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DR.MD .SAVARKAR
STAIN / DYE
 A stain is a substance that adheres to a
cell, giving the cell color.
 The presence of color gives the cells
significant contrast so are much more
visible.
 Different stains have different affinities
for different organisms, or different parts
of organisms
 They are used to differentiate different
types of organisms or to view specific
parts of organisms
Dyes
 Organic salts with positive and
negative charges
 One ion is colored –chromophore
 Basic dye: positive ion is colored
◦ MeBlue+ Cl-
 Acidic dye: negative ion is chromphore
Basic Dye
 Works best in neutral or alkaline pH
 Cell wall has slight negative charge at
pH 7
 Basic dye (positive) attracted to cell
wall ( negative)
 Crystal violet, methylene blue,
safranin
Acidic Dye
 Chromophore repelled by negative cell
wall
 Background is stained, bacteria are
colorless
 Negative stain-look at size, shape
 Eosin, India ink
Staining
 Increase contrast of microorganisms
 Classified into types of stains
◦ Simple stain:
◦ Differential stain:
◦ Structural or special stains
Simple Stains
 One dye, one step
 Direct stain using basic dye
 Negative stain using acidic dye
Differential Stains
 More than one dye
 Gram stain, acid fast
 Primary dye
 Decolorizing step
 Counter stain
Special/ Structural Stains
 Identify structures within or on cells
 Different parts of cell are stained
different colors
Why we should Stain
Bacteria??
Staining helps in observation of
Bacteria
Staining techniques
 Direct staining - The organism is
stained and background is left
unstained
 Negative staining - The background is
stained and the organism is left
unaltered
Simple Staining
 The staining process involves immersing the
sample (before or after fixation and mounting)
in dye solution, followed by rinsing and
observation.
 Many dyes, however, require the use of a
mordant, a chemical compound that reacts
withthe stain to form an insoluble, coloured
precipitate.
 When excess dye solution is washed away, the
mordanted stain remains.
 Simple staining is one step method using only
one dye.
 Basic dyes are used in direct stain and acidic
dye is used in negative stain.
Simple staining techniques is used to
study the morphology better, to show
the nature of the cellular contents of
the exudates and also to study
the intracellular location of the
bacteria
Bacterial arrangement
- Clusters
(group).
- Chains.
- Pairs (diploids).
- No special
arrangement.
 Commonly used simple stains are
 Methylene blue
 Dilute carbol fuchsin
 Polychrome methylene blue
Loeffler’s Methylene Blue
 Methylene Blue, Loeffler’s
 Dissolve 0.3 g of methylene blue
 In 30mL of 95% ethyl alcohol;
 add 0.01 g of potassium hydroxide
and
 100 mL of DI water;
 stir, and filter. (bacterial stain)
Loeffler’s Methylene Blue
Method of Staining
Flood the smear with methylene blue,
allow for 2 minutes, pour off the stain and
allow the air to dry by keeping in a
slanting position and by this the organism
will retain the methylene blue stain
Use
Methylene blue staining is used to make
out clearly the morphology of the
organisms eg. H.influenzae in CSF,
Gonococci in urethral pus
Polychrome Methylene Blue
 Preparation
 Allow Loeffler’s Methylene blue to ‘ripen’
slowly.
 Methylene blue stain is kept in half filled
bottles, aerate the content by shaking at
intervals.
 Slow oxidation of methylene blue forms a
violet compound and Stain gets
polychrome property.
 The ripening nearly takes 12 months and
this is hastened by addition of 1%
potassium carbonate
 Use
 Mc Fadyean reaction
B.anthracis blue bacilli Is surrounded
by purple capsular material
 Carbol Fuchsin (Ziehl-Nielson)
 Dissolve 1 g of basic fuchsin
 In 10 mL of 100% ethyl alcohol
(absolute); set aside.
 Dissolve 5 g of phenol in 100 mL of DI
water.
 Add the two solutions together
and stir. (bacterial stain, bacterial spores,
and various cytoplasmic inclusions)
Dilute Carbol Fuchsin
 Preparation
Prepare carbol fuchsin and dilute it to 1/15
using distilled water
 Method of staining
Flood the smear and let stand for 30
seconds, wash with tap water and blot gently
to dry
 Use
 To stain throat swab from patients of
suspected Vincent’s angina(Borrelia are
better stained).
 IT is used as a counter stain in Gram
staining.
 To demonstrate the morphology of Vibrio
cholerae (comma shaped)
Simple Staining Easier to
Perform
But has Limitations
Differential Stains
 use two or more stains and allow the
cells to be categorized into various
groups or types.
Both techniques allow the observation
of cell morphology, or shape, but
differential staining usually provides
more information about the
characteristics of the cell wall
(Thickness).
