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How to take a wound swab

Chester Bessell, Deborah

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Abstract

Wound swabbing is a widespread practice undertaken by nurses and other healthcare professionals in various healthcare environments and involves collecting a sample from the wound surface using a sterile swab. The sample acquired from the wound swab is sent for laboratory analysis to assess the level of bioburden present in a wound and to guide treatment decisions. Before undertaking this procedure, the nurse should perform a structured wound assessment and use their clinical judgement to identify the presence of infection and determine if a wound swab is necessary. This How to article details the procedure for obtaining a wound swab safely. Nurses undertaking this activity must have the knowledge and skills required to do so safely, follow local policy, and must work within their level of competence.

• Wound infection is challenging for patients, their families and healthcare professionals, as it can result in delayed wound healing leading to increased hospital admissions and can adversely affect patients’ quality of life.

• Obtaining and preparing the equipment required to obtain a wound swab, and to cleanse the wound if necessary, prevents excessive exposure of the wound to the environment.

• There is ongoing debate regarding the optimal method for obtaining a wound swab sample, therefore nurses should follow local guidelines and policies.

• Understanding the clinical objectives of wound swabbing and adhering to the best available evidence on the identification of wound infection can support nurses to confidently make decisions about the need for a wound swab.

Journal Article Type Article
Acceptance Date Mar 24, 2025
Online Publication Date Mar 24, 2025
Publication Date Mar 24, 2025
Deposit Date May 6, 2025
Publicly Available Date Sep 25, 2025
Journal Nursing Standard
Print ISSN 0029-6570
Electronic ISSN 2047-9018
Publisher RCN Publishing
Peer Reviewed Peer Reviewed
DOI https://doi.org/10.7748/ns.2025.e12451

Files

This file is under embargo until Sep 25, 2025 due to copyright reasons.

Contact D.S.ChesterBessell@salford.ac.uk to request a copy for personal use.




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