Nasopharyngeal Swab Procedure

The nasopharyngeal swab is a medical procedure used to collect a sample from the nasopharynx, which is the upper part of the throat behind the nose.

Purpose

The primary purpose of a nasopharyngeal swab is to diagnose respiratory infections, such as influenza, COVID-19, and other viral or bacterial infections. The sample collected is then sent to a laboratory for testing and analysis.

Procedure

The procedure involves the following steps:

  • A healthcare professional will typically wear personal protective equipment (PPE), including gloves, a mask, and eye protection.
  • The patient is asked to sit upright with their head tilted back and mouth closed.
  • A long, flexible swab with a soft tip is inserted through the nostril and guided towards the back of the throat.
  • The swab is rotated and moved gently to collect cells and secretions from the nasopharyngeal area.
  • The swab is then removed and placed in a sterile tube or container for transport to the laboratory.

Precautions and Contraindications

Certain precautions should be taken when performing a nasopharyngeal swab, including:

  • Avoiding the procedure in patients with severe nasal bleeding or recent nasal surgery.
  • Using caution in patients with nasal septum deviation or other anatomical abnormalities that may make the procedure more difficult.

Risks and Complications

Possible risks and complications associated with a nasopharyngeal swab include:

  • Nasal bleeding or discomfort.
  • Gagging or coughing.
  • In rare cases, the swab may cause trauma to the nasal passages or sinuses.

Results and Interpretation

The results of a nasopharyngeal swab are typically available within 1-3 days, depending on the laboratory and testing methods used. A positive result indicates the presence of a specific virus or bacteria, while a negative result may indicate that the infection is not present or that the sample was not collected properly.

Article last updated on: 15th June 2025.
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