Acid Fast Baccilli

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  • Topic: Staining, Acid-fast, Ziehl-Neelsen stain
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SURGICAL PATHOLOGY - HISTOLOGY Date:
STAINING MANUAL - MICROORGANISMS Page: 1 of 3
ACID-FAST BACTERIA - ZIEHL-NEELSEN STAIN (AFB)
PURPOSE: Used in the demonstration of acid-fast bacteria belonging to the genus 'mycobacterium', which include the causative agent for tuberculosis.
PRINCIPLE: The lipoid capsule of the acid-fast organism takes up carbolfuchsin and resists decolorization with a dilute acid rinse. The lipoid capsule of the mycobacteria is of such high molecular weight that it is waxy at room temperature and successful penetration by the aqueousbased staining solutions (such as Gram's) is prevented.

CONTROL: Any tissue containing acid-fast organisms. Use Millipore™ filtered water in the waterbath and staining procedure.
FIXATIVE: 10% formalin
TECHNIQUE: Cut paraffin sections at 4-5 microns.
EQUIPMENT: Rinse all glassware in DI water, coplin jars, microwave oven.
REAGENTS:
Ziehl-Neelsen Carbol-Fuchsin
Solution:
Basic fuchsin 2.5 gm
Distilled water 250.0 ml
100% alcohol 25.0 ml
Phenol crystals, melted 12.5 ml
Mix well, filter into brown bottle.
Label bottle with date and initials,
solution is stable for 1 year.
CAUTION: Carcinogen, toxin.
1% Acid Alcohol:
Hydrochloric acid 10.0 ml
70% Alcohol 990.0 ml
Mix well, label with date and
initials, stable for 1 year.
CAUTION: Corrosive.
MICROOGANISMS
ZIEHL-NEELSEN-AFB Page: 2 of 3
Methylene Blue
Stock Solution:
Methylene blue 0.7 gm
Distilled water 50.0 ml
Mix well, filter into bottle. Label
with date and initials, stable for 1
year.
Methylene Blue
Working Solution:
Methylene Blue Stock 5.0 ml
Distilled water 45.0 ml
Pour into coplin jar, stable for 2
months.
CAUTION: Avoid contact and inhalation.
SAFETY/PPE: Wear nitrile gloves, goggles and lab coat. Keep hot, uncapped, solutions in the exhaust hood. Avoid contact and inhalation. Basic fuchsin: carcinogen.
Phenol: toxic by ingestion, inhalation and skin absorption. Readily absorbed through skin, causing increased heart rate, convulsions and death. Will burn eyes and skin, analgesic action may cause loss of pain. Target organ effects in digestive, nervous and urinary systems.

Hydrochloric acid: strong irritant to skin, eyes and respiratory system. Target organ effects via inhalation on skin, respiratory, reproductive and fetal systems.
Methylene blue: produced deleterious effects on fertility in rats. PROCEDURE:
1. Deparaffinize and hydrate to distilled water.
2. *Carbol-fuchsin solution, microwave 80 power, 45 seconds, allow slides to stand in hot solution for 5 minutes. Filter solution once a week.
3. Wash in running tap water.
4. 1% Acid alcohol until light pink and color stops running. 5. Wash in running tap water for 5 minutes..
6. Rinse in distilled water.
7. Working methylene blue for 30 seconds.
8. Rinse in water.
9. Dehydrate, clear, and coverslip.
*Conventional Method: 60°C oven for 1 hour.
MICROOGANISMS
ZIEHL-NEELSEN-AFB Page: 3 of 3
RESULTS:
Acid-fast bacilli bright red
Background blue
REFERENCES:
Sheehan D,Hrapchak B, Theory and practice of Histotechnology, 2nd Ed, 1980, pp235-237,Battelle Press, Ohio
Carson F, Histotechnology: A Self-Instructional Text, 1990, pp189- 191,ASCP,Ill
Crookham,J, Dapson,R, Hazardous Chemicals in the Histopathology Laboratory, 2nd ED, 1991, Anatech
Prepared: By:
Approved: By:
Downloaded from WebPath: Internet Pathology Laboratory
http://www-medlib.med.utah.edu/WebPath/webpath.html
PROCEDURE CARD
ACID-FAST BACTERIA - ZIEHL-NEELSEN STAIN (AFB)
CONTROL: Any tissue containing acid-fast organisms. Use Millipore™ filtered water in the waterbath and staining procedure.
PROCEDURE:
1. Deparaffinize and hydrate to distilled water.
2. *Carbol-fuchsin solution, microwave 80 power, 45 seconds, allow slides to stand in hot solution for 5 minutes. Filter solution once a week.
3. Wash in running tap water.
4. 1% Acid alcohol until light pink and color stops running. 5. Wash in running tap water for 5 minutes..
6. Rinse in...
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