(792) Evaluation of Referral Practices for Young Adult Males with Epididymo-orchitis

Introduction Sexually transmitted infection (STI) is the most common cause of Epididymo-orchitis in younger men and urinary tract pathogens are the more common culprits in older men the audit underscore a significant opportunity to align patient management with best practices through specialized consultations. Implementing a more dynamic referral system can bridge the gap between standard urological care and specialized STI screening and management. Patients typically present with pain, swelling and inflammation of the epididymis and/or the testes. Antimicrobial therapy is the main treatment method for the acute infection. STI screening in this cohort is an essential adjunct in this demographic. Objective evaluation referral practices for young adult males aged 18-35 diagnosed with epididymo-orchitis at a single institution in 2023 and 2024, focusing on adherence to STI screening recommendations Optimize patients care and actively utilize and possibly enhance the existing referral system for young patients diagnosed with Epididymo-orchitis Methods Guideline Used: IAEM Management of Patients with Acute Epididymoorchitis in the Emergency Department. Data Collection: Initial data was gathered from the summary of 2023 admissions to the Urology Department, providing a comprehensive overview of patient cases within the specified timeframes. Diagnostic Method: Diagnosis confirmed through Ultrasound (US) of the testes. Referral Status: Focus on patients with a documented referral decision. Data Analysis: The final dataset, refined through the application of inclusion criteria and confirmation of diagnosis, was analyzed to assess referral practices and patterns within the target demographic. Inclusion Criteria: All confirmed diagnosis of Epididymo-orchitis between the age of 18 & 35. Results Initial Data signified a gap in patient care. A close loop Audit was conducted Between 2023 and 2024: - Comparison to 2023 Audit: 2023 Audit: 0 out of 24 patients were screened or referred to STI clinics. 2024 Re-Audit: 82% of patients(14 out of 17) were screened or referred to STI clinics. 3 weren’t referred. Improvements Observed with Significant increase in STI clinic referrals and screenings, indicating better alignment with clinical guidelines. Positive impact feedback was received from STI clinics. Teaching Sessions Conducted in both Emergency & Urology departments. Conclusions This closed loop adult identified a clinical gap that often goes un noticed and showed significant improvement in practice and sexual health of the community. The audit demonstrates a significant improvement in STI screenings and referrals from 2023 to 2024, with adherence to clinical guidelines contributing to this success. By aligning practices with established protocols, unnecessary referrals and hospital stays were reduced, resulting in more efficient resource utilization and enhanced patient care. This audit highlights the importance of maintaining guideline-based practices to ensure early detection and intervention. Disclosure No