Throat Swab (Training Physician)

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SAMPLE EXCERPT
- Full procedure text, video and illustrations available with the full product
PRE-PROCEDURE
INDICATIONS
  • Diagnosis of the following:
    • Group A beta-hemolytic streptococcal (GABHS) pharyngitis
    • Neisseria gonococcus pharyngitis
    • Diphtheria
CONTRAINDICATIONS

None.

EQUIPMENT
  • Sterile swabs—one if for culture only, two if for rapid test and culture.
  • Transport tube with culture medium or culture plate with appropriate agar.
  • Tongue depressor.
  • Gloves and mask are optional but recommended. **UNIVERSAL PRECAUTIONS**
ANATOMY
  • Targeted areas for specimen collection are the tonsils, or the tonsillar fossa, if tonsils have been removed, and the posterior pharynx with erythema and exudate.
  • Soft palate, uvula, buccal mucosa, tongue, and lips should be avoided.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Label specimen.
  • Remove the cap from the transport tube.
  • Insert swab(s), and close.
  • Send specimen to the laboratory as soon as possible. GABHS can be diagnosed by rapid streptococcal antigen testing and/or culture. Culture should be performed if rapid test is negative. Gonococcal pharyngitis should be diagnosed by culture.
COMPLICATIONS
  • Gagging—common
  • Vomiting—occasional
  • Oral trauma—rare
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