Estonian University of Life Sciences Institute of Veterinary Medicine and Animal Sciences Infectious Diseases Responsible: Brian Lassen Standard Operation Manual Document nr: Author: Brian Lassen Version nr.: 1.1 Kinnitas: Date: 10. veebr. 2012 Page. nr. 1 (7) Quantitative flotation method using conentration flotation and chambers constructed of microscopic slides or McMaster 1. GENERAL The method is applied for quantitative egg counts retrieved from faecal samples using a chamber constructed by microscopic slides. The advantages are: A) inexpensive (0.13 EUR/chamber compared to 47 EUR for a McMaster chamber); B) higher clarity (0.1 mm cover slide compared to thicker cover in McMaster chamber), C) allow higher magnification (McMaster chambers can not always use x40). D) Allow more flexibility in volume exmined and more accurate calculations of OPG/EPG. Disadvantages: breaks after around 10-20 uses and requires calculations Protocol adapted from: Modified from FAO Animal Health Manual 3, “Epidemiology, diagnosis and control of helminth parasites of swine” p. 51-56 1.1. PERSONS RESPONSIBLE Prepare work instructions Brian Lassen. Confirms the work instruction ................. Work instructions and methodologies to be responsible for updating the file ....................... Place the code ..................... Location Guide confirms ..................... Place to monitor the timeliness of the Code .................. 1.2. STORAGE AND DISTRIBUTION After washing, stored to dry. Must not be kept in liquid for long as it dissolves glue holding it together. 2. Structure and content of work instructions a) Collection of feacal sample b) Preparation of faecal sample c) Reading of sample 2.1. USAGE / PURPOSE OF THE INVESTIGATION Quantitatively give information on the parasite burden of an animal based on eggs/oocysts shed in faeces. 2.2. PRINCIPLE OF THE METHOD A weighed sub-sample of faeces is dissolved in water, filtered, spun down, pellet resuspended in flotation liquid, a subsample of solvent added to a reading chamber, and eggs counted with a microscope when they have floated to the cover glass. 2.3. EQUIPMENT AND SUPPLIES ◦ Plastic bags/gloves for collection of individual faecal samples ◦ Water proof marker Plastic cup (supermarket) or clay crucible Plastic spoon (supermarket) or toughe spartel (Vet. Aptek or Kruuse-Dimela) Dispenser with tap water or 100 ml measuring beaker with 1 ml intervals Gauze (Vet. Aptek or Dimela) 14 ml centrifuge tubes Centrifuge (MPW-350e) Plastic pasteur pipettes (500 pc, Roth-Akrom-Ex, EA65.1) Counting chamber (in house) Microsopic splides, 76x26x1 mm (50 pc, Quantum) Cover slides 50x24x0.1 mm (100 pc, Quantum) Super glue Flotation liquid (in house) Click counter (Hounisen, 20863039) Microscope (Zeizz, Axiostar plus) 2.3.1. Equipment calibration procedures Construction of chamber (Henriksen and Korshom, 1984). A) 1 x microscopic slide (76x26x1 mm) B) 2 x pieces of microscopic slipe (26x26 mm cut from normal slide with a glass cutter) Glue to attach B on A. Cover slide (disposed after use) Calibration of flotation liquid density Weigh 1000 µl tap water in a glass 10 times [m:water]. Record weight. Weigh 1000 µl flotation liquid in a glass 10 times [m:flotation]. Record weight. Density (ρ) = [m, flotation] / [m, water] (ρ = g/cm3) 2.4. CULTURE MEDIA, CHEMICALS, REAGENTS Sugar-salt flotation liquid (in house) Description: flotation liquid: density 1.24 Warnings: corrosive to microscope – clean spills! Storage: room temperature in plastic bottle Making of batch: see 2.9 2.5. PROCEDURE 2.5.1. Pretreatment of samples Samples should be taken from rectum of animal to avoid contamination of other animals faecal samples or earth nematodes if taken on pasture. If not possible, then take from a freshly shed sample, but only the top of the sample (<1 hour). Put sample in a plastic bag and mark it with: farm name, age of animal, earmark/name, date, faecal consistency. Scoring of faecal consistency (should be scored at the farm since the consistency may change in the bag over time): Binary scale: diarrhoeic (definition: runs out of bag at room temperature)/non-diarrhoeic Five scale: 0 = hard and dry, 1= normal, 2= soft, 3= thin, 4= watery, 5= watery and bloody All equipment should be thoroughly washed before use, and poured with hot water after washing (or autoclaving). Before taking sub-sample to be examined, mix sample in the bag by gently squeezing the material around to homegenize the material and thus eggs in the sample. 2.5.2. The reagents and testing of It is possible to include a negative if suspecting cleaning procedure of the method is faulty (water in plastic cup – no faeces). 2.5.3. PROCEDURE [faecal samples may contain zoonotic parasites (eg. Giardia, Cryptosporidium, Toxocara canis etc.). 1. Thus, take care to avoid consumig faecal matters: wear gloves and wash hands frequently.] 2. Mark a plastic cup with the sample number 3. Weigh 4 grams of faeces with a plastic spoon into the plastic cup 4. Add 56 ml tap water (14 ml per gram feaces = 14 ml water + 1 ml volume per gram feaces; so 15 ml = 1 gram faeces) using the dispenser (avoid air bubbles in the dispenser) and mix. 5. Leave sample for half an hour. 6. Mix sample and filter suspension through a single layer of into a 14 ml centrifuge tube up to the 10 ml mark (= 10/15 = 2/3 g faeces). 