843 Asymptomatic Bacteriuria at Flexible Cystoscopy- Can We Reduce Cancellations?

Abstract Introduction At our trust patients with nitrite positive urinalysis attending for flexible cystoscopy (FC) are rescheduled, placing a heavy burden on over stretched NHS resources. It is accepted that asymptomatic bacteriuria (AB) affects up to 20% of 70. Catheters, stents, and recent antibiotics urinary tract infection also significantly increases this risk. Recent evidence suggests proceeding in AB safe, we evaluated cohort identify what proportion it would be safe proceed in. Method We reviewed all outpatient FC four-month period. interrogated cancelled procedures where were urinalysis. Information recorded included result urine culture, whether an antibiotic was prescribed risk factors AB. Results 1241 performed. Mean age 78.4. In total, 61 (4.9%) postponed due 58 (95.1%) asymptomatic, which 31 (53.4%) demonstrated bacterial growth culture. Risk catheters (n = 14), ureteric stent 2), regular recurrent UTIs 27). Conclusions Data collected confirms at high Based the findings from Trail et al, propose intend implement change department. This will reduce demand waiting lists improve time diagnosis.