GRAM STAINING
ACID-FAST STAINING
Gram staining
 Named after Hans
Christian Gram,
differentiates
between Gram-
positive purple and
Gram-negative pink
stains and is used to
identify certain
pathogens.
Gram staining - Principles
 Used to determine gram status to classify
bacteria broadly. It is based on the composition
of their cell wall.
 Gram staining uses crystal violet to stain cell
walls, iodine as a mordant, and a fuchsin or
safranin counterstain to mark all bacteria.
 Gram status is important in medicine; the
presence or absence of a cell wall will change
the bacterium's susceptibility to some
antibiotics.
 Gram-positive bacteria stain dark blue or violet.
Their cell wall is typically rich with
peptidoglycan and lacks the secondary
membrane and lipopolysaccharide layer found
Cell structure differentiates Gram
positive from Gram Negative
1. Crystal violet acts as the primary stain. Crystal violet
may also be used as a simple stain because it dyes
the cell wall of any bacteria.
2. Gram’s iodine acts as a mordant (Helps to fix the
primary dye to the cell wall).
3. Decolorizer is used next to remove the primary
stain (crystal violet) from Gram Negative bacteria
(those with LPS imbedded in their cell walls).
Decolorizer is composed of an organic solvent, such
as, acetone or ethanol or a combination of both.)
4. Finally, a counter stain (Safranin), is applied to
stain those cells (Gram Negative) that have lost the
primary stain as a result of decolorization
Gram Staining Steps
Gram Staining technique
Gram Staining ProcedureGram Staining Procedure
Gram Staining Procedure
Color of
Gram + cells
Color of
Gram – cells
Primary stain:
Crystal violet
Purple Purple
Mordant:
Iodine
Purple Purple
Decolorizing agent:
Alcohol-acetone
Purple Colorless
Counterstain:
Safranin
Purple Red
Differential Stains: Gram
Stain
Structure and Reactivity to
Gram Staining.
Gm+ve cocci & Gm-ve bacilli
Gram Reaction
 GRAM POSITIVE
 GRAM NEGATIVE
ACID FAST
STAINING
ACID-FAST STAINING
 The Ziehl – Neelsen stain, also known
as the acid-fast stain, widely used
differential staining procedure.
 The Ziehl – Neelsen stain was first
described by two German doctors;
 Franz Ziehl (1859 to 1926), a
bacteriologist and Friedrich Neelsen
(1854 to 1894) a pathologist.
 In this type some bacteria resist
decolourization by both acid and alcohol
and hence they are referred as acid fast
organisms.
 This staining technique divides bacteria
into two groups namely acid-fast and
non acid-fast.
 This procedure is extensively used in
the diagnosis of tuberculosis and
leprosy.
Principle
 Mycobacterial cell walls contain a
waxy substance composed of mycolic
acids.
 These are β-hydroxy carboxylic acids
with chain lengths of up to 90 carbon
atoms.
 The property of acid fastness is
related to the carbon chain length of
the mycolic acid found in any
particular species
Ziehl- Neelsen Procedure
 1.Make a smear. Air Dry. Heat Fix.
 2. Flood smear with Carbol Fuchsin
stain
◦ Carbol Fuchsin is a lipid soluble, phenolic
compound, which is able to penetrate the
cell wall
 3. Cover flooded smear with filter
paper
 4. Steam for 10 minutes. Add more
Carbol Fuchsin stain as needed
 5. Cool slide
 6. Rinse with DI water
 7. Flood slide with acid alcohol (leave 15
seconds). The acid alcohol contains 3%
HCl and 95% ethanol, or you can
declorase with 20% H2SO4
 8. Tilt slide 45 degrees over the sink and
add acid alcohol drop wise (drop by drop)
until the red color stops streaming from
the smear
 9. Rinse with DI water
 10. Add Loeffler’s Methylene Blue stain
(counter stain). This stain adds blue
color to non-acid fast cells. Leave
Loeffler’s Blue stain on smear for
1minute
 11. Rinse slide. Blot dry.
 12. Use oil immersion objective to view.
Ziehi-Neelsen acid fast staining
procedure
1 2 3
4 5
6 7
How the Acid fast bacteria
appear
Staining of M.lepra
 M.lepra are less
acid fast than
M.tuberculosis
group of
organisms,
 The
concentration of
H2So4 is
reduced to 5 %
for decolorising
SPECIAL STAINS
 Stains for Metachromatic granules
 Stain for spores
 Stain for capsules
 Stain for flagella
Albert’s Staining for
C. diphtheriae
 In all cases of suspected cases of
Diphtheria, stain one of the smears
with Gram stain
 If Gram stained smear shows
morphology suggestive of C.diptheria,
proceed to do Albert staining which
demonstrates the presence or
absence of metachromatic granules.
