycerin magnesium sulphate dressing on phlebitis among patients undergoing peripheral intravenous infusion in selected hospital, Vadodara. International Journal of Medical Research & Health Sciences. 2015;4(3):527.https://doi.org/10.5958/2319-5886.2015.00101.0
Anggraeni R, Suryati Y, Nurjanah N. The effect of aloe vera compress in reducing the degree of phlebitis among hospitalized children in Indonesia. Iranian Journal of Neonatology. 2021 Jun 1;12(3). https://doi.org/10.22038/ijn.2021.46855.1797
Jeong IS, Jeon GR, Lee MS, Shin BJ, Kim YJ, Park SM, et al. Intravenous Infiltration Risk by Catheter Dwell Time Among Hospitalized Children. J Pediatr Nurs. 2017 Jan 1;32:47–51.https://doi.org/10.1016/j.pedn.2016.08.008
Lim EYP, Wong CYW, Kek LK, Suhairi SSBM, Yip WK. Improving the Visibility of Intravenous (IV) Site in Pediatric Patients to Reduce IV Site Related Complications – An Evidence-based Utilization Project. J Pediatr Nurs. 2018 Jul 1;41:e39–45.https://doi.org/10.1016/j.pedn.2018.04.004
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
