Fatores associados à ocorrência de flebite em crianças em uso de cateter venoso central

Autores

DOI:

https://doi.org/10.36517/2175-6783.20252695661

Palavras-chave:

Cateteres Venosos Centrais; Flebite; Criança.

Resumo

Objetivo: analisar os fatores sociodemográficos e clínicos associados à ocorrência de flebite em crianças em uso de cateter venoso central. Métodos: estudo transversal, realizado em uma unidade de terapia intensiva pediátrica de um hospital público. A amostra incluiu crianças de zero a 14 anos, 11 meses e 29 dias. Na coleta de dados, utilizou-se a Escala Portuguesa de Flebite - versão adaptada e validada para o Brasil. Utilizaram-se análises descritivas e inferenciais. Resultados: participaram 101 crianças, majoritariamente do sexo masculino 59,4%, com idades entre zero e cinco anos 77,2%, matriculadas na pré-escola 82,2%. Em 61,4% dos casos, o cateter permaneceu instalado por seis ou mais dias, e 71,3% das crianças apresentaram acometimento de apenas um sistema orgânico. A flebite foi identificada em 30,7% da amostra, com associação estatisticamente significativa entre sua ocorrência e o tempo de permanência do cateter igual ou superior a seis dias (p<0,001). Conclusão: a flebite em crianças foi associada ao tempo de permanência do cateter igual ou superior a seis dias. Contribuições para a prática: os achados reforçam a necessidade de vigilância sistemática e protocolos rigorosos de monitoramento de cateteres, visando prevenir e identificar precocemente complicações associadas.

Downloads

Os dados de download ainda não estão disponíveis.

Referências

1. Hanif I, Alsuwailem HS, Almazyad MM, Almadani LA, Alenezi RH. Overview on central venous access in pediatric patients: review article. Saudi Med Horizons J. 2023;3(2):83-9. doi: https://doi.org/10.54293/smhj.v3i2.74

2. Fu M, Yuan Q, Yang Q, Yu Y, Song W, Qin X, et al. Risk factors and incidence of central venous access device-related thrombosis in hospitalized children: a systematic review and meta-analysis. Pediatr Res. 2024;96(7):1568-93. doi: https://doi.org/10.1038/s41390-024-03225-0

3. Liu S, Nataraja RM, Lynch A, Ferguson P, Pacilli M. Incidence and risk factors of complications during central venous access devices removal in children. J Vasc Access. 2024:11297298241260899. doi: https://doi.org/10.1177/11297298241260899

4. Cui Y, Wang Y, Gong T, Huang Q, Zhang QQ. Systematic review of ultrasound-guided central venous catheter placement-related complications in neonates and infants aged <12 months. Int J Med Res. 2024;52(10):3000605241287168. doi: https://doi.org/10.1177/03000605241287168

5. Crocoli A, Cesaro S, Cellini M, Rossetti F, Sidro L, Pinelli F, et al. In defense of the use of peripherally inserted central catheters in pediatric patients. J Vasc Access. 2021;22(3):333-6. doi: https://doi.org/10.1177/1129729820936411

6. Garonzi C, Zeni F, Tridello G, Giacomazzi A, Castagna A, Esposto MP, et al. Results of a long-term, prospective study on complications of central venous catheter in pediatric patients with hematologic-oncologic diseases. Pediatr Blood Cancer. 2024;71(7):e30990. doi: http://doi.org/10.1002/pbc.30990

7. Moore KJ, Greencorn D, Smith N, Langley JM, Kulkarni K. Mechanical complications of central venous catheters in children: a cohort study. Infect Cont Hosp Ep. 2022;43(11):1634-40. doi: https://doi.org/10.1017/ice.2021.493

8. Christison-Lagay ER, Brown EG, Bruny J, Funaro M, Glick RD, Dasgupta R, et al. Central venous catheter consideration in pediatric oncology: a systematic review and meta-analysis from the American Pediatric Surgical Association Cancer Committee. Pediatr Surg. 2024;59(8):1427-43. doi: https://doi.org/10.1016/j.jpedsurg.2024.03.047

9. Nickel B, Gorski L, Kleidon T, Kyes A, DeVries M, Keogh S, et al. Infusion therapy standards of practice, 9th edition. J Infus Nurs. 2024;47(1S Suppl 1):S1-S285. doi: https://dx.doi.org/10.1097/NAN.0000000000000532

10. Torné-Ruiz A, García-Expósito J, Bonet A, Masot O, Roca J, Selva-Pareja L. Evolution of scientific production on phlebitis secondary to vascular access: a 71-year bibliometric analysis. Nurs Rep. 2023;13(4):1635-47. doi: https://doi.org/10.3390/nursrep13040135

11. Wang F, Wang Y, Liu J. Risk factors for peripherally inserted central venous catheter-related complications in children: a retrospective cohort study. Medicine (Baltimore). 2023;102(39):e34924. doi: http://doi.org/10.1097/MD.0000000000034924

12. Mittang BT, Stiegler G, Kroll C, Schultz LF. Peripherally inserted central catheter in newborns: removal factors. Rev Baiana Enferm. 2020;34:e38387. doi: http://dx.doi.org/10.18471/rbe.v34.38387

13. Zhang JJ, Nataraja RM, Lynch A, Barnes R, Ferguson P, Pacilli M. Factors affecting mechanical complications of central venous access devices in children. Pediatr Surg Int. 2022;38(7):1067-73. doi: https://doi.org/10.1007/s00383-022-05130-1

14. Ullman AJ, Gibson V, Takashima MD, Kleidon TM, Schults J, Saiyed M, et al. Pediatric central venous access devices: practice, performance, and costs. Pediatr Res. 2022;92(5):1381-90. doi: https://doi.org/10.1038/s41390-022-01977-1