 C.diptheria are thin Gram positive bacilli,
straight or slightly curved and often
enlarged (clubbing) at one or both ends
and are arranged at acute angles giving
shapes of Chinese letters or V shape
which is characteristic of these
organisms .
 Present in the body of the bacillus are
numerous metachromatic granules
which give the bacillus beaded or barred
appearance.
 These granules are best demonstrated
by Albert’s stain.
Appearance of C.diptheria
 Albert stain I
 Toluidine blue
0.15gm
 Malachite green 0.20
gm
 Glacial acetic acid 1.0
ml
 Alcohol(95%) 2.0 ml
 Albert stain II
 Iodine 2.0 gm
 Potassium iodide 3.0
gm
 Distilled water 300 ml
Albert staining
Albert staining Procedure
 Cover the heat-fixed smear with Albert stain I.
Let it stand for two minutes.
 Wash with water.
 Cover the smear with Albert stain II. Let it stand
for two minutes.
 Wash with water, blot dry and examine.
 To demonstrate metachromatic granules in
C.diphtheriae. These granules appear bluish
black whereas the body of bacilli appear green
or bluish green.
How the C.diptheria
appear
 To demonstrate
metachromatic
granules in
C.diphtheriae.
These granules
appear bluish
black whereas
the body of bacilli
appear green or
bluish green.
Capsule staining
 Purpose - reveal the presence of the
bacterial capsule.
 The water-soluble capsule of some
bacterial cells is often difficult to see by
standard simple staining procedures or
after the Gram stain.
 The capsule staining methods were
developed to visualize capsules and yield
consistent and reliable results
 Capsule may appear as clear halo when a
fresh sample is stained by Grams or
Leishman stain.
INDIA INK PREPARATION
 Principle:
◦ Specimen placed in a drop of India ink
becomes darkly colored because of the
carbon particle in the ink. Hyaline
structures such as capsules and cell
walls will be highlighted against a dark
background of inked colored specimen
creating an illusion of darkfield
microscopy.
 Reagent: 1:1 dilution of the ink
 Procedure:
◦ Place a drop of the specimen (body fluid or
from culture) on a clean glass
◦ Put a drop of India Ink, mix and overlay a
cover slip
◦ Examine under low power and high power
with a bright field microscope
 Result:
◦ India ink creates a dark background against
which hyaline fungal cell wall and capsules
can be seen
◦ Limitation: wbc may be confused as fungi
 Uses
 India ink is used to
demonstrate capsule
which is seen as
unstained halo
around the
organisms
distributed in a black
background eg.
Cryptococcus
Nigrosin
 Saturated: Dissolve 3 g of nigrosin
 (water soluble) in 100 mL of DI water.
 Stir and filter if necessary. (biological
stain for protozoa)
Nigrosin used for Negative
Staining
 The negative stain is
particularly useful for
determining cell size
and arrangement. It can
also be used to stain
cells that are too
delicate to be heat-
fixed.
Endospore Staining
 Bacterial endospores are
metabolically inactive, highly
resistant structures produced by some
bacteria as a defensive strategy against
unfavorable environmental conditions.
PROCEDURE
 Primary stain - is malachite green, which
stains both vegetative cells and
endospores and heat is applied to help
the primary stain penetrate the endospore.
 Decolorized with water, which removes
the malachite green from the vegetative
cell but not the endospore.
 Safranin – counterstain any cells which
have been decolorized.
 At the end of the staining process,
vegetative cells will be pink, and
endospores will be dark green
Flagella stain
 Flagella are fragile appendages
 Cannot be seen under ordinary
microscope
 Hence the surface is coated with a
precipitate to form a colloidal substance
 This precipitate serves as a layer of
stainable material
Components
 1% Osmic acid
 Mordant
10% Tannic acid
Sat.potassium alum
10% Ferric chloride
 Fontana’s silver solution
USE
 This is used to
demonstrate the flagella
and the organisms stain
black and flagella appear
light brown
FUNGAL STAINING
Taxonomical classification:
 Phylum class
 Zygomycota zygomycetes
 Ascomycota ascomycetes
 Basidiomycota basidiomycetes
 Deuteromycota deuteromycetes
(fungi imperfecti)
CLASSIFICATION OF FUNGI
KOH Wet Mounts
 Principle:
◦ KOH softens most tissues, dissolves fat
droplets, bleaches many pigments and
dissolves the “cement” that holds keratinized
cells together; glycerine clears tissue debris,
thus making it easier to demonstrate presence
of fungal elements.
