Efectividad del tratamiento tópico de la flebitis secundaria a la cateterización periféricauna revisión sistemática

  1. Martín Gil, Belén 1
  2. Fernández Castro, Mercedes 1
  3. López Vallecillo, María
  4. Peña García, Isabel
  1. 1 Hospital Universitario de Valladolid
    info

    Hospital Universitario de Valladolid

    Valladolid, España

    ROR https://ror.org/04fffmj41

Journal:
Enfermería global: revista electrónica trimestral de enfermería

ISSN: 1695-6141

Year of publication: 2017

Volume: 16

Issue: 1

Pages: 491-507

Type: Article

DOI: 10.6018/EGLOBAL.16.1.260411 DIALNET GOOGLE SCHOLAR lock_openDIGITUM editor

More publications in: Enfermería global: revista electrónica trimestral de enfermería

Sustainable development goals

Abstract

Background: Phlebitis is the most common complication induced by peripheral intravenous catheter.Aim: To assess the best available evidence concerning the effectiveness of topical therapies in patients with peripheral venous canulation who developed phlebitisMethod: The bibliographic search for clinical trials and sistematic reviews, published between 1995 and 2015, was carried out in the following databases Pubmed, Cinahl, Cochrane plus CUIDEN and BVS (Biblioteca Virtual en Salud), in english and spanish. Inclusion criteria were: adult inpatient with peripheral venous cateterization with continous or intermitent infusion, including all types of infusion therapy who developed any degree of superficial phlebitis. The quality of selected studies was assessed independently by peer reviewers using the Clinical Appraisal Skills Programme in its spanish version.Results: 11 studies were identified, 8 clinical trials and 3 sistematic reviews.  The efectiveness of topical phytotherapeutics: aloe vera, chamomilla recutita and notoginseny; heparinoid creams and heparin gels; anti-inflamatory as diclofenac, and vasodilators as nitroglycerin was analized, showing effectivity all of them.Conclusions: Aloe vera, notoginseny, diclofenac and heparine gel suggest a weak level of evidence and moderate grade of recommendation. Heparin gel is the only product provided by the Spanish Medicine Agency to treat post-infusion phlebitis, notoginseny is not marketed in Spain and diclofenac is an anti-inflammatory used for various pathologies. Deserves special attention of topical therapy with aloe vera but further studies are needed

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Data source: Dialnet