15. Lu H, Yang Q, Tian B, Lyu Y, Zheng X, Xin X. A meta-analysis of the comparison of phlebitis between midline catheters and peripherally inserted central catheters in infusion therapy. Int J Nurs Pract. 2022;28(2):e12976. doi: https://doi.org/10.1111/ijn.12976

16. Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, et al. Infusion therapy standards of practice, 8th edition. J Infus Nurs. 2021;44(1S Suppl 1):S1-S224. doi: https://doi.org/10.1097/NAN.0000000000000396

17. Braga LM, Mota DDCF, Queiroz ACCM, Ribeiro FC, Dutra HS, Arreguy-Sena C, et al. Portuguese Phlebitis Scale: cross-cultural adaptation, validity and reliability for use in Brazil. Rev Eletr Enferm. 2023;25:74036. doi: https://dx.doi.org/10.5216/ree.v25.74036

18. Chang LX, Chen YW, Wang MC, Zhao SY, Wang M, Tian Y, et al. Analysis of peripherally inserted central catheter-related complications: a retrospective cohort study of 2,974 children with blood diseases in a single center of China. Ann Palliat Med. 2021;10(3):2971-8. doi: https://dx.doi.org/10.21037/apm-20-1771

19. Wang F, Wang Y, Liu J. Risk factors for peripherally inserted central venous catheter related complications in children: a retrospective cohort study. Medicine (Baltimore). 2023;102(39):e34924. doi: http://doi.org/10.1097/MD.0000000000034924

20. Prado NCC, Santos RSC, Almino RHSC, Lima DM, Oliveira SS, Silva RAR. Variables associated with adverse events in neonates with peripherally inserted central catheters. Enferm Glob. 2020;19(3):36-67. doi: https://doi.org/10.6018/eglobal.387451

21. Qin KR, Ensor N, Barnes R, Englin A, Nataraja RM, Pacilli M. Long peripheral catheters for intravenous access in adults and children: a systematic review of the literature. J Vasc Access. 2021;22(5):767-77. doi: http://doi.org/10.1177/1129729820927272

22. Schindler E, Mikus M, Velten M. Gefäßzugänge bei Kindern: Technik, Komplikationen und Fallstricke beim zentralen Venenkatheter. Anasthesiol Intensivmed Notfallmed Schmerzther. 2021;56(1):60-8. doi: https://doi.org/10.1055/a-1187-5397

23. Bahoush G, Salajegheh P, Anari AM, Eshghi A, Aski BH. A review of peripherally inserted central catheters and various types of vascular access in very small children and pediatric patients and their potential complications. J Med Life. 2021;14(3):298-309. doi: https://dx.doi.org/10.25122/jml-2020-0011

24. Beleza LO, Brasil GDC, Margatho AS, Vasques CI, Silveira RCCP, Rocha PRS, et al. Prevention of complications related to peripherally inserted central catheter insertion techniques in newborns: systematic review and network meta-analysis. Rev Latino-Am Enfermagem. 2024;32:e4161. doi: https://doi.org/10.1590/1518-8345.6905.4161

25. Gotchac J, Poullenot F, Guimber D, Ecochard-Dugelay E, Schneider S, Peretti N, et al. Management of central venous catheters in children and adults on home parenteral nutrition: a french survey of current practice. Nutrients. 2022;14(12):2532. doi: https://doi.org/10.3390/nu14122532

26. Diwakar K, Kumar S, Srivastava P, Uddin MW, Mishra S. Reduction in the incidence of infusion-related phlebitis in a pediatric critical care unit of Eastern India: a quality improvement initiative. Med J Armed Forces India. 2024;80(1):46-51. doi: https://doi.org/10.1016/j.mjafi.2021.07.010

27. Chen D, Cao L, Li W. Etiological and clinical characteristics of severe pneumonia in pediatric intensive care unit (PICU). BMC Pediatr. 2023;23(1):362. doi: https://dx.doi.org/10.1186/s12887-023-04175-y

28. Alfraij A, Abdelmoniem A, Elseadawy M, Surour M, Basuni M, Papenburg J, et al. The effect of Telehealth Antimicrobial Stewardship Program (Tele-ASP) on antimicrobial use in a pediatric intensive care unit: pre-and post-implementation single center study. J Infec Public Health. 2023;16(9):1361-7. doi: https://doi.org/10.1016/j.jiph.2023.06.010

29. Santos RG, Cardoso ÉLS, Marques LS, França LLA, Xavier TGM, Leon PAP, et al. Epidemiological clinical profile of hospitalized children: a cutting out of the pandemic and non-pandemic period. Esc Anna Nery. 2021;25(spe):e20210125. doi: https://doi.org/10.1590/2177-9465-EAN-2021-0125

30. Santos AC, Góes FGB, Pereira-Ávila FMV, Camilo LA, Bonifácio MCS, Knupp VMAO. Clinical and epidemiological profile of children admitted to a pediatric unit. Rev Enferm UERJ. 2020;28:e46533. doi: http://doi.org/10.12957/reuerj.2020.46533

Publicado

2025-10-15

Edição

Seção

Artigos de Pesquisa

Como Citar

1.
Sousa TA de, Rocha KN de S, Carneiro CT, Brito M de A, Rocha RC, Moura M Águida P, et al. Fatores associados à ocorrência de flebite em crianças em uso de cateter venoso central. Rev Rene [Internet]. 15º de outubro de 2025 [citado 25º de fevereiro de 2026];26:e95661. Disponível em: https://periodicos.ufc.br/rene/article/view/95661