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.