Comparison of the Effect of Chlorhexidine Gluconate 2%, Alcohol Ethylic 70% and Povidone –Iodine 10% in Prevention of Phlebitis.

Abstract

Abstract: Introduction: Over 80% of hospitalized patients receive I.V therapy through peripheral catheters during a hospital stay. This technique of therapy has numerous complications such phlebitis which can affect the patient's health state. Prevalence of phlebitis in Iran is higher than other countries. So, according to high prevalence of phlebitis and insufficient researches about Chlorhexidine gluconate solution as a choice disinfectant to prevention of phlebitis, research in this subject seems necessary. Methodology: This research is a quasi –experimental study which was done on hospitalized patients in Tabriz Imam Khomeini hospital at internal units. For this aim collectively 90 patients were studied in Chlorhexidine gluconate 2% (30persons), Alcohol ethylic (Ethanol) 70% (30 persons), and Betadine 10% (30 persons). Samples were selected through available sampling and divided in three groups randomly. Data collecting tool was observing checklist which includes three sections: demographic characteristics, standard scale of phlebitis was based on the presence of phlebitis sign and symptoms including: pain, warmness, streak formation, redness and swelling. Presence of pain, warmness, streak formation light redness and swelling less than 4 cm was record one, and to sever redness and swelling more than 4 cm was record two. While to lake of these signs and symptoms was scored zero. Then the final scores of every patients were calculated. Obtaining at least two scores was enough for phlebitis diagnosis. Results: This research showed that incidence of phlebitis in Chlorhexidine group was 36.7%; in Alcohol ethylic group was 53.3% and in Betadine group was 46.7% which there was no significant differences between groups (p>0.05). Discussion and Conclusion: Although there were no significant differences between using of three solutions on prevention of phlebitis, but incidence and signs and symptoms of phlebitis in Chlorhexidine group was lower than Alcohol ethylic and Betadine groups.