Vaginal swabs.pptx

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1. Vaginal swabs

2. Result mainly from cervical secretion in response to hormonal levels during the menstrual cycle there is increased mucous production from the cervix at the time of ovulation . Physiological discharge usually white Physiological discharge increase during pregnancy and oral contraceptive users. C AUSES OF P HYSIOLOGICAL VAGINAL DISCHARGE

3. Causes of pathological vaginal discharge Candi d al infection Bacterial v a gino s is Trichomonas N. gonorrhea Chlamydia Cer v i c al ectropin 7. Endometrial cancer 8. Cervical cancer 9. Vaginal cancer 10. Foreign body, IUD, vaginal ring

4. Vulvar itching White cheesy vaginal discharge that adheres to vaginal wall Superficial dyspareunia and dysuria. Vulval oedema, vulval excoriation, redness and erythema. Normal vaginal pH. The main sign and symptoms

5. PRE-PROCEDURE: Consultation (medical history, explain procedure & counsel) Gain consent & offer a chaperone. Prepare: Empty bladder, provide privacy, dorsal position, position light, attend hand hygiene & apply gloves / eye protection

6. P R OCE D URE Inspect the labia, external meatus & vulva; Insert speculum High Vaginal Swab(HVS): Swab, make smear on glass slide & place in charcoal medium. Endo Cervical Swab(ECS): Pap smear first (if required), then clean mucous from cervix & take ECS PCR swab & place in tube. If pus/ inflammation of cervix, take ECS for culture, smear on glass slide & place in charcoal medium

7. Low Vaginal Swab & Rectal swab(LVS): May be self-obtained by the woman if asymptomatic. LVS: Insert swab 1-2 cm into vagina & place into transport tube (use charcoal medium tube for culture & a separate thin plastic/ wire shaft swab if PCR). Rectal: Around/inside rectum just past external sphincter & place into charcoal tube.

8. POST PROCEDURE Provide privacy for redressing. Offer tissues as required. Document: Procedure, consent, persons attending examination (e.g. chaperone, family), swab details (swab site, date, time, patient details- but sticker or hand write on glass slides) Send specimens to pathology

9. Th a n k yo u fo r atte n t i o n