Early detection and treatment of bacterial infection is effective in slowing the progression of lung disease in cystic fibrosis (CF).1 It is recommended that a minimum of 4 samples are collected for bacterial culture annually.2 Approximately two-thirds of children with CF cannot routinely expectorate sputum3; therefore, samples, such as oropharyngeal swab (OPS), are used. With reduced hospital visits and increased telehealth consultations secondary to the severe acute respiratory syndrome coronavirus 2 pandemic, the number of samples available for analysis has been severely impacted.4 Therefore, alternative methods of obtaining OPS are needed. One option is parental collection of OPS.

Two OPS samples, by using standardized technique,5 were obtained from children with CF. Ethical approval was granted by the Sydney Children’s Hospitals Network (Ref:2019/ETH10536). The first OPS was collected by an experienced health care worker (HCW)...

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