 Reagents:
◦ 10 – 20 % KOH:
 KOH pellets 10 – 20 grams
 Glycerine (optional) 10 ml
 Distilled water 90 ml
 Procedure:
◦ Place a small amount of specimen on a
clean glass slide
◦ place 1-2 drops of KOH on the specimen
and overlay a cover slip
◦ Allow the preparation to stand for 10-30
minutes in a wet chamber.
 You can gently heat preparation to hasten
the action of KOH
 Do not over heat for it may crystallize the
KOH
◦ Examine preparation under low then high
magnification. Take note for the presence
of fungal elements (hyphae and/or spores)
Fungal staining methods
Stains used:
 Lactophenol Cotton Blue - very popular
for quick evaluation of fungal structures;
stains chitin in cell walls of fungi.
 Periodic Acid - Schiff Stain (PAS) - stains
polysaccharide in the cell wall of fungi.
Fungi stain pink-red with blue nuclei.
 Gomori Methenamine Silver Stain - silver
nitrate outlines fungi in black due to the
silver precipitating on the fungi cell wall.
Figure 1. Hematoxylin and Eosin
staining of Aspergillus. GMS staining of
Aspergillus.
Alcian Blue staining of
Cryptococcus
PAS staining of Cryptococcus.
Lactophenol Cotton Blue
 Principle:
◦ The morphology of fungal elements are
preserved and stained better.
 Reagents:
◦ Lactic acid & Phenol
 Kills the organism
◦ Glycerin
 Prevents easy dehydration
◦ Cotton blue
 Dye or stain
 Gridley Stain - Hyphae and yeast stain dark blue or
rose. Tissues stain deep blue and background is
yellow.
 Mayer Mucicarmine Stain - will stain capsules of
Cryptococcus neoformans deep rose.
 Fluorescent Antibody Stain - extremely specific
method of detecting fungi in tissues or fluids.
 Papanicolaou Stain - good for initial differentiation
of dimorphic fungi. Works well on sputum smears.
 Gram Stain - generally fungi are gram positive; but
Actinomyces and Nocardia are gram variable.
 Acid-Fast Stain - used to differentiate
the acid-fast Nocardia from other
aerobic Actinomyces.
 Giemsa Stain - used for blood and
bone marrow specimens.
 India Ink - demonstrates the capsule of
Cryptococcus neoformans in CSF
specimens.
EYE SCRAPINGS & ASPIRATE for
KERATOMYCOSIS
 KOH & LPCB, look for
◦ Septate hyaline hyphae
 Aspergillus species
 Fusarium species
◦ Coenocytic hyaline
hyphae
 Mucor species
◦ Pseudohyphae and
yeasts
 Candida species
 A fluorescent stain for rapid detection
of yeasts, fungi and parasitic
organisms. Calcofluor White is a non-
specific
fluorochrom that binds to cellucose
and chitin in cell walls
Calcofluor White Stain
Calcofluor White Stain
 Composition:
 Calcofluor White M2R 1g/l
 Evans blue 0.5g/l
 Storage:
 Store at room temperature and
protected from light.
Calcofluor White Stain
 Directions:
 1. Put the sample to be examined onto a
clean glass slide.
 2. Add one drop of Calcofluor White
Stain and one drop of 10% Potassium
Hydroxide
 3. Place a coverslip over the specimen
and let stand for 1 minute.
 4. Examine the slide under UV light at
x100 to x400 magnification
 Principle/ Interpretation:
 Calcofluor White Stain is a non-specific
fluorochrome that binds with cellulose
and chitin contained in the cell walls of
fungi and other organisms.
 The staining procedure with Calcofluor
White Stain is a rapid method for the
detection of many yeasts , pathogenic
fungi and Microsporidium,
Acanthamoeba, Pneumocystis,
Naegleria, and Balamuthia species..
 Evans blue present in the stain act as a
counterstain and diminishes background
fluorescence of tissues and cells when
using blue light excitation (not UV).
 A range of of 300 to 440 nm (Emmax
433nm; 0.1 M phosphate pH 7.0;
cellulose) can be taken for emission wave
length and the excitation occurs around
355nm.
 Fungal or parasitic organisms appear
fluorescent bright green to blue, while
 Attention cotton fibers will fluoresce
strongly and must therefore be
differentiated from fungal hyphae.
 As well amebic cysts are fluorescent but
trophozites will not stain or fluoresce,
Background fluorescence can be
diminished by examining under blue light
or by using different filter combinations
(emission and excitation filters).
