Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique

Sputum microscopy is the most important tool for the detection of Mycobacterium tuberculosis in peripheral laboratories. Sodium hypochlorite concentration technique prior to sputum microscopy may improve the detection of AFB bacilli over direct Ziehl Neelsen’s staining method. A prospective study wa...

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Main Authors: Priyanka Pal, Vishnu Prasad Shenoy, Promukh Bhattacharya
Format: Article
Language:English
Published: Journal of Pure and Applied Microbiology 2023-03-01
Series:Journal of Pure and Applied Microbiology
Subjects:
Online Access:https://microbiologyjournal.org/role-of-bleach-concentration-method-for-detection-of-acid-fast-bacilli-afb-in-sputum-using-conventional-ziehl-neelsen-zn-staining-technique/
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author Priyanka Pal
Vishnu Prasad Shenoy
Promukh Bhattacharya
author_facet Priyanka Pal
Vishnu Prasad Shenoy
Promukh Bhattacharya
author_sort Priyanka Pal
collection DOAJ
description Sputum microscopy is the most important tool for the detection of Mycobacterium tuberculosis in peripheral laboratories. Sodium hypochlorite concentration technique prior to sputum microscopy may improve the detection of AFB bacilli over direct Ziehl Neelsen’s staining method. A prospective study was conducted at Kasturba Medical College, Manipal. Consecutive sputum samples were collected for 3 months. ZN stained smears were made directly of fresh specimens and of specimens that were processed with 3.5% sodium hypochlorite (NaOCl), from each patient. Then, ZN stained smears were observed under light microscopy. A total of 239 samples were collected. The yield of positive smears with ZN staining after NaOCl centrifugation was higher than that with microscopy after direct ZN stain. The percentage increase yield of ZN staining after NaOCl centrifugation over direct ZN staining was 3.3% (8/239). Bleach centrifugation can help in increasing the yield of positivity in sputum smear.
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spelling doaj.art-aee6179e748d40ca888e3dbadbe5fea02023-03-17T09:41:43ZengJournal of Pure and Applied MicrobiologyJournal of Pure and Applied Microbiology0973-75102581-690X2023-03-01171127131https://doi.org/10.22207/JPAM.17.1.01Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining TechniquePriyanka PalVishnu Prasad Shenoyhttps://orcid.org/0000-0002-4371-1326Promukh BhattacharyaSputum microscopy is the most important tool for the detection of Mycobacterium tuberculosis in peripheral laboratories. Sodium hypochlorite concentration technique prior to sputum microscopy may improve the detection of AFB bacilli over direct Ziehl Neelsen’s staining method. A prospective study was conducted at Kasturba Medical College, Manipal. Consecutive sputum samples were collected for 3 months. ZN stained smears were made directly of fresh specimens and of specimens that were processed with 3.5% sodium hypochlorite (NaOCl), from each patient. Then, ZN stained smears were observed under light microscopy. A total of 239 samples were collected. The yield of positive smears with ZN staining after NaOCl centrifugation was higher than that with microscopy after direct ZN stain. The percentage increase yield of ZN staining after NaOCl centrifugation over direct ZN staining was 3.3% (8/239). Bleach centrifugation can help in increasing the yield of positivity in sputum smear.https://microbiologyjournal.org/role-of-bleach-concentration-method-for-detection-of-acid-fast-bacilli-afb-in-sputum-using-conventional-ziehl-neelsen-zn-staining-technique/ziehl-neelsen stainingsputummycobacterium tuberculosissodium hypochlorite
spellingShingle Priyanka Pal
Vishnu Prasad Shenoy
Promukh Bhattacharya
Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique
Journal of Pure and Applied Microbiology
ziehl-neelsen staining
sputum
mycobacterium tuberculosis
sodium hypochlorite
title Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique
title_full Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique
title_fullStr Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique
title_full_unstemmed Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique
title_short Role of Bleach Concentration Method for Detection of Acid-fast Bacilli (AFB) in Sputum using Conventional Ziehl-Neelsen (ZN) Staining Technique
title_sort role of bleach concentration method for detection of acid fast bacilli afb in sputum using conventional ziehl neelsen zn staining technique
topic ziehl-neelsen staining
sputum
mycobacterium tuberculosis
sodium hypochlorite
url https://microbiologyjournal.org/role-of-bleach-concentration-method-for-detection-of-acid-fast-bacilli-afb-in-sputum-using-conventional-ziehl-neelsen-zn-staining-technique/
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