Collection and Processing for Performing the Microscopic Exam: Fixatives

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The page below is a sample from the LabCE course Intestinal Protozoan Parasites. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Collection and Processing for Performing the Microscopic Exam: Fixatives

Several different fixatives for preserving parasites exist, as well as different options for processing and staining. It is always best to follow the manufacturer's directions for processing and staining. Table 2 provides an overview of different preservatives.
Table 2. Fixatives to Preserve Parasites.
FixativeConcentration PossiblePermanent Stained Smear*Immunoassays Possible (IA) **Comments
5 or 10% Formalin yes no yes IAs: (e.g., EIA, FA)
MIF (merthiolate-iodine-formalin) yes polychrome IV stain no
SAF (sodium acetate-acetic acid-formalin) yes iron-hematoxylin best yes IAs: (e.g., EIA, FA)
Schaudinn's (with or without PVA; with or without Hg) rare yes no
Eco-friendly ECOFIX rare no no
Universal Fixative, eco-friendly
TOTAL-FIX
yes yes yesContains no mercury, PVA, or formalin
*Stains: trichrome, iron hematoxylin, special stains/Coccidia and Microsporidia
**Mercury and PVA interfere with immunoassays (IAs)