Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Applied Veterinary Bacteriology and Mycology: Bacteriological techniques Chapter 4: Microscopic techniques and Principles of Staining Methods Used in a Diagnostic Bacteriology Laboratory Author: Dr. J.A. Picard Licensed under a Creative Commons Attribution license. TABLE OF CONTENTS INTRODUCTION .......................................................................................................................................... 2 COMPOUND LIGHT, BRIGHT-FIELD MICROSCOPY ............................................................................... 2 Adjustment of Köhler illumination ............................................................................................................ 3 Precautions when using a microscope .................................................................................................... 6 Determination of the size of objects viewed under the compound light microscope ............................... 6 Methods in light microscopy .................................................................................................................... 7 Fluorescence microscopy ........................................................................................................................ 8 Methods of Sample Preparation for Microscopic Examination ................................................................ 9 Staining techniques ............................................................................................................................... 10 REFERENCES ........................................................................................................................................... 13 APPENDIX ................................................................................................................................................. 14 1|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory INTRODUCTION In spite of the development of new identification techniques, microscopic examination of clinical material remains one of the most effective means of judging specimen quality and detecting the presence of potential pathogens in clinical material. It is also used to examine the morphology and differential staining characteristics of artificially cultivated bacteria and fungi. Specialized techniques and stains when used with different microscopy techniques will further aid in the identification of an organism. COMPOUND LIGHT, BRIGHT-FIELD MICROSCOPY This is the most commonly used of all microscopes, due to its versatility, ease of use and low cost of maintenance. A typical light microscope is illustrated in Figure 1. A light source, usually provided by a coiled tungsten filament starts as a horizontal beam, which is transmitted through the condenser via a mirror.When reaching the condenser lens it is focused just below the plane of the specimen (Figure 2). This prevents glare from the beam as well as affects the resolution of the image. This type of light transmission is known as Köhler illumination and is most efficient when properly centred in the light path of the specimen. This is accomplished by using the condenser adjustment screws on the stage. 2|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Figure 1: A typical light, bright-field compound microscope. (Use this diagram with the description below on how to adjust so that ideal Köhler illumination is obtained). 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Stage Light intensity adjustment Substage condensor Ratchet for adjusting substage condenser Ocular objective adjustable to eyes Field diaphragm: adjusts light field Ocular objective – non-adjustable Condenser adjustment screws Objective Condenser aperture adjustor Placement of light bulb/light source Fine focus Focus Substage diaphragm Adjustment of Köhler illumination (Do this for the most common magnification you use, as the setting varies according to magnification used). 1. Place a mounted specimen on the specimen stage (1) 2. Set the light intensity control dial (2) 3. Make sure that the selected condenser lens (3) is in the path of the light. 4. Using the condenser ratchet (4), set it to the highest position (nearest to the specimen) 5. Focus on the material at infinity, using the fixed eyepiece (5) 6. Close the field diaphragm (6) until a ring of light just fits into the field 7. Set the second eyepiece (7) so that the image is sharply focused 8. Focus the light by slowly lowering the condenser (4). There is a ring of light that changes from the blue to red colour range. Adjust it so that this colour change just occurs. 