 One drop of 10% potassium hydroxide
solution can be added for better
visualization of fungal elements
Calcoflour stain
 Calcoflour mounts for
systemic mycoses ,
look for (flourescence)
◦ Pseudohyphae and
yeasts (blood)
 Candida species
◦ Septate, hyaline at
right degrees angle
(bronchial lavage)
 Aspergillus species
THANK
YOU

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Stainings

  • 2. STAIN / DYE  A stain is a substance that adheres to a cell, giving the cell color.  The presence of color gives the cells significant contrast so are much more visible.  Different stains have different affinities for different organisms, or different parts of organisms  They are used to differentiate different types of organisms or to view specific parts of organisms
  • 3. Dyes  Organic salts with positive and negative charges  One ion is colored –chromophore  Basic dye: positive ion is colored ◦ MeBlue+ Cl-  Acidic dye: negative ion is chromphore
  • 4. Basic Dye  Works best in neutral or alkaline pH  Cell wall has slight negative charge at pH 7  Basic dye (positive) attracted to cell wall ( negative)  Crystal violet, methylene blue, safranin
  • 5. Acidic Dye  Chromophore repelled by negative cell wall  Background is stained, bacteria are colorless  Negative stain-look at size, shape  Eosin, India ink
  • 6. Staining  Increase contrast of microorganisms  Classified into types of stains ◦ Simple stain: ◦ Differential stain: ◦ Structural or special stains
  • 7. Simple Stains  One dye, one step  Direct stain using basic dye  Negative stain using acidic dye
  • 8. Differential Stains  More than one dye  Gram stain, acid fast  Primary dye  Decolorizing step  Counter stain
  • 9. Special/ Structural Stains  Identify structures within or on cells  Different parts of cell are stained different colors
  • 10. Why we should Stain Bacteria??
  • 11. Staining helps in observation of Bacteria
  • 12. Staining techniques  Direct staining - The organism is stained and background is left unstained  Negative staining - The background is stained and the organism is left unaltered
  • 13. Simple Staining  The staining process involves immersing the sample (before or after fixation and mounting) in dye solution, followed by rinsing and observation.  Many dyes, however, require the use of a mordant, a chemical compound that reacts withthe stain to form an insoluble, coloured precipitate.  When excess dye solution is washed away, the mordanted stain remains.  Simple staining is one step method using only one dye.  Basic dyes are used in direct stain and acidic dye is used in negative stain.
  • 14.
  • 15. Simple staining techniques is used to study the morphology better, to show the nature of the cellular contents of the exudates and also to study the intracellular location of the bacteria
  • 16. Bacterial arrangement - Clusters (group). - Chains. - Pairs (diploids). - No special arrangement.
  • 17.  Commonly used simple stains are  Methylene blue  Dilute carbol fuchsin  Polychrome methylene blue
  • 18. Loeffler’s Methylene Blue  Methylene Blue, Loeffler’s  Dissolve 0.3 g of methylene blue  In 30mL of 95% ethyl alcohol;  add 0.01 g of potassium hydroxide and  100 mL of DI water;  stir, and filter. (bacterial stain)
  • 19. Loeffler’s Methylene Blue Method of Staining Flood the smear with methylene blue, allow for 2 minutes, pour off the stain and allow the air to dry by keeping in a slanting position and by this the organism will retain the methylene blue stain Use Methylene blue staining is used to make out clearly the morphology of the organisms eg. H.influenzae in CSF, Gonococci in urethral pus
  • 20. Polychrome Methylene Blue  Preparation  Allow Loeffler’s Methylene blue to ‘ripen’ slowly.  Methylene blue stain is kept in half filled bottles, aerate the content by shaking at intervals.  Slow oxidation of methylene blue forms a violet compound and Stain gets polychrome property.  The ripening nearly takes 12 months and this is hastened by addition of 1% potassium carbonate
  • 21.  Use  Mc Fadyean reaction B.anthracis blue bacilli Is surrounded by purple capsular material
  • 22.  Carbol Fuchsin (Ziehl-Nielson)  Dissolve 1 g of basic fuchsin  In 10 mL of 100% ethyl alcohol (absolute); set aside.  Dissolve 5 g of phenol in 100 mL of DI water.  Add the two solutions together and stir. (bacterial stain, bacterial spores, and various cytoplasmic inclusions)
  • 23. Dilute Carbol Fuchsin  Preparation Prepare carbol fuchsin and dilute it to 1/15 using distilled water  Method of staining Flood the smear and let stand for 30 seconds, wash with tap water and blot gently to dry  Use  To stain throat swab from patients of suspected Vincent’s angina(Borrelia are better stained).  IT is used as a counter stain in Gram staining.  To demonstrate the morphology of Vibrio cholerae (comma shaped)
  • 24. Simple Staining Easier to Perform But has Limitations
  • 25. Differential Stains  use two or more stains and allow the cells to be categorized into various groups or types. Both techniques allow the observation of cell morphology, or shape, but differential staining usually provides more information about the characteristics of the cell wall (Thickness).
