EP.FRI.469 A closed-loop audit regarding the practice of sending Pus Swab for culture and sensitivity in Pilonidal abscess drainage

Abstract Aim The purpose of this study was to determine the role Microbiological swabs taken during an Incision and drainage for Pilonidal abscess in patient management. Method We performed a closed-loop audit pus management pilonidal abscess. Parameters like demographics, date surgery, whether or not sent microbiological examination, subsequent report, time required sample processing, antibiotics prescribed were considered. data collated, analysed, presented at clinical governance. then implemented our treatment protocol stop practice. This again, prospectively collected complete cycle. Result A total 250 included study. Prior change practice, 77% cases. average reporting 4.3 days 92% patients discharged on antibiotics. After conducting multiple teaching sessions trainees educating theatre staff, percentage brought down 58%. Conclusion has high infection recurrence rate. Hence, involves incision, cover most In study, swab results did alter Most them treated with Co-Amoxiclav some additional Metronidazole. we suggested routine use culture cases are unwarranted. practice resulted huge cost savings hospital.