7. Centrifuge sample 7 min. at 234 rcf (1200 rpm) 8. Remove the supernatant by tilting the centrifuge tube at a 45 degree angle and carefully removed supernantant with a pasteur pipette sucking from the surface to the bottom. 9. [at this point samples can be stored up to a week in a refridigator, but should be read as early as possible] 10. Resuspended the pellet with saturated sugar and salt solution (ρ = 1.26 g/cm3) up to the 4 ml mark 5 min prior examination (= 3 ml flotation liquid + 1 ml pellet). 11. Fill a counting chamber with mixed sample (total reading volume [Vr]: 24 mm x 24 mm x 1 mm = 576 mm3 = 0.576 ml). 12. Read 3 vertical rows (alternatively entire chamber) of the chamber at x200 magnification and count eggs/oocysts [COUNT] using a click counter. See APPENDIX for creating multiplication tables. If method is performed as described above the multiplication factor is calculated: [MF] = 6 / [Vr] 2.6. RESULTS 2.6.1. Calculation of results: calculation formulas and explanations of the symbols Calculation of multiplication factor, altered quantitative flotation: Multiplication factor [MF] is described in APPENDIX and tables. 2.6.2. Expression of results and interpretation Results should be related to age of the animal to determine its relevance. It should be taken into account that a low count may indicate either: maximum, an increasing, or decreasing amount of eggs. The classical methods assume 1 g faeces = 1 ml. The actual volume may vary depending on contents of the faecal matter. This creates an uncertanty of the final count (not studied). It has to be taken into account that the mass of faeces with different consistency (diarrhoeic or normal) contain different amounts of water and create a considerable underrepensentation of diarrhoic EPG/OPG counts (less faecal material per gram). This can be accounted for by drying a subsample to determining dry matter content (2 days in 70 degrees Celsius in an incubator). 2.6.3. Reliability: Specificity – depends on egg type Sensitivity: 20 eggs per gram faeces (calculated for 2 chambers of 0.30 ml of a McMaster chamber, otherwise depends on volume read in home made chamber). 2.6.4. Workability characteristics 2.7. Differences to this methodology Some methods of use 1-5 grams of sample. 2.8. ToR documents or document and Literature Link: Original McMaster method; guided presentation: http://www.rvc.ac.uk/review/parasitology/EggCount/Purpose.htm 1. Henriksen S., Korsholm H., 1984. Parasitologisk undersøgelse af fæces-prøver. Konstruktion og anvendelse af et enkelt opbygget tællekammer. Dansk Vet. Tidskr. 67, 1193-1196. 2. Modified from FAO Animal Health Manual 3, “Epidemiology, diagnosis and control of helminth parasites of swine” p. 51-56 2.9. SOLUTIONS FOR PREPARATION INSTRUCTIONS Sugar-salt flotation liquid 1. Dissolve 500 g sugar per liter of tap water under constant heating and stirring (DO NOT BURN SUGAR – will give brown liquid) 2. Add salt until saturated (continue heating) 3. Cool down and bottle. 4. Write down: name of maker of solvent, batch date, density, what kind of flotation liquid on bottle. APPENDIX: Volume calculations APPENDIX: Multiplication factor calculations APPENDIX: MULTIPLICATION FACTORS AND CALCULATIONS Objective area in mm = Visual index in mm Magnification of objective x Tubus factor Visual index: 18 mm (Zeiss) and 22 (Nikon H550L), Tubus factor: 1 Objective area: Magnification of objective Microscope Ceti Topic T w. phase contrast (mm) Objective area (mm3) V = r2 x ¶ x 1 mm Volume of objective area (ml) x4 x10 x20 x40 x100 4.5 5.0 5.5 15.90 19.64 23.76 1.59 x 10-2 1.97 x 10-2 2.38 x 10-2 1.8 2.0 2.2 2.55 3.14 3.80 2.55 x 10-3 3.14 x 10-3 3.80 x 10-3 0.9 1.0 1.1 0.64 0.79 0.95 6.36 x 10-4 7.85 x 10-4 9.50 x 10-4 0.45 0.50 0.55 0.16 0.20 0.24 1.59 x 10-4 1.96 x 10-4 2.38 x 10-4 0.18 0.20 0.22 0.03 0.03 0.04 2.55 x 10-5 3.14 x 10-5 3.80 x 10-5 Visual index 18 (Zeiss) 20 22 (Nikon) 18 (Zeiss) 20 22 (Nikon) 18 (Zeiss) 20 22 (Nikon) Multiplication Factors for Henriksen and Korsholm chamber Concentration Technique (Visual index: 18, 20, and 22) Magnification Visual Index Volume pellet is diluted in (ml) 1 visual area 3 visual areas 1 column 3 columns Total chamber x4 18 20 22 18 20 22 18 20 22 18 20 22 18 20 22 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 377 306 253 2358 1910 1578 9431 7639 6316 37726 30558 25254 235785 190986 157840 126 102 84 786 637 526 3144 2547 2105 12575 10186 8418 78595 63662 52613 56 50 46 139 125 114 278 250 227 556 500 455 1389 1250 1136 19 17 15 46 42 38 93 83 76 185 167 152 463 417 379 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 x10 x20 x40 x100 Eye ocular converter to micrometer Zeiss Axiostar Plus Magnification Micrometer bars (1/100mm) 1000 (x100) 18 400 (x40) 45 200 (x20) 90 100 (x10) 180 50 (x5) 356 40 (x4) Objective area (mm) 0.1800 0.4500 0.9000 1.8000 3.6000 10 ocular bars (1/100 mm) 1 2.5 5 10 20 1 ocular bar (mm) 0.0010 0.0025 0.0050 0.0100 0.0200 1 ocular bar (micrometer) 1.0 2.5 5.0 10.0 20.0