GIEMSA STAIN INTRODUCTION Giemsa stain is a group of Romanowsky stain. It is a gold standard staining technique used for both thin and thick smears to examine blood for malarial parasites and to morphologically differentiate the nuclear and cytoplasm Erythrocytes, leucocytes and platelets and parasites. It is also used in cytogenetics and histopathology for the diagnosis of: Malaria, spirochetes and other blood parasites Chlamydia trachomatis inclusion bodies Borrelia species Yersinia pestis Histoplasma species Pneumocyctis jiroveci cycts OBJECTIVES To permit differentiation of cells present in hematopoitic tissue. To demonstrate of some microorganisms. PRINCIPLE The neutral dyes combining the basic dye methylene blue and the acid dye Eosin, give a wide color range when staining. The pH of the staining solution is critical and ideally should be adjusted for different fixatives. More acid pH levels give more selective chromatin staining and less cytoplasmic basophilia; less acid pH levels gives denser nuclei and increased cytoplasmic basophilia. REAGENTS REQUIRED 1. Methanol 2. Giemsa powder 3. Glycerine 4. Water (buffer) PREPARATION OF THE GIEMSA STAIN STOCK SOLUTION (500ML) 1. Into 250ml of methanol, add 3.8g of Giemsa powder and dissolve. 2. Add 250ml of glycerine to the solution, slowly. 3. Place the bottle of stain in water at 50-60°C or at 37°C for upto 2 hours with frequent mixing. 4. Label the bottle and store in a cool, dark place with a firm stopper. PREPARATION OF WORKING SOLUTION Add 10ml of stock to 80ml of distilled water and 10ml of methanol. STAINING PROCEDURE 1. Prepare blood film on a grease free slide and air dry. 2. Treat the dried blood film with methanol for 3-5 minutes. 3. Immerse the slide in the staining fluid containing 30 drops (0.67ml) of giemsa stain in 30ml of distilled water and stain it for 30-40 minutes. 4. Wash with distilled water allowing the preparation to differentiate for 1-3 minutes. 5. Air dry the film and examine under microscope. Note: According to the Himedia stain RESULTS Nuclei Blue Cytoplasm of leukocytes May be shades of pink, grey, or blue, depending on cell type and development Bacteria Blue