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Acid-fast

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Title: Acid-fast  
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Subject: Leprosy, Bacteria, Pathogenic bacteria, Staining, Acid fast bacilli
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Acid-fast

Mycobacterium tuberculosis (stained red) in tissue (blue).

Acid-fastness is a physical property of certain bacteria (and, less commonly, protozoa), specifically their resistance to decolorization by acids during staining procedures.[1][2]

Acid-fast organisms are easy to characterize using standard microbiological techniques (e.g.

  1. Ziehl–Neelsen stain (Classic and modified bleach types)[4]
  2. Kinyoun stain
  3. For color blind people (or in backgrounds where detecting red bacteria is difficult) Victoria Blue can be substituted for carbol fuchsin and Picric acid can be used as the counter stain instead of methylene blue, and rest of Kinyoun technique can be used.[5]
  4. Various bacterial spore staining techniques using Kenyon e.g.
  5. Moeller's method
  6. Dorner's method[6] (acid alcohol decolorizer) without the Schaeffer–Fulton[7] modification (decolorize by water)[8]
  7. Detergent method, using Tergitol 7, nonionic polyglycol ether surfactants type NP-7 [9]
  8. Fite stain[10]
  9. Fite-Faraco Staining[11][12]
  10. Wade Fite staining[13]
  11. Ellis and Zabrowarny stain[14][15] (no Phenol/carbolic acid)
  12. Auramine-rhodamine stain
  13. Auramine phenol stain
  14. Notable acid-fast structures

    Very few structures are acid fast; this makes staining for acid-fastness particularly useful in diagnosis. The following are notable examples of structures which are acid fast or modified acid fast:

    References

    1. ^ Madison B (2001). "Application of stains in clinical microbiology". Biotech Histochem 76 (3): 119–25.  
    2. ^ a b Ryan KJ; Ray CG (editors) (2004). Sherris Medical Microbiology (4th ed.). McGraw Hill.  
    3. ^ Abe C (2003). "[Standardization of laboratory tests for tuberculosis and their proficiency testing]". Kekkaku 78 (8): 541–51.  
    4. ^ http://www.pathologyoutlines.com/topic/stainsacidfast.html
    5. ^ Theory and Practice of Histological Techniques, John D Bancroft, 6th ed, p314
    6. ^ Dorner, W. 1926. Un procédé simple pour la colouration des spores. Le Lait 6:8-12.
    7. ^ Schaeffer, A. B., and M. Fulton. 1933. A simplified method of staining endospores. Science 77:194.
    8. ^ Endospore Stain Protocol from American Society for Microbiology website
    9. ^ http://daignet.de-content/die-daig/fachorgan/2007-1/ejomr-2007_8-pdfs/S.356_Hayama.pdf
    10. ^ stain's file entry on Fite
    11. ^ http://www.ihcworld.com/_protocols/special_stains/fite_faraco_ellis.htm
    12. ^ stains file entry on Fite Faraco
    13. ^ stains file entry on Wade Fite
    14. ^ Ellis, R. C.; Zabrowarny, L. A. (1993). "Safer staining method for acid fast bacilli". Journal of Clinical Pathology 46 (6): 559–560.  
    15. ^ http://www.nottingham.ac.uk/pathology/protocols/afb.html
    16. ^ Garcia LS, Bruckner DA, Brewer TC, Shimizu RY (July 1983). "Techniques for the recovery and identification of Cryptosporidium oocysts from stool specimens". J. Clin. Microbiol. 18 (1): 185–90.  
    17. ^ Ng E, Markell EK, Fleming RL, Fried M (September 1984). "Demonstration of Isospora belli by acid-fast stain in a patient with acquired immune deficiency syndrome". J. Clin. Microbiol. 20 (3): 384–6.  
    18. ^ Ortega YR, Sterling CR, Gilman RH, Cama VA, Díaz F (May 1993). "Cyclospora species--a new protozoan pathogen of humans". N. Engl. J. Med. 328 (18): 1308–12.  
    19. ^ J Clin Microbiol. 1999 May; 37(5): 1561–1563. Visualization of Hydatid Elements: Comparison of Several Techniques
    20. ^ http://www.dako.com/08066_12may10_webchapter27.pdf
    21. ^ Wages ds, Wear dJ. acid-fastness of fungi in blastomycosis and histoplasmosis. Arch Pathol Lab Med 1982; 106:440-41.

    Online protocol examples

    • Ziehl-Neelsen protocol (PDF format).
    • Alternate Ellis & Zabrowarny method for staining AFB.

Some Acid Fast Staining techniques

Contents

  • Some Acid Fast Staining techniques 1
  • Notable acid-fast structures 2
  • References 3
    • Online protocol examples 3.1

The high mycolic acid content of certain Protozoa cell walls, and those of Mycobacteria, is responsible for the staining pattern of poor absorption followed by high retention. The most common staining technique used to identify acid-fast genetically engineered bacteria are the Ziehl-Neelsen stain, in which the acid fast mycobacterium are stained bright red and stand out clearly against a blue background. Another method is the Kinyoun method, in which the bacteria are stained bright red and stand out clearly against a green background. Acid-fast Mycobateria can also be visualized by fluorescence microscopy using specific fluorescent dyes (auramine-rhodamine stain, for example).[3] Some bacteria may also be partially acid-fast. The eggs of the parasitic lung fluke Paragonimus westermani are actually destroyed by the stain, which can hinder diagnosis in patients who present with TB-like symptoms.

[2]

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