Obtaining a posterior pharyngeal swab for microbiology.
Indications
- • Suspected streptococcal pharyngitis
- • Diphtheria surveillance
- • Viral respiratory panel
Contraindications
- ⚠ Epiglottitis (do NOT swab)
Equipment
- • Tongue depressor
- • Sterile swab
- • Transport medium
Positioning
- • As appropriate for the procedure and patient comfort.
Consent
- • Explain indication, benefits, alternatives
- • Explain risks & complications
- • Obtain written/verbal consent as per SOP
- • Document consent
Universal precautions
- • Hand hygiene
- • PPE — gloves, mask, eye protection
- • Aseptic technique
- • Sharps safety
- • Verify patient identity & site
Step-by-step (0/4)
Tap to complete
Sit facing bright light.
Immediate complications
- ⚠ Gag/vomit
- ⚠ Airway compromise if epiglottitis
Prevention
- • Rule out epiglottitis clinically
Post-procedure observation
- • Vitals q15min × 1h then hourly
Monitoring
- • Site inspection
- • Symptom review
Documentation
- • Procedure note
- • Consent
- • Findings
Patient instructions
- • Report pain, bleeding, fever, worsening symptoms
Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.
