Use of bundle for prevention of infiltration in peripheral intravenous catheters in hospitalized children: A scoping review.

Abstract

Objective: To map the scientific literature on bundles used to prevent infiltration in short peripheral intravenous catheters (SPIVC) in children.

Method: A scoping review based on the Joanna Briggs Institute (JBI) guidelines, with searches conducted in the following databases: PubMed, Embase, LILACS, and Scopus. Eligible studies included those with a quantitative or mixed-methods approach, published in any language, and presenting bundles for the prevention of infiltration in SPIVC in children. Studies were excluded if they did not address bundle components, focused on a different population, involved a different type of intravenous catheter, or were unavailable in full text. Selection was performed independently by two reviewers using Rayyan© software. The study protocol was previously developed and registered in the Open Science Framework (OSF) repository.

Results: Four bundles were identified, conducted in countries such as India, Australia, the United States, and Thailand. Study designs included Quality Improvement Projects (QI), prospective pre-post mixed-methods projects, and quasi-experimental prospective studies. All studies were published in English between 2014 and 2021. The number of components in the bundles ranged from 4 to 7 interventions, with "SPIVC stabilization and dressing" being the most frequently reported intervention.

Conclusion: There is no standardization of the components in the bundles. Therefore, more robust studies are needed to establish standardized interventions.