3|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory 9. Centre the light in the field of vision using the two centering screws (8) in the condenser holder. If the light path is not visible, lower the condenser first, find the light path and follow this while raising the condenser again. 10. Open up the field diaphragm (6) until the edge of light path starts to disappear from view. 11. The diameter of the diaphragm must be two-thirds of the opening of the objective. Check by removing eyepiece (5). 12. Contrast can be adjusted by setting the condenser opening (10). 13. If the light is not uniform, check the lamp (11). Do not touch the globe. The reflection of the filament image must be the same size, when looking through the eyepiece (5) with ocular lenses removed. The contrast of the specimen may be enhanced by decreasing the condenser aperture and thus the amount of oblique light waves reaching the specimen. This is useful when examining wet mounts or uniformly stained specimens. It does result however, in decreased resolution of the image. As the human eye is most sensitive to blue wave lengths, a blue filter over the field diaphragm enhances visualization and causes less fatigue when multiple slides are viewed. Lenses This microscope uses at least two magnifying lenses, namely the ocular and objective lenses. The total magnification of the microscope is the product of the magnification of the ocular and objective lenses. The ocular lens is usually set at a magnification of 10X. Several objective lenses are used, they are commonly: 4|Page 4X scanning lens 10X or 20X intermediate lenses 40X high dry lens 100X immersion oil lens Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Figure 2: Illustration of condenser function showing focusing light paths at the plane of the specimen Achromatic (corrected for light distortion in the red and blue ranges) objective lenses are important to use in microscopy as they correct for chromatic aberration (splits the light into colours – prism effect) which is an inherent property of most convex lenses. Apochromatic lenses are used in microphotography as they correct for both chromatic and spherical aberrations (fuzzy images). Another factor which affects the viewing of the image is the resolution, which is defined as the smallest distance between two objects which allows them to be viewed as distinct objects. Immersion oils with a refractive index similar to glass are used with the 100X objective lens. The 100X objective lens is usually close (0.2 mm) to allow the entry of more rays of light. This is further assisted by the use of immersion oil. Note that the immersion oil used is specified by the manufacture and it is not recommended that oils are mixed as it can decrease the resolution power of the lens. Also clean the lens with a lens paper every time after use to prevent the oil hardening on the lens. Note that many solvents can cause the glue holding the lens in its casing to dissolve. The resolution limit for the compound light microscope is 0.2m that is obtained with the 100X oil immersion lens. 5|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Precautions when using a microscope As the light supply and lens must meet each other in a straight line, it is critical that care is taken not to handle them roughly or drop them. They must always be placed in a sturdy box with packaging to prevent any movement and to protect them. Determination of the size of objects viewed under the compound light microscope An eyepiece micrometer is used to measure the size of objects. Before use, it should be calibrated for the magnification you will be using. This is done by placing a table micrometer on the specimen stage and focusing on the scale. Turn the eyepiece containing the micrometer so that the two scales are parallel to each other (Figure 3). Find the number of units on the eyepiece scale that exactly coincides with one or more units on the table micrometer: each unit on the table micrometer represents 0.1mm. To calculate the value of one eyepiece unit (X), the following calculation is done: X = table micrometer units (mm) Number of eyepiece micrometer units over the same distance Figure 3: The positioning of the eyepiece micrometer to lie adjacent to the table micrometer when viewed through the microscope. 