1384 Managing Peri-Orbital and Orbital Cellulitis: A New Multi-Specialty Care Pathway

Abstract Aim 1) To review current practice in the diagnosis and management of peri-orbital orbital cellulitis children at a London University Teaching Hospital. 2) design implement streamlined, multi-specialty care pathway to improve quality care. Background Clinical differentiation between is often difficult, especially young children. Early recognition aggressive, treatment are required order prevent any vision life-threatening sequelae. Method A retrospective case note analysis was performed for all paediatric patients with suspected or over nineteen-month period. Extensive literature undertaken ascertain best management. developed, ratified by specialist departments, introduced optimise safety Results The results correlate trends found recent literature. 94.3% had blood culture taken only 9.1% being positive. There were inadequate eye (37.1%) endonasal (17.1%) cultures. Wide variation noted criteria imaging antibiotic regimen used. 25.7% received nasal treatment. Suboptimal identified both (60%) (50.0%) cellulitis. Conclusions new clearly informs investigation empiric based on initial risk stratification. team now main, named provider responsible coordinating input.