caa a22 4500 60615762X CHVBK 20210128100614.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s10096-014-2304-7 doi (NATIONALLICENCE)springer-10.1007/s10096-014-2304-7 Relative incidence of phlebitis associated with peripheral intravenous catheters in the lower versus upper extremities [Elektronische Daten] [A. Benaya, Y. Schwartz, R. Kory, A. Yinnon, E. Ben-Chetrit] Peripheral venous access in elderly, hospitalized patients is often challenging. The usual alternative is insertion of a central venous catheter, with associated risk for complications. The purpose of this investigation was to determine the relative incidence of phlebitis secondary to lower as compared to upper extremity intravenous catheters (IVCs) and associated risk factors. A non-randomized, observational, cohort-controlled study was carried out. Consecutive patients receiving a lower extremity IVC were enrolled and compared with patients receiving an upper extremity IVC. Patients were followed from insertion until removal of the IVC. The major endpoint was phlebitis. The incidence of phlebitis secondary to upper extremity IVCs was 3/50 (6%) compared to 5/53 (9.4%) in lower extremity IVCs (χ2 Yates = 0.08, p = 0.776). Age, gender, obesity, diabetes mellitus, site (arm versus leg, left versus right), and size of needle were not found to be risk factors for phlebitis according to univariate analysis. None of the patients developed bloodstream infection. In elderly patients with poor venous access, lower extremity IVCs are a reasonable and low-risk alternative to central venous catheters. Springer-Verlag Berlin Heidelberg, 2015 Benaya A. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut Schwartz Y. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut Kory R. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut Yinnon A. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut Ben-Chetrit E. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/5(2015-05-01), 913-916 0934-9723 34:5<913 2015 34 10096 https://doi.org/10.1007/s10096-014-2304-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10096-014-2304-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Benaya A. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut NATIONALLICENCE 700 1- Schwartz Y. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut NATIONALLICENCE 700 1- Kory R. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut NATIONALLICENCE 700 1- Yinnon A. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut NATIONALLICENCE 700 1- Ben-Chetrit E. Division of Internal Medicine, Shaare Zedek Medical Center, affiliated with the Hebrew University Hadassah Medical School, Jerusalem, Israel aut NATIONALLICENCE 773 0- European Journal of Clinical Microbiology & Infectious Diseases Springer Berlin Heidelberg 34/5(2015-05-01), 913-916 0934-9723 34:5<913 2015 34 10096