6|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Methods in light microscopy Dark-field microscopy This method of microscopy, using a darkfield condenser, excludes directly transmitted light and only allows oblique or scattered light to be directed onto the specimen (Figure 4). This set-up allows finer structures to be seen as the resolution improves to approximately 0,1 m. The background appears dark whereas objects in the fluid such as bacteria appear as brightly luminous against a black background. It is commonly used for visualization of the spirochaetes. Figure 4: Comparison of bright-field microscopy (A) and dark-field microscopy (B) Phase contrast microscopy Due to the small nature of micro-organisms, it is not possible to discern internal structures with the use of a normal microscope. Phase contrast microscopy increases the contrast of an object by converting slight differences in refractive index and cell density into easily detected variations in light intensity (Figure 5). In order to achieve this effect an annular diaphragm is placed at the lower focal plane (Figure 5). This permits only a ring of light to pass through the condenser and objective lens which is then focused on the phase ring just before reaching the eyepiece. This ring is there to change the phase of the light (not hitting an object on the slide) reaching it, so that it is not a quarter of a wavelength different to the diffracted rays 7|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory (those scattered by bouncing off an object on the slide). At some points these waves will come into contact with each other either amplifying each other (bright) or nullifying (dark) each other. By using this method of microscopy the background is illuminated and the unstained object is dark surrounded by a halo of light. Internal structures of cells such as endospores and nuclear bodies will also show up in a similar fashion. Figure 5: The optics of a phase-contrast microscope Nomarski interference This type of microscopy is used for bigger objects than bacteria, such as vegetative cells and spores of fungi. Normarski interference is similar to phase contrast microscopy, but the presence of a polarizer and special prisms in the condenser result in the formation of a clearer image that can be obtained by phase contrast microscopy. The object being examined has no halo and appears three dimensional. The resolution power is 0.1m compared to 0.2m of a phase contrast microscope. Fluorescence microscopy This technique has become commonplace in most laboratories. Fluorescence is dependent on the ability of fluorophores (naturally fluorescent substances) or fluorochromes (fluorescent dyes) to absorb the energy of nonvisible UV and short visible wavelenghts become excited, and remit the energy in the form of longer visible wavelenghts. Figure 6 gives a diagrammatic representation of illumination required for fluorescent microscopy. A special adapter containing the light source (high pressure gas lamps of mercury, xenon or halogen), filters, and a dichromatic mirror beam splitter can be attached to a compound bright-field microscope so that light 8|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory passes through the objective lens. This option has greatly reduced the costs of fluorescence microscopy. This adapter is usually adequate to detect most organisms or their antibodies using direct or indirect fluorescence staining techniques. Its sensitivity is 84% and specificity 93% compared to that of a standard fluorescence microscope when fluorescence (auramine stain) is used to detect acid-fast bacteria. Note that a special ultraviolet, opaque filter is placed in the microscope tube to protect the eyes from the ultraviolet rays. Figure 6: Fluorescence microscope incident illumination light path and microscope components Methods of Sample Preparation for Microscopic Examination Wet preparations and hanging mounts These are unstained, wet preparations of the material, usually made to observe the viable microorganism and examined using reduced light, phase contrast or dark field microscopy. On these smears one is able to observe motility, which is indicative of flagellae or fimbriae, bacterial spores, intracellular granules and spirochaetes. A plain wet mount is done by suspending bacteria in a drop of fluid on a microscope slide and covering it with a thin cover slip. A ring of petroleum jelly (Vaseline) can be drawn around the drop with a toothpick to prevent drying out. A hanging drop method is used when free movement of the micro-organisms is necessary. Briefly pick some bacteria (not too many – as it will result in overcrowding) from a