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

This commentary discusses the scoping review by da Silva et al. on care bundles to prevent infiltration in short peripheral intravenous catheters in hospitalized children. While the review addresses an important paediatric patient safety issue, its conclusions should be interpreted cautiously. The evidence base comprised only four heterogeneous studies, mainly quality improvement or pre-post designs, which is sufficient for mapping bundle elements but not for determining which components are truly effective. Recurrent elements such as site assessment, securement, review of catheter need, and timely removal may indicate a preventive core. Further prospective multicenter studies are needed to define components.