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under the Urology service had a positive urine culture. 128 (6%) were positive for ESBL. 456 patients had more than one positive urine culture and of these, 62 (14%) had more than one ESBL UTI. This constituted 8% of all recurrent ESBL UTIs in the trust (806 total). 52/62 (84%) with recurrent ESBL UTIs had an underlying urological diagnosis, while 10/62 (16%) were purely managed for recurrent UTIs. 19/62 patients had more than one underlying diagnosis. 7/62 (11%) patients underwent urological reconstructive surgery, and 40/62 (65%) had long term prosthetic devices (stents,nephrostomies or catheters)in situ (Table 1). Four patients received FMT via NG tube, Table 2 describes their outcome.CONCLUSIONS: ESBL UTIs are highly prevalent in Urology and an underlying cause should always be investigated, as there is a high incidence of obstructive aetiologies. Our early experience of FMT for both decolonisation and prevention of transition of colonisation to infection with MDROs has shown FMT to be safe, well tolerated and effective therapy in urological management.

Children and youth in the foster care system face significant and continuing barriers to both physical and mental health, including lack of a medical home, disruptions in primary care providers, frequent moves to new homes, excessive caseloads for oversight providers, and at times continuing exposure to the risk factors that are considered Adverse Childhood Experiences (ACEs). The underdog DREAMS project sought to alter the course of the foster youth experience via a tri-part model that focused on clinical, research, and advocacy interventions for foster youth and the development of the workforce that supports them through training on the impacts of trauma and poverty.