colony on a culture plate or a loopful from a broth and suspend in a drop of water or saline on a coverslip. Invert to coverslip position 9|Page Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory either over a slide with a hollow or over a thin ring made from plasticine (Prestik) (Figure 12). A hanging drop method is not suitable for anaerobes, as air might inhibit their movement. It is best to observe them in sealed capillary tubes containing growth media. Staining techniques Stains are used to determine bacterial morphology and to distinguish bacteria belonging to different groups or species by their differential staining characteristics. Prior to staining all slides are fixed by heat (most common), methyl alcohol, formalin, magnesium chloride or osmic acid. Fixation immobilises and kills vegetative bacteria and thus renders them more permeable to staining. As a result of fixation, there is protoplasmic shrinkage, thus a string of bacteria, will appear to have spaces between them, and some bacteria, such as the diphtheria bacterium will be beaded and Pasteurella species will appear to be bipolar. Different types of stains can be used and include: Simple stains e.g. carbol fuschin stain. Negative staining e.g. India ink. Silver impregnation. Differential stains e.g. Gram’s stain Simple stains The application of a basic dye, such as methylene blue, methyl violet, basic fuschin or carbol fuschin, will show the presence of organisms and the nature of cellular contents in exudates. Sometimes a mordant is added to these dyes to allow better penetration of the dye. A basic dye stains bacteria because coloured positively charged particles combines firmly with the negatively charged group in the bacterial protoplasm, especially with the phosphate group in nucleic acids. The excess stain is then washed off with water and the combined stain remains. Very rarely are acid dyes used as they stain bacteria at a low pH. They are, however, used for negative staining. Carbol fuschin is useful for visualising Campylobacter, Helicobacter, spirochaetes and Fusobacterium in tissue smears. Mature Löffler’s methylene blue stain (see Appendix) is used to stain Bacillus anthracis in blood and tissue smears. 10 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Negative staining A stain such as India ink or nigrosin, stains the background dark, so that bacteria or fungi are visualised as clear transparent objects. It is a good method to show shape, size and arrangement of bacteria and fungi. For example, it is the best stain to visualize the heavily capsulated yeast, Cryptococcus neoformans in tissue smears. Some bacilli, such as those of the coliform and haemophilic groups, also have a central dark staining portion in their cells resembling a nucleus. Silver impregnation This method aids in the visualization of fine, morphological distinct microorganisms such as spirochaetes and Gram-negative curved bacteria e.g. Campylobacter in tissue sections. Differential stains Note that the methods for performing the stains are described in the Appendix. Gram’s stain This is the stain most commonly used in diagnostic bacteriology and is used to place bacteria into one of two groups: Gram-negative and Gram-positive, as well as to examine the morphology of bacteria. The wall of Gram-positive bacteria is able to retain basic dyes, such as crystal violet, at a higher hydrogen ion concentration and is more permeable to these dyes. Crystal violet and iodine form a complex within the cell wall which is impermeable to water, but moderately soluble and dissociable in alcohol or acetone. Thus on decolourization by acetone-alcohol, a thinner wall (as is possessed by Gram-negative bacteria) will allow easier leaching of dye. Thus, Gram-positive bacteria will stain purple and Gram-negative bacteria, being decolourized, will stain with the pink counterstain (Safranin). Old or damaged Grampositive bacteria e.g. Bacillus spp. and Streptococcus spp. will, however, stain Gram-negative. Note too that bacteria cultured in acidic media will also stain Gram-negative. Some bacteria such as mycobacteria which have a highly impermeable cell wall do not stain well with Gram’s stain. Acid-fast or Ziehl-Neelsen stain Certain bacteria such as mycobacteria are relatively impermeable to most stains, but do stain with a strong reagent such as hot carbol fuschin in 5% phenol. Once stained these bacteria resist decolourisation by strong acids e.g. sulphuric acid. The smear is then counterstained with either methylene blue or malachite