Kimberly N Hughes, Andrea Berndt, Sara Gill
Application of the Flipped Classroom Approach in an Undergraduate Maternal-Newborn Nursing Course to Improve Clinical Reasoning
Creative nursing
infection one challenging complications open reduction internal fixation ankle fractures previously published case series conclude staphylococcus aureus frequent causative microorganism unexpected increase enterobacter cloacae infections surgery observed preliminary analysis data promoting center study traumatology incidence reported chronic osteomyelitis prosthetic infections septic osteoarthritis open fractures children adults fractures ankle unexpected finding decided perform study analyze demographic microbiological variables acute osteosynthesis infection ankle fracture determine distinctive features patients e cloacae infection performed retrospective multicenter study including 4 university hospitals patients diagnosed acute osteosynthesis infection ankle fracture fixation january 2015 december 2018 included analyzed demographic data type fracture surgical technique microorganisms responsible infection performed descriptive statistical analysis variables univariate multivariate regression analysis performed compare patients e cloacae infection patients infection caused microorganisms total 65 patients included predominance polymicrobial infections 2462 followed infections caused aureus 2307 e cloacae 2307 observed e cloacae isolated polymicrobial infections added incidence e cloacae causative microorganism increased 323 patients e cloacae infection older 6453 p 008 higher requirement negativepressure therapy surgical debridement 7140 p 017 high incidence e cloacae infections observed patients e cloacae infection generally older required higher use negativepressure therapy debridement level v mechanismbased reasoning