Collection and Processing for Performing the Microscopic Exam cont'd - 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 cont'd - Fixatives

There are a number of different fixatives to preserve parasites. There are also different options for processing and staining. It is always best to follow the manufacturer's directions regarding 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
Ecofriendly ECOFIX rare no no
Universal Fixative, ecofriendly
TOTAL-FIX
yes yes yes contains no mercury, PVA or formalin
*Stains: trichrome, iron hematoxylin, special stains/Coccidia and Microsporidia
**Mercury and PVA interfere with immunoassays (IAs)