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Microbiology Unit 7 Chapter 40 Staining Specimens Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. Stains • A variety of stains available • Most common • Gram stain • Ziehl-Neelsen (acid-fast) stain • Stain before culturing • Rapid identification • Determine appropriate medium • Determine appropriate antibacterials Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 2 Staining Kits Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 3 Stains (cont.) • Simple stains • Crystal violet and methylene blue • Typically used for yeasts • Lactophenol cotton blue • Confirms identity of fungal organisms • Many stains available but most are performed only in large reference or research laboratories Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 4 Gram Stain • Used to categorize bacteria • Gram-positive or gram-negative • Based on cell wall structure • Requires four steps • Primary stain, a mordant, a decolorizer, and a counterstain • • • • • Mordant – fixes dyes to the structures (cell wall) Primary stain usually crystal violet Mordant – Gram’s iodine solution Decolorizer – 95% ethanol or acetone Counterstain – basic fuchsin or safranin Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 5 Gram Stain Procedure • Thin sample applied to slide • • Swabs can be gently rolled on slide Sterile wire to one young colony (24 hour) • • • • • • Older colonies may not stain accurately Mix sample from plates with a drop of water or saline If broth – 2 to 3 loopfuls If liquid – circle drop area with a wax pencil No matter source – take care not to damage organisms Air dry then heat fix by passing through a flame 2 to 3 times, specimen side up • • Do not overheat – warm not hot Prevents sample from washing off, preserves morphology, kills the bacteria, and renders them permeable to the stain Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 6 Gram Stain Procedure (cont.) Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 7 Gram Stain Interpretation • Gram-positive • Bacteria that retain the violet-iodine complex stain purple Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 8 Gram Stain Interpretation (cont.) • Gram-negative • Lose the crystal-violet or purple color and stain red Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 9 Potassium Hydroxide Test • Gram variable • Stain both gram-positive and gram-negative • May be due to excessive decolorization, an overly thick sample, excessive heat fixing, old cultures, or poor-quality stain • KOH test • Determines the true Gram status Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 10 Potassium Hydroxide Test (cont.) • A loopful (or two) of 3% HOH solution placed on slide • A generous quantity of surface growth from culture transferred to the KOH • Stir specimen (30 seconds to 2 minutes) • Then gently lift the loop • Gram-negative develop a mucoid appearance and produce a sticky strand • Gram-positive – mixture remains homogeneous, no strand Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 11 Ziehl-Neelsen Stain • Primarily used to detect acid-fast organisms • Mycobacterium and Nocardia species • Many stains available, but few work well in veterinary practice laboratories • Several steps • Primary stain – dimethyl sulfoxide (DMSO) and carbol fuchsin • Decolorizer – acid-alcohol • Counterstain – methylene blue Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 12 Ziehl-Neelsen Stain Procedure • • • • Slide is air dried and heat fixed Primary stain is flooded on slide Slide heated over flame until stain steams Cool slide for 5 minutes, then rinse with tap water • Acid alcohol is used to decolorize – 1 to 2 minutes until red color is gone • Rinse slide • Counterstain added then rinsed with water and air dried Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 13 Ziehl-Neelsen Stain (cont.) • Agents like DMSO allow the stain to penetrate stain-resistant cells such as Mycobacterium • If stain isn’t removed by acid alcohol then the organism is “acid-fast” and appears red • Non–acid-fast cells stain blue Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 14 Ziehl-Neelsen Stain (cont.) Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 15 Giemsa Stain • Used to detect spirochetes and rickettsiae and the capsule of Bacillus anthracis and the morphology of Dermatophilus congolensis • Smear fixed with absolute methanol for 3 to 5 minutes and air dried • Dip in diluted stain for 20 to 30 minutes • For Borrelia anserina – the smear is gently heated while covered with the stain for 4 to 5 minutes then rinsed and air dried • Purplish-blue-stained bacteria Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 16 Specialized Stains • Flagella, capsule, and endospore stains are available but have limited application in the average veterinary practice • Expensive stains • Malachite green endospore stain of Bacillus anthracis Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 17 Summary • Gram stain is the most common staining procedure in the microbiology laboratory • Gram stains require primary stain, mordant, decolorizer, and counterstain • Gram-positive – purple • Gram-negative – red • KOH test helps identify Gram variable organisms • Ziehl-Neelsen stain is used to identify acid-fast organisms • Flagella, capsule, and endospore stains are primarily used in reference laboratories Copyright © 2015 by Mosby, an imprint of Elsevier Inc. All rights reserved. 18