هل من الضروري اختبار مسحة الحلق ومسحة الأنف في نفس الوقت؟

خلال المؤتمر الصحفي حول الوقاية من فيروس كورونا الجديد ومكافحته في بكين, شي قوه تشينغ, خبير من اللجنة الوطنية للصحة والصحة ونائب مدير مركز الطوارئ في الصين CDC, وقال إن المسحة البلعومية والمسحة البلعومية الأنفية هما الاسمان الكاملان للطريقتين. إذا تم تشغيلها بطريقة قياسية, there is essentially no difference, and they are all for collecting pharyngeal specimens.

The difference is that in order to collect pharyngeal specimens, one is from oral cavity and the other is from nasal cavity, so they are called oropharyngeal swab and nasopharyngeal swab respectively.

In collecting samples of oropharyngeal swabs, the sampler can see the sampled parts, ولكن قد يسبب الغثيان, القيء وردود الفعل الأخرى; When sampling nasopharyngeal swabs, if the operation is standardized, the sampling throat position can not be seen, which mainly depends on hand sensory resistance, with higher technical requirements and less irritation to mucous membranes, but the public’s acceptability is lower.

Because the virus content in pharynx is affected by time and other factors, the positive rate may be affected by oral swabs, but it is not necessary to carry out the two methods together.

Then what’s the difference between the 2 methods?

مسحة أنف: Put the swab into the nose and scrape it for sampling, and collect the mucous membrane or dropped tissue cells in the nasal cavity for inspection.

Throat swab: Put the swab into the throat, gently scrape the throat at the bottom of the throat, and collect the mucous membrane or dropped tissue cells of the throat for inspection.

The difference is that when there are different diseases or conditions, there will be different infection conditions or different substances in the samples of nose and throat. وبالتالي, some diseases can be easily detected with nasal swabs and others with throat swabs. بعد ذلك, the technical principles are basically the same. لكن, COVID-19 pneumonia is a lower respiratory disease, both of which are samples of upper respiratory tract, and there is no obvious difference in theory.