The Carmoisine-Sodium Acetate Acetic acid Formalin Stain- Preservative Technique in Identification of Intestinal Parasites

Abstract

ABSTRACT:BACKGROUND:Definitive diagnosis of the intestinal parasites requires the demonstration of the organisms or eggs infeces or tissues. Stool specimens should be preserved and stained and microscopically examined.METHODS:• Stool samples were collected from patients complaining gastro-intestinal tract.• Carmoisine red food color powder was dissolved in 2 solutions, sodium acetate acetic acid formalin(C-SAformalin) solution, and 10% formal saline (C-10% formal saline) .• Merthiolate-iodine-formalin (MIformalin) solution was prepared, (control solution).• Eleven stool suspensions were prepared from one stool sample directly after the passage , 5 for eachserially diluted solution which mentioned above, and one for MIformalin solution.• The suspensions of 64 positive stool samples were selected to this study and subjected to periodicexamination which programmed according to the schedule during one year.RESULTS:• C-10% formal saline was inadequate in preservation of protozoan trophozoites.• The most appropriate concentration of C-SAformalin solution was 2%wet/vol, this solution has theability to preserve the amoeba organisms( trophozoites and cysts ),Chilomastix mesnili (trophozoiteand cyst) ,Giardia lamblia (trophozoite and cyst), helminth eggs and the human elements for oneyear when suspended in this solution, at the same time it has the ability to stain the parasitic and nonparasitic findings which mentioned above very efficiently.• The protozoan trophozoites, protozoan cysts and leucocytes these cells were showed various levels ofstain uptake. All C-SAformalin solutions which were stored for periods between one day up to 18months showed the same preservation and staining capabilityCONCLUSION:The C-SAformalin solution with 2% wt/vol. concentration has proved to be highly efficient inpreservation for one year and staining of the intestinal protozoa (trophozoites and cysts), helminth eggsand humane elements, which may be found in stool specimens.