green. Acid-fast bacteria stain pink and any cellular material or other bacteria stain blue or green, dependent on the counterstain used. Mycobacteria are acid-fast as their cell wall is rich in lipids, fatty acids and the higher alcohols. Partial acid-fast stains or Stamp’s stain 11 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Certain bacteria cannot withstand decolourisation by a strong acid, but do if a weaker acid such as 0,5% acetic acid is used. Brucella, Chlamydia, Coxiella and Nocardia species stain with this method. Some bacterial endospores are also partially acid-fast. Giemsa and Diff Quik (CAM’s Quick, Rapid-Diff) stains These stains are very useful in the staining of certain bacteria and to visualize cellular morphology in tissue smears. They are used to demonstrate the capsule of Bacillus anthracis and the spirochaete Borrelia in blood and tissue smears. Bacteria usually stain well (deep purple) as the relationship of bacteria to tissue cells can be well demonstrated. Yeasts also stain well with these stains. However, moulds and mycobacteria tend to stain poorly or not at all. Staining for spores Spores are usually easy to observe as they stain negatively, whereas bacteria stain positively when normal bacterial stains are used. It is, however, possible to stain spores using acid-fast staining techniques. At times, the ideal growth conditions of artificial culture media can inhibit the production of spores. Therefore, before a spore stain is attempted, it might be necessary to culture the bacteria on a starch or trace element constrained medium. Staining of capsules The capsules of bacteria present in pathological material are often clearly stained with standard bacterial stains, such as basic fuschin, methylene blue, Giemsa or Diff Quik stains. Gram’s, Giemsa and Diff Quik stains colours them pink. However, capsules of bacteria cultured artificially usually do not stain well. Thus negative or relief staining techniques should be used. The best method to use is a wet-film India ink stain, as there is no protoplasmic shrinkage which could cause a false positive result. Slime produced by bacteria appears as irregular masses of pink amorphous material lying between the bacteria and outside the capsule of capsulated bacteria. Some bacteria lose their capsules when cultured on artificial media and special media and growth conditions may be required e.g. capsules will only be produced by Bacillus anthracis if grown in 5% CO2 on bicarbonate rich agar medium. Staining of flagella Because of the small size of flagella, they are difficult to visualize with light microscopy. Thus techniques are used to thicken them to ten times their normal size. A modified Leifson’s method is used, making use of basic fuschin with tannic acid, which is deposited on the bacteria from an evaporating alcohol solution. This stain will both swell and stain the flagella. The protoplasm of the bacteria is then stained with methylene blue. Staining of fungal hyphae and yeast cells 12 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Fungi often stain with difficulty when bacterial or cytological stains are used. Thus special stains have been developed to observe them. In cultured material the vital stain lactophenol cotton blue is preferred. Stains for the observation of fungi in clinical material include the Periodic-Acid-Schiff (PAS), and calcofluor white. An Indian ink wet mount is used to observe Cryptococcus neoformans blastospores and 10-20% potassium hydroxide with a vital dye to examine fungal infected hairs. The PAS stain is a two-step procedure, in that the periodic acid hydrolyzes the cell wall aldehydes, which then are able to combine with the modified Schiff reagent colouring the cell wall carbohydrates a bright pink magenta. Calcofluor is a nonspecific fluorochrome that binds to the 1,3-linked polysaccharides, specifically cellulose and chitin in cell walls of fungi. This stain can be mixed with KOH to clear the specimens. REFERENCES 1. Veterinary Microbiology and Microbial Disease, (2011). Quinn, P.J., Markey, B.K., Leonard, F.C., FitzPatrick, E.S., Fanning, S., Hartigan, P.J. Wiley-Blackwell. ISBN 978-1-4051-5823-7 13 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory APPENDIX Stains used in bacteriology a) Slides should be fat-free and free from lint or any other foreign substance. New slides can Included are formulae and preparation methods be cleaned by soaking in 95% ethyl alcohol, of commonly used stains in a bacteriology laboratory. Although formulas for stains are then