RT Journal Article SR Electronic T1 Distress during airway sampling in children with cystic fibrosis JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 806 OP 808 DO 10.1136/archdischild-2017-314241 VO 104 IS 8 A1 Jun Ting Chau A1 Karen Peebles A1 Yvonne Belessis A1 Adam Jaffe A1 Michael Doumit YR 2019 UL http://adc.bmj.com/content/104/8/806.abstract AB Background Oropharyngeal suction and oropharyngeal swab are two methods of obtaining airway samples with similar diagnostic accuracy in children with cystic fibrosis (CF). The primary aim was comparing distress between suctioning and swabbing. A secondary aim was establishing the reliability of the Groningen Distress Rating Scale (GDRS).Methods Randomised oropharyngeal suction or swab occurred over two visits. Two physiotherapists and the child’s parent rated distress using the GDRS. Heart rate (HR) was also measured.Results 24 children with CF, mean age of 3 years, participated. Both physiotherapist and parent rating showed significantly higher distress levels during suction than swab. Inter-rater reliability for the GDRS was very good between physiotherapists, and good between physiotherapist and parents.Conclusion The study found that oropharyngeal swab is less distressing in obtaining samples than oropharyngeal suction and that the GDRS was reliable and valid.