370 IndexBI, see Bacteriological indexBilirubin crystals, urine 248, 248Binding tests, immunology 330–335,330–335Biopsy specimens 93, 95–96, 160–163,161–163Blank reagent 353Blastocystis hominis (yeast) 124–125, 127Bleaches, household 84–85Bleeding time, measurement 295–296,295–296Bloodcells 265–266, 265–266clotting 266, 266, 297–298, 297–298CSF specimens 256–259, 256–259disinfection 84–85stool specimens 157–159, 158urine specimens 234, 241–242,241–243, 244Blood flukes (Schistosoma spp.) 106,150–151, 151Blood specimenschemistry registers 47, 49collection 102, 267–270, 267–270,280–282, 281, 286dispatch 92equipment 42–43, 43glucose concentrations 322–325,323–324parasites 159–160, 166–196micr<strong>of</strong>ilariae 159, 163–172, 166,167, 169, 171, 173Plasmodium spp. 172–182, 178protozoa 172–194, 178, 185, 187,193–194Trypanosoma spp. 159, 182–194,185–187test-tube cleaning 82thick blood films 173–182, 175, 187,187, 193–194, 193–194thin blood films 175, 299–314,300–304, 306–314urea concentrations 7, 325–327Boric acid 353Bottles 36–37Brilliant cresyl blue 316–317, 318–319,353Broken glass injuries 101Brugia spp. 159–160, 165, 166, 171,173Bubonic plague (Yersinia pestis)203–204, 218, 219Buffered glycerol saline 217–218, 353–354Buffered water 29–31, 31, 354, 361–362Bunsen burners 35Burettes 77, 77Burns, <strong>laboratory</strong> accidents 100–101Butane gas burners 97Cables, electrical 19Cabot ring bodies 309, 310Calcium crystals, urine 245, 245, 246,246, 247Calcium hydroxide 85Calcium hypochlorite 84–85Calculations (see also Measurement)blood glucose concentration 7,324–325blood urea concentration 327erythrocyte number concentration 6,287–288erythrocyte sedimentation rate292–295, 293–294erythrocyte volume fraction 6,279–287, 280–283, 286–287haemoglobin concentration 7,271–279, 272–273leukocyte number concentration 6,258–259, 258–259, 288–290,288–292leukocyte type number fraction 6,319–321, 320malaria parasites 180–182reticulocyte number concentration/fraction 6, 317–318thrombocyte number concentration7, 321urine protein 238–239Calibrated dropping pipettes 75, 75Calibrationcolorimeters 277, 278, 279, 324spectrophotometers 272–274,272–273, 276, 279Campylobacter spp. 216Candida albicansCSF 257, 261, 261identification 200, 200vaginal discharge 215Capillary bloodbleeding time 295–296, 295–296collection 164, 164, 166, 280–281,281glucose concentration 325Carbol fuchsin solution 354Card agglutination trypanosomiasis test(CATT) 188–192, 189–192Cary–Blair transport medium 216–217,354Casts, urine 240, 243–244, 243–244Catheters 233CATT, see Card agglutinationtrypanosomiasis testCavity body fluids, specimens 218–219Cellophane faecal thick smeartechnique 141–143, 142–143Cellsblood 125, 125, 265–266, 265–266plasma 312, 312polymorphonuclear 310–311, 311,313, 313target 306, 307urine specimens 241–243, 241–243Centrifugation 69, 166–168
Index 371Centrifuges 32, 69–72, 69–73balancing 72, 72cleaning and ma<strong>int</strong>enance 83tubes 34, 37Cerebrospinal fluid (CSF) 255–264,255–264blood in 256–259, 256–259glucose concentration 7, 261–262<strong>laboratory</strong> registers 47, 50leukocyte number concentration/fraction 6, 258–259meningitis 260–261, 260–261protein concentration 262, 262specimen containers 44, 82specimen dispatch 92trypanosomes 259–260, 260Chagas disease 192–194, 193–194Chancre, syphilitic 210, 210Chemical <strong>for</strong>mulae, reagents 350Chemicals, storage 45Children (see also Infants; Neonates)Chagas disease 192–194, 193–194erythrocyte number concentration287erythrocyte volume fraction 284Haemophilus influenzae 261, 261leukocyte number concentration291leukocyte type number fraction 320normal haemoglobin 275normal thrombocytes 321reticulocyte number concentration318venous blood collection 267Chilomastix mesnili 115–116, 117, 121,121Chinese liver fluke (Clonorchissinensis) 106, 130, 134, 134Chloramine 85Cholesterol crystals, urine 247, 248Chromatoid bodies 122Ciliatescysts 121, 121motile <strong>for</strong>ms 111, 116, 117pathogenicity 111Cleaning 77–85, 78–82centrifuges 83glassware 77–81, 78–81incubators 83<strong>laboratory</strong> balances 66–67microscopes 65, 64–65reusable syringes/needles 81specimen containers 81–82, 82Clonorchis sinensis (Chinese liverfluke) 106, 130, 134, 134Clottingblood 266, 266, 297–298, 297–298CSF 257Coccidia 122, 122, 124Colorimeters 32, 271–274AHD method 276–277calibration 277–278, 278, 279, 324Colour reagent 367Communicable diseases, reporting 52Concentration <strong>techniques</strong>,parasites 152–156, 152–157Concentrationsblood glucose 322–325, 323–324blood urea 325–327CSF glucose 26l–262erythrocyte number 6, 263, 284,287–288haemoglobin 7, 271–279, 284–285leukocyte number 6, 265, 288–290,288–292measurement 4–6reticulocyte number 6, 316–319thrombocyte number 7, 266, 321Condensers, microscopes 56, 56, 58,60–61, 60Confidentiality 2Containerscleaning 81–82, 82“sharps” 96specimens 42–44, 42–44Corrosive injuries, acids/alkalis 98–100Corynebacterium diphtheriae (see alsoDiphtheria)specimen dispatch 207, 207staining <strong>techniques</strong> 201, 201–202Counters, differential 32Counting chambers 37Fuchs–Rosenthal 258–259, 258–259Neubauer 259, 288, 288–291, 290Counts (see also Numberconcentrations; Numberfractions)parasite eggs 251sperm 214–215Coverslips, slides 80, 80, 81Cresols 83Cresyl blue, see Brilliant cresyl blueCryptococcus ne<strong>of</strong>ormans, CSF 257, 261,261Cryptosporidium spp. 123–124, 124,202–203Crystals, urine 236, 240, 245–248,245–248Crystal violet, modified Hucker 355CSF, see Cerebrospinal fluidCulturesdispatch 206–207, 207, 263–264, 264Mycobacterium leprae 223urine 254watery stools 216Cutaneous leishmaniasis 195–196Cuts, <strong>laboratory</strong> accidents 101Cystine crystals, urine 247, 247Cystshyatid 151, 151protozoa 118–125, 119–122, 124–125stool examination 108, 109yeast 124–125, 125
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M A N U A LO F B A S I CTECHNIQUESF
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ContentsiManualofbasic techniques f
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7. Examination of urine 231Part III
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