wiping dry with clean gauze. b) Label slide with a diamond tipped pen, given, ready to use solutions are available commercially. For other staining procedures it is best to refer to bacteriology textbooks. Points to be considered when making stains. graphite pencil or wax marker. c) Place a loopful of distilled water in the centre of the slide. d) Flame a platinum wire e) Lift cover of Petri dish, or lid from container holding the culture. If necessary flame a) All dyes should be weighed accurately on an mouth of container. Please note that if a analytical balance. broth culture is used, solids may interfere b) The dyes should be ground in a mortar with the diluent, adding a small amount of the with the stain. f) Cool the loop inside the tube or in a clean diluent at a time until all has been added. portion of the agar, pick up a small portion of c) All staining solutions should be filtered the material to be smeared. If too much it before use, but not before they have been will be difficult to study the morphology of allowed to stand for at least 24 hours. individual bacteria and to observe motility. d) No solutions precipitation should has be used occurred. after g) Replace lid of container. When h) Holding slide in one hand, gently emulsify precipitation occurs, discard the solutions material on platinum loop in water or saline from the bottom of the bottle after the stain on the slide. has been used or filter and use the filtrate. e) Diluted solutions should be made in small quantities. The stock solutions keep for a i) Flame loop. j) Allow material on the slide to dry. k) Fix smear by passing it three times through much longer period of time than the diluted solutions. f) the blue portion of the flame, l) All solutions should show on the labels the Allow to cool before staining. Hot slides cause artefacts. concentration of the dye present and the m) If fixation by alcohol instead of dry heat is date of preparation. Use stain-resistant desired, the slide is placed in a Coplin jar of labels. methanol or ethanol. g) Keep all staining solutions out of direct sunlight. h) Keep all n) Stain slide according to individual staining instructions. staining solutions in glass- stoppered or sealed bottles. Preparation of smears from pure cultures o) Always clean the back of the slide after staining. p) Allow the slides to air dry or if hasty use a hand held hair dryer. 14 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Supplies 4. Wash under running tap water, air dry and examine. 1. Absolute methanol Interpretation 2. Analytical balance 3. Bunsen burner or alcohol flamer staining Cell nuclei, protozoa, bacteria and yeast stain a 5. Culture to be tested or specimen for direct dark blue to purple. Cell cytoplasm, fibrin and debris stain a light blue to pink. 4. Coplin jars (dependent on technique) smears 6. Distilled water 7. Ethanol (95%) 8. Frosted or dark glass bottles 1. Gram’s Stain (Hucker’s Modification) Stock crystal violet 9. Glass microscope slides, frosted at one end Crystal violet 10g Ethanol (95%) 100ml 10. Gloves 11. Graphite marker (pencil)/ wax marker/ diamond tipped pen. 12. Bacteriological loop 13. Standard light compound bright-field Stock oxalate solution Ammonium oxalate 1g microscope Distilled water 14. Blotting paper 15. Stains (see list of suppliers) according to requirements of laboratory. 16. Non-absorbant paper and marking pen 17. Tripod for Bunsen burner 100ml Crystal violet working solution: Mix 20ml of stock crystal violet with 80 ml stock oxalate solution. Gram’s iodine solution. 18. Water bath. Iodine crystals 1. CAMSQuik/Rapid Diff/ DiffQuick Potassium iodide Use 1g stain according to 2g manufacturer’s instructions. In samples where there is a heavy bacterial load, it is best to use staining racks, to prevent contamination of the stains. This stain tends to overstain, particularly when new. Procedure 1. Fix smear for 30s in methanol (fixative) 2. Stain in solution one (pink stain) for 8 Dissolve completely in 10ml of distilled water, and then add distilled water to make 200ml Store in an amber bottle. Decolourizer Ethanol (95%) 75ml Acetone 25ml seconds or eight dips or until stain clings to smear. 3. Stain in solution two (purple) for 20 seconds. 15 | P a g e Counterstain Saffranin 2.5g Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Ethanol (95%) Stock solution 100ml Dissolve this stock solution 1:4 with distilled water. Giemsa powder 0,3g Glycerin 25ml An alternative counterstain is: Absolute acetone-free methanol 25ml Basic fuschin 3g (Available commercially) Ethanol (95%) 100ml If the stain does not go into complete solution, it should be filtered. Procedure Best performed on young cultures, because older cultures decolourize too rapidly. 