2. Send tissues and fluids for best results Let’s optimize patient care!

3. Send tissues and fluids for best results

4. Which organisms do you want to know about? Superficial Deep Swabs can only sample the surface

5. 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

6. Send tissues and fluids for best results Culture yield: direct specimen vs. swab DirectSwab Direct

7. 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

8. Send tissues and fluids for best results You can always cut off a piece and place in a STERILE container!

9. 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?

10. Send tissues and fluids for best results Swabs don’t do the job Let’s get the right diagnosis!

11. 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

12. Send tissues and fluids for best results

13. Thank you