Risk factors of thrombophlebitis at infusion sites in patients admitted in surgical ward: a prospective observational study


  • Atul Kumar Singh Department of Surgery, SSMC, Rewa, Madhya Pradesh, India
  • Rajeev Dwivedi Department of Anesthesiology, SSMC, Rewa, Madhya Pradesh, India
  • A. P. S. Ghaharwar Department of Surgery, SSMC, Rewa, Madhya Pradesh, India




Intravenous cannualation, Incidence, Surgical ward, Thrombophlebitis


Background: Peripheral venous canualation is indispensable in admitted patients in surgical ward, thrombophlebitis following infusion is seldom serious, but it effects on postoperative recovery, hospital stay and hence burden of disease are magnanimous. The main aim and objective of the study to find out the incidence of thrombophlebitis at the intravenous infusion site in surgical ward.

Methods: This prospective observational study was conducted on 300 patients admitted in surgical ward of S.S Medical College and associated S.G.M. hospital, Rewa (M.P.) patients selected randomly. These Patients were visited daily for any sign and symptoms at infusion site. The incidence of thrombophlebitis according to age, sex and duration of infusion were recorded. The tool designed to collect the data were socio demographic performa and observational check list.

Results: In total 300 patients the incidence of thrombophlebits is highest in age group of 41-50(20%), Male (64.66%) and incidence increases as the duration of infusion increased it is 100% after 5 days. The incidence of Grade -1 thrmbophlebitis (71.33%) is higher as compared to Grade- 2 (22.67%).

Conclusions: Thrombophelebitis is still an important ongoing problem in admitted patients in surgical ward. Incidence of grade-I thrombophlebitis is higher. It is more in male in the age group of 40-50 and duration of infusion is main causative factor for development of thrombophlebitis.


Sharifi J, Ghavami F, Nowrouzi Z, Fouladvand B, Malek M, Rezaeian M, et al. Oral versus intravenous rehydration therapy in severe gastroenteritis. Arch Dis Child. 1985;60:856-60.

Oliveria AS, Parreira PM. Nursing intervention and peripheral venous catheter related phlebitis. Systemic literature review. Referencia: Scientific J Health Sci Res Unit: Nursing. 2010;3(2):137-47.

Jackson A. Infection control: a battle in infusion phlebitis. Nursing Times. 1998;94:4:68-71.

Bhandari B, Joshi T, Tak SK. Anti –cogulant in the prevention of post- infusion thrombophlebitis in children. Indian Paeditr. 1979;46:289-94.

Infusion Nurses Society Standards of Practice. Vascular access device selection and placement. J Infus Nurs. 2012;S37

Yoong W, Jo Y, Sulaiha S. Risk factors of peripheral venous catheterization thrombophlebitis. Int J Sc, Med Edu [online]. 2012;6(1):24-30

Singh R, Bhandary S, Pun KD. Peripheral intravenous catheter related phlebitis and its contributing factors among adult population at KU Teaching Hospital. Kathmandu Unive Med J. 2008;6(4):443-7.

Cicolini G, Bonghi AP, Di Labio L, Di Mascio R. Position of peripheral venous cannulae and the incidence of thrombophlebitis: an observational study. J Adv Nurse. 2009;65:1268-73.

Uslusoy E, Mete S, Predisposing factors to phlebitis intravenous catheters: a descriptive study. J Am Ac Nurse Pract. 2008;20:172-80.

Monreal M, Quilez F, Rey-Joly C, Rodriguez S, Sopena N, Neira C, Roca J. Infusion phlebitis in patients with acute pneumonia: a prospective study. Chest. 1999 Jun 1;115(6):1576-80.

Regueiro MP, Souto BR, Iglesias MM, Outón IF, Cambeiro JN, Pértega SD et al. Pheripheral venous catheters –incidence of thrombophlebitis and its determining factors. Revista de Enfermeria. 2005;28(10):21-8.

Ferreira LR, Pedreira ML, Diccini S. Phlebitis among neurosurgical patients. Acta Paulista de Enfermagnem. 2207;20(1):30-6.

Mermel LA, Maki DG. Infectious complications of swan- Ganz pulmonary artery catheters, Pathogenesis, epidiomology, prevention and management. Am J Respir Crit Care Med. 1994;149:1020-3.






Original Research Articles