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Staining techniques

الكلية كلية الطب     القسم  التشريح والانسجة     المرحلة 3
أستاذ المادة جوان احمد علي الهماوندي       5/20/2011 9:20:52 AM

Lab.5

Staining techniques

Bacteria are semi transparent difficult to visualized in unstained condition. Identification of bacteria is aided by their staining reaction.

Stain: are coloring agent used for biological purposes to identify microscopical agents. There are alkaline and acidic stains. There are three types of staining methods:

Simple stain: is composed of one type of stain, e.g. crystal violet (C.V.), safranin.

Differential stain: it gives different color to different bacteria e.g. Gram’s stain, Albert’s stain and Ziehle Neelsen (ZN) stain.

Special stain: e.g.:

Negative staining (have background colored in which bacteria remain unstained).

India ink stain for capsule staining.

Special stains used for staining of some bacterial components like spore stain and flagella stain.

Gram stain technique:

The Gram stain procedure was originally developed by the Danish Physician Hans Christian Gram in 1884 to differentiate pneumococci fro Klebsiella pneumonia. In brief, the procedure involves the application of a solution of iodine (potassium iodide) to cells previously stained with crystal violet or gentian violet. This procedure produces purple colored iodine-dye complexes in the cytoplasm of bacteria. The cells that are previously stained with crystal violet and iodine are next treated with a decolorizing agent such as 95% ethanol or a mixture of acetone and alcohol. The difference between Gram-positive and Gram negative bacteria is in the permeability of the cell wall to these purple colored iodine-dye complexes when treated with the decolorizing solvent. While Gram-positive bacteria retain purple iodine dye complexes after the treatment with the decolorizing agent. Gram-negative bacteria do not retain complexes when decolorized. To visualize decolorized Gram-negative bacteria, a red counter stain such as safranin is used after decolorization treatment.

The first consideration is the correct preparation of the smear. Make a thin film of the material on a clean glass slide, using a sterile loop. Air dry, then heat fix the slide by passing it several times through a flame (the slide should not become too hot to tough). Failure to follow these directions may disrupt the normal morphology of bacteria and cells.

To be visible on a slide, organisms that stain by the Gram method must be present in concentrations of a minimum of 104 to 105 organisms/ml of unconcentrated staining fluid. At lower concentrations, the Gram stain of a clinical specimen seldom reveals organisms even if the culture is positive. Smears that are not properly fixed tend to be washed away during staining and washing resulting in the absence of stained bacteria.

Staining procedure:

Flood slide with crystal (or gentian) violet 10 seconds. (Wash with running tap water).

Flood with Gram’s iodine 10 seconds. (Wash with water).

Carefully decolorize with 95% ethanol until thinnest parts of the smear are colorless. (Wash with water). This third step is the most critical and also the one most affected by technical variations in timing and reagents.

Flood with safranin (pink color) 10 seconds. (Wash with water). Air dry, or blot with absorbent paper.

Results:

Organisms that retain the violet-iodine complexes after washing in ethanol stain purple and are termed Gram-positive, those that lose this complex stain red from the safranin counter stain are termed Gram-negative.

Notes:

In the diagnosis of patients with acute infections, the decision to send specimens of sputum, urine, cerebrospinal fluid or material from wounds or abscesses for culture should automatically trigger a response to first examine a Gram-stained smear.

There are some specimens that are not suitable for routine Gram staining, such examples are routine throat and stool specimens in which the pathogen usually cannot be distinguished from the normal flora. Blood specimens are rarely Gram-stained.

Certain bacteria stains only feebly or not at all with the Gram staining technique requiring special staining techniques. Such examples are acid-fast staining for mycobacteria and nocardia, and immunofluorecent stain for Legionella.

Interpretation of Gram stain reaction:

Most cell walls contain Peptidoglycan, a molecule made of amino acids and sugar. A distinguishing factor among Gram-positive bacteria is that 90% of their cell wall is comprised of Peptidoglycan and a Gram-positive bacteria can have more than 20 layers of Peptidoglycan stacked together to form the cell wall.

The blue-violet color reaction in Gram-positive bacteria is caused by crystal-violet, complexing with the iodine mordant. When the decolorizer is applied, a slow dehydration of the crystal-violet/iodine complex is observed due to the closing of pores running through the cell wall. Because the crystal-violet is still present in the cell, the counter stain is not incorporated, thus maintaining the cell’s blue-violet color.

Unlike Gram-positive bacteria, which appear a violet color in Gram staining, Gram negative bacteria incorporate the counter stain rather that the primary stain. Because the cell wall of Gram-negative bacteria is high in lipid content and low in Peptidoglycan content, the primary crystal-violet escapes from the cell when the decolorizer is added. This is because primary stains like to bind with Peptidoglycan- sometimes the Gram negative cell has very little of. This pathogenic capacity of Gram negative bacteria is usually associated with certain components of their cell walls, particularly the lipopolysaccharide (endotoxin) layer. Examples of common Gram-positive cells are Staphylococcus aureus and Stryptococcus. Examples of common Gram-negative cells are E. coli and Salmonella.

Errors in Gram stain technique:

Over decolorization.

Old culture.

Too much exposure to safranin.

Thick smear.


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