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THROAT SWAB

THROAT SWAB

The specimen is collected from the patients with upper respiratory tract infection. The upper respiratory tract can be the site of several types of infection

Purpose

  • To detect the causative microorganism
  • To diagnose the disease condition
  • To detect the correct antibiotics for effective treatment

Indications

  • Pharyngitis sometimes involving tonsillitis and giving rise to a “sore throat”
  • Nasopharyngitis
  • Otitis media
  • Sinusitis
  • Epiglottis

General Instructions

  • Pharyngitis is by far the most frequent one most cases of pharyngitis have a viral etiology and follow a self-limiting course
  • Approximately 20%  are caused by bacteria and usually require treatment with appropriate antibiotics
  • Specimen should be collect by a physician or other trained personnel
  • Swab can be collected after asking the patient to gargle with sterile saline

Preliminary Assessment

Check

  • The doctors order for any specific instructions
  • General condition and diagnosis
  • Mental status to follow instructions
  • Self-care ability of the patient
  • Articles available in the unit

Preparation of the Patient and Environment

  • Explain the procedure to the patient
  • Arrange the articles at the bedside
  • Provide privacy if needed
  • Obtain laboratory request and specimen container
  • Place the patient comfortably in sitting or semi-sitting position

Equipment

  • Sterile or clean gloves
  • Specimen container
  • Gauze pieces
  • Paper bag and K-basin
  • Torch light (if needed)
  • Tongue depressor

Procedure

  • The patient should sit in from of a light source
  • Tongue should be kept down with a tongue depressor and a cotton wool swab is rubber vigorously over each tonsil, over the back wall of the pharynx and over any other inflamed area
  • Care should be taken not to touch the tongue or buccal surfaces
  • It is preferable to take 2 swabs from the same area
  • One can be used to prepare a smear, while the other is placed into glass or plastic sterile container

After Care

  • Label and send the container immediately to the laboratory
  • Discard the disposable items used
  • Replace the articles after cleaning
  • Wash hands thoroughly
  • Record the procedure in the nurse’s record sheet
THROAT SWAB -  Purpose,  Indications,  Instructions,  Preliminary Assessment,  Preparation of the Patient and Environment,  Equipment,  Procedure,  After Care
THROAT SWAB – Purpose, Indications, Instructions, Preliminary Assessment, Preparation of the Patient and Environment, Equipment, Procedure, After Care
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