{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:37:20Z","timestamp":1762868240101},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T00:00:00Z","timestamp":1595894400000},"content-version":"unspecified","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120001425_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Coronavirus disease 2019, a highly transmissible respiratory infection, has created a public health crisis of global magnitude. The mainstay of diagnostic testing for coronavirus disease 2019 is molecular polymerase chain reaction testing of a respiratory specimen, obtained with a viral swab. As the incidence of new cases of coronavirus disease 2019 increases exponentially, the use of viral swabs to collect nasopharyngeal specimens is anticipated to increase drastically.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001425_sec_a2\"><jats:title>Case report<\/jats:title><jats:p>This paper draws attention to a complication of viral swab testing in the nasopharynx and describes the premature engagement of a viral swab breakpoint, resulting in impaction in the nasal cavity.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001425_sec_a3\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>This case highlights a possible design flaw of the viral swab when used to collect nasopharyngeal specimens, which then requires an aerosol-generating procedure in a high-risk patient to be performed. The paper outlines a safe technique of nasal foreign body removal in a suspected coronavirus disease 2019 patient and suggests alternative testing materials.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120001425","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T06:12:24Z","timestamp":1594275144000},"page":"646-649","source":"Crossref","is-referenced-by-count":30,"title":["Test, test, test \u2013 a complication of testing for coronavirus disease 2019 with nasal swabs"],"prefix":"10.1017","volume":"134","author":[{"given":"Z","family":"Mughal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Luff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O","family":"Okonkwo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C E J","family":"Hall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,7,28]]},"reference":[{"key":"S0022215120001425_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviromet.2008.08.001"},{"key":"S0022215120001425_ref14","year":"2020","journal-title":"Provisional Publication of Never Events Reported as Occurring Between 1 April 2019 and 29 February 2020"},{"key":"S0022215120001425_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa345"},{"key":"S0022215120001425_ref15","volume-title":"Laboratory Testing for Coronavirus Disease 2019 (COVID-19) in Suspected Human Cases: Interim Guidance, 2 March 2020","year":"2020"},{"key":"S0022215120001425_ref12","unstructured":"12 Public Health England. 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