WCN25-2107 INCIDENCE AND CAUSATIVE AGANTS OF BLOOD STREAM INFECTIONS IN A TERTIARY CARE HOSPITAL

Most respondents admitted to managing or counselling less than 5 women in the past year with CKD/ESRD with regards to menstrual problems, menopause and breast-feeding: 43.4%, 53.1% and 51% respectively.In contrast at least a quarter had managed 5-10 patients with CKD/ESRD who were pregnant or offered pre-conception counselling: 26.9% and 30.3% respectively.Over their entire career, less than half of respondents had experience of managing less than 5 pregnant patients who required dialysis.However up to a quarter (24.9%) had no experience of managing pregnant patients requiring dialysis.The majority of the UK renal centres (78.9) provided pre-conception counselling for women with CKD/ESRD with up to two-thirds of patients with CKD/ESRD planning pregnancy seen in a dedicated Combined Nephrology and Obstetrics clinic.69.2% (n99) of respondents had received formal teaching in obstetrics or women's health; with both inpatient and outpatient consultations forming the next two largest methods of learning; 55.9% and 65% respectively.When asked about how confident they feel in counselling women, most respondents were not at all confident in counselling menstrual disorders (n61), menopause (n77), decreased libido (n84).The corresponding numbers not confident at all for counselling on contraception, pre-conception counselling, pregnancy and foetal outcomes and optimal timing of pregnancy with relation to kidney disease were much lower.In contrast only 6 (4.2%) were not at all confident in recognising pre-eclampsia.Most respondents felt that time constraints, knowledge and inexperience were the major barriers that limited them from discussing and managing women's health matters during routine clinical practice Conclusions: In conclusion, our survey highlights a significant gap in the confidence and experience of UK nephrologists and trainees in managing women's health issues in CKD, particularly regarding menstrual disorders, menopause, and sexual health.While there is some comfort in managing pregnancy-related concerns, many respondents admitted to limited experience and confidence in addressing broader women's health needs.Time constraints, knowledge gaps, and inexperience were identified as the primary barriers to providing comprehensive care.These findings underscore the need for enhanced education, training, and dedicated clinical resources to bettersupportwomen with CKD throughout their reproductive lifespan.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.