Pre‐procedural considerations

Equipment

Commercially available transport media offer a cheap and effective method to enable the culture of both aerobic and anaerobic micro‐organisms. Wound swabbing most frequently involves the use of a cotton‐ or alginate‐tipped swab, although these have been found to inhibit the detection of certain bacteria (Faoagali [60]). Despite being more expensive, flocked nylon swabs now provide a sensitive collection method for culture, rapid and near‐patient testing, and molecular detection of a variety of bacteria and viruses. This is because of their ability to absorb cells and then release them effectively to increase the sensitivity of detection of infecting microbes (Faoagali [60]). If unsure, the practitioner should liaise with the microbiology laboratory to clarify which is the most suitable swab for a particular investigation or type of specimen.

Specific patient preparation

It may be necessary to position the patient in order to obtain the required sample.
Procedure guideline 13.12
Procedure guideline 13.13
Procedure guideline 13.14
Procedure guideline 13.15
Procedure guideline 13.16
Procedure guideline 13.17
Procedure guideline 13.18
Procedure guideline 13.19
Procedure guideline 13.20