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Manual of basic techniques for a health laboratory - libdoc.who.int

Manual of basic techniques for a health laboratory - libdoc.who.int

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4. Parasitology 153MethodPreparation <strong>of</strong> grease-free coverslips1. Mix in a cylinder: 10ml <strong>of</strong> 95% ethanol and 10ml <strong>of</strong> ether.2. Pour <strong>int</strong>o a Petri dish and in it place 30 coverslips, one by one;shake and leave <strong>for</strong> 10 minutes.3. Take the coverslips out one by one and dry them with gauze.4. Keep them in a dry Petri dish.The above steps are summarized in Fig. 4.104.Fig. 4.104 Preparation <strong>of</strong> grease-free coverslipsConcentration <strong>of</strong> parasites1. Place approximately 0.5g <strong>of</strong> stool in a wide-mouth bottle. Fill the bottle to the2.5-ml mark with Willis solution.2. Using an applicator, crush the portion <strong>of</strong> stool and mix it well with the solution.Then fill the bottle to the top with Willis solution; the suspension should becompletely uni<strong>for</strong>m.3. Place a coverslip carefully over the mouth <strong>of</strong> the bottle.4. Check that the coverslip is in contact with the liquid, with no air bubbles. Leave<strong>for</strong> 10 minutes.5. Remove the coverslip with care; a drop <strong>of</strong> liquid should remain on it. Place thecoverslip on a slide and examine under the microscope (using the ¥10 objective)at once because the preparation dries very quickly. Otherwise seal the coverslipwith petroleum jelly and wax.Use the fine adjustment <strong>of</strong> the microscope to examine every object in the field(eggs tend to stick to the coverslip and are not immediately distinct).4.5.2 Formaldehyde–ether sedimentation technique(Allen & Ridley)PrincipleThe stool specimen is treated with <strong>for</strong>maldehyde, which preserves any parasitespresent. Lumpy residues are removed by filtration. Fatty elements <strong>of</strong> the faecalsuspension are separated by extraction with ether (or ethyl acetate), followed bycentrifugation, which sediments any parasites present.Materials and reagents● Microscope● Microscope slides● Coverslips● Centrifuge● Test-tubes● Test-tube rack● Centrifuge tubes● Wooden applicators● Brass wire filter, 40 mesh (425mm), 7.2cm diameter (nylon c<strong>of</strong>fee strainersprovide an inexpensive alternative)● Small porcelain or stainless steel dish or beaker● Pasteur pipette

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