Preferably no current antibiotic therapy and patient is fasting.
Several swabs (at least two) are needed to perform the direct exam and then be cultured.
– The patient should open his/her mouth and stick out the tongue.
– Light the area with the exam lamp.
– Open up the buccal cavity using a tongue depressor.
– Using a swab, scrape the tonsils on both sides, the pharyngeal mucosa or any area with inflammation, and avoid touching the tongue, the cheek mucosa and the reflexogenic areas.
– If possible, make a slide smear during the specimen collection (investigation of fusospirochetal association in Vincent’s disease).
– For the investigation of diphtheria bacillus, remove the pseudomembrane and swab beneath it.
-Record the appearance of the tonsils.