  • 27. Gram staining  Named after Hans Christian Gram, differentiates between Gram- positive purple and Gram-negative pink stains and is used to identify certain pathogens.
  • 28. Gram staining - Principles  Used to determine gram status to classify bacteria broadly. It is based on the composition of their cell wall.  Gram staining uses crystal violet to stain cell walls, iodine as a mordant, and a fuchsin or safranin counterstain to mark all bacteria.  Gram status is important in medicine; the presence or absence of a cell wall will change the bacterium's susceptibility to some antibiotics.  Gram-positive bacteria stain dark blue or violet. Their cell wall is typically rich with peptidoglycan and lacks the secondary membrane and lipopolysaccharide layer found
  • 29.
  • 30.
  • 31. Cell structure differentiates Gram positive from Gram Negative
  • 32. 1. Crystal violet acts as the primary stain. Crystal violet may also be used as a simple stain because it dyes the cell wall of any bacteria. 2. Gram’s iodine acts as a mordant (Helps to fix the primary dye to the cell wall). 3. Decolorizer is used next to remove the primary stain (crystal violet) from Gram Negative bacteria (those with LPS imbedded in their cell walls). Decolorizer is composed of an organic solvent, such as, acetone or ethanol or a combination of both.) 4. Finally, a counter stain (Safranin), is applied to stain those cells (Gram Negative) that have lost the primary stain as a result of decolorization Gram Staining Steps
  • 34. Gram Staining ProcedureGram Staining Procedure Gram Staining Procedure
  • 35. Color of Gram + cells Color of Gram – cells Primary stain: Crystal violet Purple Purple Mordant: Iodine Purple Purple Decolorizing agent: Alcohol-acetone Purple Colorless Counterstain: Safranin Purple Red Differential Stains: Gram Stain
  • 36. Structure and Reactivity to Gram Staining.
  • 37. Gm+ve cocci & Gm-ve bacilli
  • 38. Gram Reaction  GRAM POSITIVE  GRAM NEGATIVE
  • 40. ACID-FAST STAINING  The Ziehl – Neelsen stain, also known as the acid-fast stain, widely used differential staining procedure.  The Ziehl – Neelsen stain was first described by two German doctors;  Franz Ziehl (1859 to 1926), a bacteriologist and Friedrich Neelsen (1854 to 1894) a pathologist.
  • 41.  In this type some bacteria resist decolourization by both acid and alcohol and hence they are referred as acid fast organisms.  This staining technique divides bacteria into two groups namely acid-fast and non acid-fast.  This procedure is extensively used in the diagnosis of tuberculosis and leprosy.
  • 42. Principle  Mycobacterial cell walls contain a waxy substance composed of mycolic acids.  These are β-hydroxy carboxylic acids with chain lengths of up to 90 carbon atoms.  The property of acid fastness is related to the carbon chain length of the mycolic acid found in any particular species
  • 43. Ziehl- Neelsen Procedure  1.Make a smear. Air Dry. Heat Fix.  2. Flood smear with Carbol Fuchsin stain ◦ Carbol Fuchsin is a lipid soluble, phenolic compound, which is able to penetrate the cell wall  3. Cover flooded smear with filter paper  4. Steam for 10 minutes. Add more Carbol Fuchsin stain as needed  5. Cool slide  6. Rinse with DI water
  • 44.  7. Flood slide with acid alcohol (leave 15 seconds). The acid alcohol contains 3% HCl and 95% ethanol, or you can declorase with 20% H2SO4  8. Tilt slide 45 degrees over the sink and add acid alcohol drop wise (drop by drop) until the red color stops streaming from the smear  9. Rinse with DI water
  • 45.  10. Add Loeffler’s Methylene Blue stain (counter stain). This stain adds blue color to non-acid fast cells. Leave Loeffler’s Blue stain on smear for 1minute  11. Rinse slide. Blot dry.  12. Use oil immersion objective to view.
  • 46.
  • 47. Ziehi-Neelsen acid fast staining procedure
  • 48. 1 2 3 4 5 6 7
  • 49. How the Acid fast bacteria appear
  • 50. Staining of M.lepra  M.lepra are less acid fast than M.tuberculosis group of organisms,  The concentration of H2So4 is reduced to 5 % for decolorising
  • 51. SPECIAL STAINS  Stains for Metachromatic granules  Stain for spores  Stain for capsules  Stain for flagella
  • 52. Albert’s Staining for C. diphtheriae  In all cases of suspected cases of Diphtheria, stain one of the smears with Gram stain  If Gram stained smear shows morphology suggestive of C.diptheria, proceed to do Albert staining which demonstrates the presence or absence of metachromatic granules.
