Transcript
Page 1: Let’s optimize patient care!

Send tissues and fluids for best results

Let’s optimize patient care!

Page 2: Let’s optimize patient care!

Send tissues and fluids for best results

Page 3: Let’s optimize patient care!

Send tissues and fluids for best results

Which organisms do you want to know about?

Superficial

Deep

Swabs can only sample the surface

Page 4: Let’s optimize patient care!

Send tissues and fluids for best results

Limitations of swabs

• TB and fungus are not detected from swabs

• Anaerobes grow poorly from swabs

15 cc

1.5 cc

0.15 ml

Limitations of swabs

• TB and fungus are not detected from swabs

• Anaerobes grow poorly from swabs

Page 6: Let’s optimize patient care!

Send tissues and fluids for best results

Swabs still play a role….

• Throat swabs to detect Group A Strep

• Vaginal swabs for detecting causes of vaginitis

• Vaginal/rectal swabs for Group B Streptococcus detection

• Infection Control surveillance swabs

Page 7: Let’s optimize patient care!

Send tissues and fluids for best results

You can always cut off a piece and place in a STERILE container!

Page 8: Let’s optimize patient care!

Send tissues and fluids for best results

An effective culture from a sterile site requires 5 plates, a broth and a gram stain, if you have 10 bacteria on the swab what are the chances that you will get the result you are looking for?

Page 9: Let’s optimize patient care!

Send tissues and fluids for best results

Swabs don’t do the job

Let’s get the right diagnosis!

Page 10: Let’s optimize patient care!

Send tissues and fluids for best results

Lack of clinical utility

– Inflammed appendix

– Biopsy/swab of decubitus ulcer

– Fecal contaminated specimens

– Garbage in, garbage out

Page 11: Let’s optimize patient care!

Send tissues and fluids for best results

Page 12: Let’s optimize patient care!

Send tissues and fluids for best results

Thank you


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