Mycobacteria are called acid-fast bacilli because they are rod-shaped bacteria (bacilli) that can be seen under the microscope following a staining procedure in which the bacteria retain the color of the stain after an acid wash (acid-fast).

What is the principle of acid-fast staining?

Principle of Acid-Fast Stain When the smear is stained with carbol fuchsin, it solubilizes the lipoidal material present in the Mycobacterial cell wall but by the application of heat, carbol fuchsin further penetrates through lipoidal wall and enters into cytoplasm. