429 Service Evaluation of the Royal Orthopaedic Hospital Bone Infection Service in Patients with Spinal Infections, Both Native and Following Surgery - Five Years of Experience

Abstract Aim The Royal Orthopaedic Hospital Bone Infection Service (ROH BIS) is one of the four formal bone infection services in United Kingdom, providing multidisciplinary care and community support for patients with infection. This service evaluation to document burden, pattern subsequent treatment by ROH BIS treating those spinal infection, both native following surgery. Method a retrospective analysis infections treated from 2017-2022 at BIS. Clinical, MDT investigation notes were reviewed demographics, comorbidities details identification management Results 39 (median age = 63, IQR 34, male 46.2%) identified. 23 had previous metal implanted, 16 did not. rate surgery 3%, 15 native, 24 iatrogenic. Cardiovascular-related disease (38.5%) most common comorbidity. mean time taken identify infectious organism was 1.5 days 4.0 days. Enterobacteriaceae (33.3%) Staphylococcus Aureus (20.5%) commonly Recurrent 5.1%, 5 (21.7%) cases required removal implant. number meetings each patient 1.7 meetings, extra hospital stay 20 Conclusions Infections are well managed model. Rapid referral acceptance, strict diagnostic sampling criteria specialised nursing enabled precise lessened burden reoperation or implant on