What intervention should NEVER be performed if bacterial epiglottitis is suspected?

In cases of suspected bacterial epiglottitis, performing a throat culture should never be attempted due to the risk of causing airway obstruction. Epiglottitis is characterized by swelling of the epiglottis which can quickly lead to severe compromise of the airway.

Attempting to visualize the throat or conduct a throat culture can irritate the already inflamed tissue and provoke reflexive swelling or spasm, potentially leading to complete obstruction of the airway.

Instead, immediate airway management is the priority. This includes preparing for possible intubation and ensuring that oxygen supply is adequate while monitoring the patient closely. Other supportive measures, such as administering IV fluids or oxygen therapy, are appropriate interventions for the management of symptoms without posing a risk of airway compromise. Therefore, the emphasis on avoiding any intervention that could worsen the patient's condition, like a throat culture, is critical in the context of suspected epiglottitis.