1. Make a thin smear of clinical material or thin Giemsa buffer Sodium phosphate Na2HPO4 (anhydrous) M/15 9,47 g/l or Na2HPO4.2H2O M/15 11.87 g/l emulsion of colony. Air dry smear. Fix the film by passing through a Bunsen burner flame three times. 2. Flood the slide with crystal violet stain. Leave for 60s. 3. Pour off the stain, and wash with water. 61.1 ml Potassium phosphate KH2PO4 (anhydrous) M/15 9,08 g/l 38.9 ml Distilled/deionised water 900 ml 4. Flood the slide with Gram’s iodine. Leave for 60s. 5. Wash off iodine with water and shake off excess water. 6. Decolourize with acetone-alcohol until Staining procedure decolourizer flows off colourless from the 1. Fix smear in methanol for 3-5 mins. slide, but for a maximum of 20 seconds. 2. Dry in air 7. Counterstain with safranin for 30 s and wash off with water. Weak carbol fuschin at a dilution of 1:10 can also be used. Interpretation Gram-positive: Dark blue Gram-negative: Pink Note that old cultures of gram-positive bacteria may stain Gram-negative. 2. One volume of stock solution is diluted with 9 volumes of Giemsa buffer. Giemsa stain 16 | P a g e 3. Immerse in diluted stain for 5 min (5% Giemsa) or for 30 mins (10% Giemsa). 4. Wash with distilled water or buffer. 5. Allow to air dry. Interpretation Bacteria, fungi, protozoa and nuclei will stain a dark blue. Cytoplasm and fibrin will stain a light pink/blue. The capsule of Bacillus anthracis stains magenta red. 3. Loeffler’s Methylene Blue Stain Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory This is a simple basic stain. After the stain 4. ripens or is oxidized (12 months), it is useful for staining the capsules of Bacillus anthracis. 5. 30 sec. (McFadyean’s reaction). Methylene blue (1% in 95% ethanol) Potassium hydroxide aqueous solution) (0,001% Distilled water 30ml Wash with water and stain with safranin for Wash under running tap water, allow drying and examine. Interpretation 1ml Endospores stain a bright refractive green and bacteria protoplasm pink. 100ml 6. Stamp’s stain (modified acid-fast for Brucella) Procedure a. 1. The fixed smear is stained with the above solution for 1 min. 2. Wash in running tap water and allow to air dry. Interpretation b. beading and granules of corynebacteria may also be seen. The capsule of Bacillus anthracis appears as amorphous purplish material around the bacteria (McFaydean’s reaction). Basic fuschin 1g Absolute methanol Phenol (5%) 10ml 90ml Decolourizer Acetic acid Distilled water Bacteria stain blue, with endospores appearing as unstained bodies within the cells. The Stock carbol fuschin (weak) 0,5ml 95,5ml For Nocardia 0,05% aqueous sulphuric acid 4. Counterstain Loeffler’s methylene blue (see Ziehl Neelsen method) 5. Schaeffer and Fulton spore stain Staining procedure 5% aqueous solution of malachite green 0,5% aqueous solution of safranin Staining procedure 1. 1. Make smear and heat fix. 2. Stain smears in a 1:10 solution of the stock carbol fuschin for 15 mins. 3. excess stain. Prepare smear and heat fix as for Gram’s stain. Wash in running tap water to remove 4. Decolourize with acetic acid for 20 - 30 secs. 2. Flood with malachite green. 3. Steam gently over a flame for 30 sec (don’t 5. Wash in running tap water. allow to boil). The stain should be just 6. Counterstain with Loeffler’s methylene blue 7. for 30sec. Wash and air dry. Examine. steaming. Placing the glass smear over a jar with boiling water in the area of the steam will have the same effect. 17 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Interpretation Interpretation Red: Brucella, Nocardia, Chlamydia, Coxiella Red: Mycobacteria Blue (or green); Other organisms and background material Blue: Other organisms and background 7. Ziehl-Neelsen method) Acid-Fast Stain (rapid Solutions: 8. Modified acid-fast stain for Nocardia species. Staining procedure 1. Carbolfuchsin stain 0.3 g 100 ml Basic fuchsin Ethanol, 95% 1. Make a smear of the organism from growth media and heat fix. 2. Flood the slide with Kinyoun carbol fuchsin 45 g/ 900 2. This solution is mixed with ml water for 5 minutes. 3. Pour off excess stain. 4. Decolourize with 1% aqueous sulphuric 5% Phenol 32 ml 970 ml 3. Acid alcohol Hydorchloric acid. 5. Wash with tap water. 6. Counterstain with methylene blue for 1 acid (concentrated) Ethanol, 95% 2.0 g 1000 ml 4. Counterstain minute. 