  • 53.  C.diptheria are thin Gram positive bacilli, straight or slightly curved and often enlarged (clubbing) at one or both ends and are arranged at acute angles giving shapes of Chinese letters or V shape which is characteristic of these organisms .  Present in the body of the bacillus are numerous metachromatic granules which give the bacillus beaded or barred appearance.  These granules are best demonstrated by Albert’s stain. Appearance of C.diptheria
  • 54.  Albert stain I  Toluidine blue 0.15gm  Malachite green 0.20 gm  Glacial acetic acid 1.0 ml  Alcohol(95%) 2.0 ml  Albert stain II  Iodine 2.0 gm  Potassium iodide 3.0 gm  Distilled water 300 ml Albert staining
  • 55. Albert staining Procedure  Cover the heat-fixed smear with Albert stain I. Let it stand for two minutes.  Wash with water.  Cover the smear with Albert stain II. Let it stand for two minutes.  Wash with water, blot dry and examine.  To demonstrate metachromatic granules in C.diphtheriae. These granules appear bluish black whereas the body of bacilli appear green or bluish green.
  • 56. How the C.diptheria appear  To demonstrate metachromatic granules in C.diphtheriae. These granules appear bluish black whereas the body of bacilli appear green or bluish green.
  • 57. Capsule staining  Purpose - reveal the presence of the bacterial capsule.  The water-soluble capsule of some bacterial cells is often difficult to see by standard simple staining procedures or after the Gram stain.  The capsule staining methods were developed to visualize capsules and yield consistent and reliable results  Capsule may appear as clear halo when a fresh sample is stained by Grams or Leishman stain.
  • 58. INDIA INK PREPARATION  Principle: ◦ Specimen placed in a drop of India ink becomes darkly colored because of the carbon particle in the ink. Hyaline structures such as capsules and cell walls will be highlighted against a dark background of inked colored specimen creating an illusion of darkfield microscopy.  Reagent: 1:1 dilution of the ink
  • 59.  Procedure: ◦ Place a drop of the specimen (body fluid or from culture) on a clean glass ◦ Put a drop of India Ink, mix and overlay a cover slip ◦ Examine under low power and high power with a bright field microscope  Result: ◦ India ink creates a dark background against which hyaline fungal cell wall and capsules can be seen ◦ Limitation: wbc may be confused as fungi
  • 60.  Uses  India ink is used to demonstrate capsule which is seen as unstained halo around the organisms distributed in a black background eg. Cryptococcus
  • 61. Nigrosin  Saturated: Dissolve 3 g of nigrosin  (water soluble) in 100 mL of DI water.  Stir and filter if necessary. (biological stain for protozoa)
  • 62. Nigrosin used for Negative Staining  The negative stain is particularly useful for determining cell size and arrangement. It can also be used to stain cells that are too delicate to be heat- fixed.
  • 63. Endospore Staining  Bacterial endospores are metabolically inactive, highly resistant structures produced by some bacteria as a defensive strategy against unfavorable environmental conditions.
  • 64. PROCEDURE  Primary stain - is malachite green, which stains both vegetative cells and endospores and heat is applied to help the primary stain penetrate the endospore.  Decolorized with water, which removes the malachite green from the vegetative cell but not the endospore.  Safranin – counterstain any cells which have been decolorized.  At the end of the staining process, vegetative cells will be pink, and endospores will be dark green
  • 65. Flagella stain  Flagella are fragile appendages  Cannot be seen under ordinary microscope  Hence the surface is coated with a precipitate to form a colloidal substance  This precipitate serves as a layer of stainable material
  • 66. Components  1% Osmic acid  Mordant 10% Tannic acid Sat.potassium alum 10% Ferric chloride  Fontana’s silver solution
  • 67. USE  This is used to demonstrate the flagella and the organisms stain black and flagella appear light brown
  • 69. Taxonomical classification:  Phylum class  Zygomycota zygomycetes  Ascomycota ascomycetes  Basidiomycota basidiomycetes  Deuteromycota deuteromycetes (fungi imperfecti) CLASSIFICATION OF FUNGI
  • 70. KOH Wet Mounts  Principle: ◦ KOH softens most tissues, dissolves fat droplets, bleaches many pigments and dissolves the “cement” that holds keratinized cells together; glycerine clears tissue debris, thus making it easier to demonstrate presence of fungal elements.  Reagents: ◦ 10 – 20 % KOH:  KOH pellets 10 – 20 grams  Glycerine (optional) 10 ml  Distilled water 90 ml
  • 71.  Procedure: ◦ Place a small amount of specimen on a clean glass slide ◦ place 1-2 drops of KOH on the specimen and overlay a cover slip ◦ Allow the preparation to stand for 10-30 minutes in a wet chamber.  You can gently heat preparation to hasten the action of KOH  Do not over heat for it may crystallize the KOH ◦ Examine preparation under low then high magnification. Take note for the presence of fungal elements (hyphae and/or spores)
  • 72.
