{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:52:44Z","timestamp":1788483164492,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T00:00:00Z","timestamp":1533772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:p>Information on ankle fractures is limited. The purpose of this study was to investigate the incidence and risk factors for deep surgical site infection (DSSI) after open reduction and internal fixation (ORIF). Adult patients who underwent ORIF for an ankle fractures at 3 level\u2010I centres between January 2013 and June 2017 were included. Data on demographic, injury\u2010related, and surgery\u2010related variables and biochemical indexes from the laboratory were collected from patients' electronic medical records. Univariate analysis and multivariate logistic regression analysis model were used to perform the data analysis through SPSS 19.0. Within 1\u2010year postoperatively, 2.83% (74\/2617) of cases developed DSSI, with the earliest occurring at the 4th and latest at 147th day. <jats:italic>Pseudomonas aeruginosa<\/jats:italic>, methicillin\u2010resistant <jats:styled-content style=\"fixed-case\"><jats:italic>Staphylococcus aureus<\/jats:italic><\/jats:styled-content>, and methicillin\u2010susceptible <jats:styled-content style=\"fixed-case\"><jats:italic>Staphylococcus aureus<\/jats:italic><\/jats:styled-content> were the top 3 bacteria, causing 73% (37\/51) of all the cases. Age (45\u201364 and \u226565\u2009years), current smoking status, chronic heart disease, lower preoperative albumin level, open injury, and prolonged surgical duration were identified to be independently associated with DSSI occurrence. Preoperative active supplementation of nutrition, immediate smoking cessation, and optimisation of an operative plan for the reduction of surgical duration were feasible measures for DSSI prevention following ORIF of ankle fractures.<\/jats:p>","DOI":"10.1111\/iwj.12957","type":"journal-article","created":{"date-parts":[[2018,8,9]],"date-time":"2018-08-09T09:09:16Z","timestamp":1533805756000},"page":"971-977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Deep surgical site infection after ankle fractures treated by open reduction and internal fixation in adults: A retrospective case\u2010control study"],"prefix":"10.1111","volume":"15","author":[{"given":"Jinghong","family":"Meng","sequence":"first","affiliation":[{"name":"Department of Rheumatology and Immunology The 3rd Hospital of Hebei Medical University  Shijiazhuang PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Bone Tumor The 3rd Hospital of Hebei Medical University  Shijiazhuang PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengqi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery The 3rd Hospital of Hebei Medical University  Shijiazhuang PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiji","family":"Qin","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery The 3rd Hospital of Hebei Medical University  Shijiazhuang PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yansen","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery The 3rd Hospital of Hebei Medical University  Shijiazhuang PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitao","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery The 3rd Hospital of Hebei Medical University  Shijiazhuang PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,9]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Clinical epidemiology of orthopedic trauma","author":"Zhang Y","year":"2012"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200604000-00006"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0728"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.1249"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325000903010056"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2006.06.004"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-014-0320-0"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.02.027"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00653"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.96B5.33143"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200803000-00007"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01088"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2014.1002273"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.K.01672"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12743"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","unstructured":"MangramAJ.Guideline for Prevention of Surgical Site Infection 1999.Infect Control Hosp Epidemiol. 1999; 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