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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 1771. Allow the thick film to dry thoroughly; if results are required urgently, dryingmay be hastened by fanning, or briefly exposing the slide to gentle heat such asthat from a microscope lamp. Care should be taken to avoid overheating, otherwisethe thick film will be heat-fixed.2. Fix the thin film by adding three drops <strong>of</strong> methanol, or by dipping it <strong>int</strong>o acontainer <strong>of</strong> methanol <strong>for</strong> a few seconds. To permit dehaemoglobinization, thethick film should not be fixed; there<strong>for</strong>e avoid exposure <strong>of</strong> the thick film to methanolor methanol vapour.3. Prepare a 10% Giemsa solution in buffered or distilled water, pH 7.2; if a smallquantity is being used, three drops <strong>of</strong> stain per ml <strong>of</strong> buffered water will give thecorrect concentration <strong>of</strong> Giemsa solution. One slide requires about 3ml <strong>of</strong> madeupstain. Mix the stain well with a glass rod.4. Gently pour the stain on to the slides or use a pipette. Stain <strong>for</strong> 5–10 minutes.5. Gently flush the stain <strong>of</strong>f the slides by adding drops <strong>of</strong> clean water. Do not tip <strong>of</strong>fthe stain and then wash, as this will leave a deposit <strong>of</strong> scum over the smears.6. Place the slides in the slide rack to drain and dry, film side downwards, makingsure that the film does not touch the slide rack.Staining blood films with Field stainStaining with Field stain allows rapid detection <strong>of</strong> malaria parasites (but it does notalways stain Schüffner’s dots).Materials and reagents● Microscope●●●Glass jarsSlide racksMethanol● Field stain (reagent no. 25)● Buffered water, pH 7.2 (reagent no. 15).Method <strong>for</strong> staining thick films1. Dip the unfixed film <strong>int</strong>o a jar containing Field stain A solution <strong>for</strong> 3 seconds.2. Wash gently by dipping (once) <strong>int</strong>o a jar <strong>of</strong> clean water <strong>for</strong> 5 seconds.3. Dip the slide <strong>int</strong>o a jar containing Field stain B solution <strong>for</strong> 3 seconds.4. Wash the slide gently as in step 2.5. Place the slide upright in a slide rack to air-dry.Method <strong>for</strong> staining thin films1. Fix the film in methanol <strong>for</strong> 1 minute.2. Wash <strong>of</strong>f the methanol with buffered water.3. Using a pipette, cover the film with diluted Field stain B (one volume <strong>of</strong> stainplus four volumes <strong>of</strong> buffered water).4. Immediately add an equal volume <strong>of</strong> Field stain A solution and mix well bytilting the slide.5. Allow to stain <strong>for</strong> 1 minute.6. Wash <strong>of</strong>f the stain with clean water.7. Place the slide upright in a slide rack to air-dry.

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