Technique ACID FAST STAIN
Method Ziehl-Neelson Procedure
Acridine Orange Procedure
Kinyoun Procedure
Positive control Mycobacterium smegmatis (ATCC 19420)
Mycobacterium phlei
(ATCC 354)
Negative control Esherichia coli (ATCC 11229

 

Technique ACID FAST STAIN Ziehl-Neelson
Principle  
Cautions Do not let the carbol fuchsin stain dry on the slide but add additional stain if necessary

Decolourization should not be attempted in one stage; there should be intermittent washings in water and re-application of acid alcohol

Do not blot dry

Do not use a common staining jar or dish

Method 1: Heat fix the smear
2:Cover the slide with a strip of filter paper
3: Flood the covered smear with carbol fuchsin solution
4: Heat slowly to steaming point
5: let slide sit for 5 min
6 remove the filter paper strip and wash the slide thoroughly under running water
4: Decolourize with acid alcohol solution until all traces of red have disappeared from the film.
5: Rinse well with water when decolourization is complete.
6: Counterstain with methylene blue or 0.05% malachite green for 1 min.
7: Rinse with water and stand on end to drain.
Results Acid Fast organisms are red,
other organisms are blue or green.
Reagents Carbol Fuchsin Solution
Solution A
Basic fuchsin 0.3 gm; ethanol (95%) 10 ml
Solution B
Phenol 5 gm; distilled water 95 ml
Mix equal volumes of solution A and Solution B

Acid Alcohol Solution
9
5% ethanol containg 3% (vv) concentrated HCl

Methylene Blue Solution
Either Loefflers Alkaline Methylene Blue or alcoholic methylene blue may be used

Loeffler's Alkaline Methylene Blue
Solution A
Methylene blue 0.3 g; 95%ethanol 30 ml
Solution B
Dilute KOH (0.01% by weight) 100 ml
Mix solution A and Solution B

Alcoholic Methylene Blue
Methylene Blue 0.3 g; 95% ethanol 30 ml; distilled water 100 ml

Reference Manual of Clinical Microbiology 1985 E. H. Lennette, A. Balows, W.J. Hausler Jr, H. J. Shadomy American Society for Microbiology Washington DC pp 225-226

Cowan & Steel 1970

Manual of Microbiological Methods by the Society of Americam Bacteriologists 1957 McGraw Hill New York pp 13-16

Ziehl, F. 1882 Zur Farbung des Tuberkelbacillus. Deut. med Wochschr., 8:451

Neelson, F. 1883 Ein casuistischer Beitrag zur Lehre von der Tuberkulose. Centre. Med. Wisse., 21: 497-501 (see page 500)

 

 

Technique Kinyoun acid Fast Stain
Principle  
Cautions  
Method 1: Heat fix the smear
2:Cover the slide with a strip of filter paper
3: Flood the covered smear with carbol fuchsin solution
4: Heat slowly to steaming point
5: let slide sit for 5 min
6 remove the filter paper strip and wash the slide thoroughly under running water
4: Decolourize with acid alcohol solution until all traces of red have disappeared from the film.
5: Rinse well with water when decolourization is complete.
6: Counterstain with methylene blue or 0.05% malachite green for 1 min.
7: Rinse with water and stand on end to drain.
Results Acid Fast organisms are red,
other organisms are blue or green.
Reagents Carbol Fuchsin Solution
Solution A
Basic fuchsin 0.3 gm; ethanol (95%) 10 ml
Solution B
Phenol 5 gm; distilled water 95 ml
Mix equal volumes of solution A and Solution B

Acid Alcohol Solution
9
5% ethanol containg 3% (vv) concentrated HCl

Methylene Blue Solution
Either Loefflers Alkaline Methylene Blue or alcoholic methylene blue may be used

Loeffler's Alkaline Methylene Blue
Solution A
Methylene blue 0.3 g; 95%ethanol 30 ml
Solution B
Dilute KOH (0.01% by weight) 100 ml
Mix solution A and Solution B

Alcoholic Methylene Blue
Methylene Blue 0.3 g; 95% ethanol 30 ml; distilled water 100 ml

Reference Manual of Clinical Microbiology 1985 E. H. Lennette, A. Balows, W.J. Hausler Jr, H. J. Shadomy American Society for Microbiology Washington DC pp 225-226

Cowan & Steel 1970

Manual of Microbiological Methods by the Society of Americam Bacteriologists 1957 McGraw Hill New York pp 13-16