7. Rinse with water and dry. 8. Examine with the 100X oil immersion optics. Acid-fastness can be enhanced by growth on Middlebrook 7H11 agar. Malachite green/methylene blue Distilled water Procedure 1. Heat fix impression smears 2. Cover slides with carbolfuchsin stain and heat steam for 5 minutes 3. Rinse with tap water 4. Decolorise by rinsing with acid alcohol for 2 minutes Interpretation Acid-fast (red): Most Nocardia spp. Negative (blue): Other actinomycetes. 1. Diene’s stain for mycoplasma cultures Methylene blue 2.5g Azure II 1.25g Maltose 10g 5. Rinse with tap water 6. Counterstain with malachite green for 0.5 – Sodium carbonate 0.25g 7. 1 minute Rinse with tap water and leave to air dry Distilled water 100ml 18 | P a g e Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory Staining procedure 1. 2. Place a small amount of the stain next to a Distilled water 20ml Cotton blue 0,05g or 1% aqueous solution 2ml suspected colony (with a loop or cotton swab). Dissolve phenol in the lactic acid, glycerol, and The stain will diffuse and the colony will Then add cotton blue (Poirrier’s blue and aniline blue are analogous to cotton blue). Mix well. become blue if it is mycoplasma. Live bacteria decolourize the stain within a few minutes. water by gently heating (if crystals were used). Staining procedure 1. Place a drop of the stain on a clean 2. Pick up some fungal hyphae by using Staining procedures for fungi microscope slide. India ink wet mount either a dissecting needle or cellophane tape (for methods refer to Chapter 25). Clinical material or organisms from cultures are mixed on a slide in a drop made up of loopfuls of 3. Place in or on the drop of stain. distilled water and India ink or permanent black 4. Place a coverslip on top and examine under a light microscope, with reduced condenser aperture. pen ink. Experience will indicate the amount of India ink to use. A coverslip is added, and the preparation examined. The large capsules of Cryptococcus neoformans show up. An Interpretation alternative method is to suspend the material in Young fungal hyphae stain blue. distilled water under a coverslip and then add the India ink to the edge of the coverslip. The ink 3. will seep under the coverslip and provide areas of variable density. Procedure 1. 1. Lactophenol cotton blue Periodic-acid-Schiff (PAS) Fix the smear with formalin-ethanol for 1 min. Lactophenol blue is used both as a mounting 2. fluid and a stain. Lactic acid acts as a clearing Drain alcohol and place in 5% periodic acid for 5 mins. agent and aids in the preservation of fungal 3. Wash in running water for 2 mins. structures, phenol acts as a killing agent, 4. Place in basic fuschin zinc (or sodium) glycerol prevents drying and cotton blue gives colour to the structures. hydrosulphite (Schiff reagent) for 2 mins. 5. Wash for 2 mins. Under running water. 6. Immerse slide in sodium metabisulphate for Stain preparation 2 to 5 mins. Lactic acid 20ml Phenol crystals (conc. Phenol) 20g Glycerol or glycerine 40ml 19 | P a g e 7. Wash for 5 mins under running water. 8. Counterstain with picric acid or light green for 5 seconds. Applied Veterinary Bacteriology and Mycology: Bacteriological Techniques Chapter 4: Microscopic techniques and principles of staining methods used in a diagnostic bacterial laboratory 9. Wash for 5-10 seconds. 10. Dip slide for 5 second intervals in 85%, *Fluorescent brightener 28 Product no F3397. Sigma 95% and absolute alcohol consecutively. 11. Dip in xylene, add mounting medium and cover with a coverslip. Mix well and store at room temperature in a dark bottle. Interpretation Method Fungal elements stain a bright pink-magenta or 1. Use I drop of calcofluor white purple against an orange background if picric 2. Add I drop of 10% KOH (for clearing) acid is used or green background if light green is used. 3. Add a coverslip, allow to sit at room temperature for approximately 3 minutes and 4. Calcofluor white examine under a fluorescent microscope with an exciter that transmits wavelengths between 300 and 412nm. This is a very rapid and useful method to examine fungi in specimens. If the slide is to be saved, remove the coverslip, rinse the slide briefly with distilled water and allow to air dry. The smear then can be stained with a permanent stain. To make up the stain Calcofluor white M2R* 100mg Evans Blue 50mg Distilled water 100ml 20 | P a g e 4. Interpretation Fungal structures are seen as a brilliant applegreen or ghostly white, dependent on the wavelength of light they are examined under.