ParaLab - Specimen handling Flashcards
Precaution that treats everything inside the lab as infectious
Standard Precaution
Precaution that treats blood and other bodily fluids as infectious
Universal Precaution
what should you practice in the lab and is key to avoid potential risks?
potential risks involve: ingestion (ova), skin pene(larva), infection of non-para agents
safety
or lab safety
what type of blood is used in blood specimen?
venous blood/capillary blood
what is a major factor in blood specimens to make sure that parasites won’t be missed through lysis?
timing
If malaria and babesiosis are suspected, should smears be examined w/o delay?
YES
what type of smears are needed when malaria and babesiosis are suspected?
Thick and Thin smears
what blood parasite exhibits periodicity?
microfilariae
How many specimens are collected within a span of 7 days to ensure the detection of oocytes and parasites?
3 specimens every other day w/in 7 days
How many specimens should u collect for the diagnosis of intestinal amoebiasis w/in 10 days?
6 specimens w/ no more than 10 days
6 specimens every other day ata w/in 10 days
what type of stool specimen retains its shape and this is where u cysts are high-yield?
formed stool
within how many hours should you test formed stool?
24 hours
type of stool wherein you can see both cysts and trophozoites?
semi-formed stool
or soft (mushy)
within how many hours should you examine a semi-formed stool?
within an hour
If stool is watery, what type of protozoan can u see more?
Trophozoites
Within how much time should u examine watery specimens?
within 30 mins after passage
labile = easiy-broken
the intake of what results in the examination of crystalline residues (fecal artifacts) instead of parasites? for how much time should u defer if px took this?
Laxatives; 1-week deferral
the intake of what decreases the number of parasites for several weeks?
antibiotics
antiprotozoal = 3-4 weeks
antihelminthic = 5-6 weeks
Trophozoites are likely to die within how much time after passage?
30 mins to 1 hr
where can you put stool samples for temporary storage?
dirty ref
what must be the temp of the dirty ref?
3-5oC
or 4 degrees
what is usually killed when stool sx is refrigerated?
trophozoites
what is pertained to as the all-purpose fixative for the recovery of protozoans and helminths?
formalin
formalin conc used for protozoans
5% formalin
formalin conc used for helminth eggs and larva?
10% formalin
how much stool should you collect if specimen is formed
thumb-sized sx
how much stool should u collect if sample is watery?
5-6 tablespoons of watery stool
Formalin may be buffered w/ what to preserve morphology?
sodium phosphate
preserved stool can be concentrated using what concentration technique?
FECT (formalin-ether conc. technique)
ethyl acetate may be subbed w/ ether since ether poses safety risks
stools that will be fixed w/ formalin must be fixed within how much time?
30 mins
Stool to formalin ratio?
1:3
does formalin preserve trophozoites?
No. it also does not preserve morphology
Gold Standard for Stool Examination?
- Direct Stool Exam - fresh sx
- Conc. methods - preserved sx
- Permanent smear - preserved sx
what is used to preserve fresh stool in preparation for staining stool smears?
Schaudinn’s solution
this also contains mercuric chloride
fixative designed for fresh stool sx or sample from the intestinal mucosal surface for permanent staining?
Schaudinn’s sol’n
fixative which acts as a plastic resin which serves to adhere a stool sample onto a slide
Polyvinyl Alcohol
PVA is normally incorporated into what so that actual fixation is done by this fixative?
Schaudinn’s solution
main advantage of PVA?
preservation of protozoans for permanent staining
stools in PVA can be concentrated using what and can be shipped to any laboratory for further examination?
can be conc w FECT
what is the function of merthiolate and iodine in MIF?
staining components
formalin in MIF acts as the what?
preservative
this fixative is usually used for wet mount smears
MIF
Merthiolate-Iodine-Formalin
what fixative has the advantage of not containing mercuric chloride and images w this fixative are not as sharp after staining
images not as sharp as to those fixed w PVA or schaudinn’s
SAF
Sodium acetate-acetic acid formalin