  • 73.
  • 74. Fungal staining methods Stains used:  Lactophenol Cotton Blue - very popular for quick evaluation of fungal structures; stains chitin in cell walls of fungi.  Periodic Acid - Schiff Stain (PAS) - stains polysaccharide in the cell wall of fungi. Fungi stain pink-red with blue nuclei.  Gomori Methenamine Silver Stain - silver nitrate outlines fungi in black due to the silver precipitating on the fungi cell wall.
  • 75. Figure 1. Hematoxylin and Eosin staining of Aspergillus. GMS staining of Aspergillus.
  • 76. Alcian Blue staining of Cryptococcus PAS staining of Cryptococcus.
  • 77. Lactophenol Cotton Blue  Principle: ◦ The morphology of fungal elements are preserved and stained better.  Reagents: ◦ Lactic acid & Phenol  Kills the organism ◦ Glycerin  Prevents easy dehydration ◦ Cotton blue  Dye or stain
  • 78.
  • 79.
  • 80.  Gridley Stain - Hyphae and yeast stain dark blue or rose. Tissues stain deep blue and background is yellow.  Mayer Mucicarmine Stain - will stain capsules of Cryptococcus neoformans deep rose.  Fluorescent Antibody Stain - extremely specific method of detecting fungi in tissues or fluids.  Papanicolaou Stain - good for initial differentiation of dimorphic fungi. Works well on sputum smears.  Gram Stain - generally fungi are gram positive; but Actinomyces and Nocardia are gram variable.
  • 81.  Acid-Fast Stain - used to differentiate the acid-fast Nocardia from other aerobic Actinomyces.  Giemsa Stain - used for blood and bone marrow specimens.  India Ink - demonstrates the capsule of Cryptococcus neoformans in CSF specimens.
  • 82. EYE SCRAPINGS & ASPIRATE for KERATOMYCOSIS  KOH & LPCB, look for ◦ Septate hyaline hyphae  Aspergillus species  Fusarium species ◦ Coenocytic hyaline hyphae  Mucor species ◦ Pseudohyphae and yeasts  Candida species
  • 83.  A fluorescent stain for rapid detection of yeasts, fungi and parasitic organisms. Calcofluor White is a non- specific fluorochrom that binds to cellucose and chitin in cell walls Calcofluor White Stain
  • 84. Calcofluor White Stain  Composition:  Calcofluor White M2R 1g/l  Evans blue 0.5g/l  Storage:  Store at room temperature and protected from light.
  • 85. Calcofluor White Stain  Directions:  1. Put the sample to be examined onto a clean glass slide.  2. Add one drop of Calcofluor White Stain and one drop of 10% Potassium Hydroxide  3. Place a coverslip over the specimen and let stand for 1 minute.  4. Examine the slide under UV light at x100 to x400 magnification
  • 86.  Principle/ Interpretation:  Calcofluor White Stain is a non-specific fluorochrome that binds with cellulose and chitin contained in the cell walls of fungi and other organisms.  The staining procedure with Calcofluor White Stain is a rapid method for the detection of many yeasts , pathogenic fungi and Microsporidium, Acanthamoeba, Pneumocystis, Naegleria, and Balamuthia species..
  • 87.  Evans blue present in the stain act as a counterstain and diminishes background fluorescence of tissues and cells when using blue light excitation (not UV).  A range of of 300 to 440 nm (Emmax 433nm; 0.1 M phosphate pH 7.0; cellulose) can be taken for emission wave length and the excitation occurs around 355nm.  Fungal or parasitic organisms appear fluorescent bright green to blue, while
  • 88.  Attention cotton fibers will fluoresce strongly and must therefore be differentiated from fungal hyphae.  As well amebic cysts are fluorescent but trophozites will not stain or fluoresce, Background fluorescence can be diminished by examining under blue light or by using different filter combinations (emission and excitation filters).  One drop of 10% potassium hydroxide solution can be added for better visualization of fungal elements
  • 89. Calcoflour stain  Calcoflour mounts for systemic mycoses , look for (flourescence) ◦ Pseudohyphae and yeasts (blood)  Candida species ◦ Septate, hyaline at right degrees angle (bronchial lavage)  Aspergillus species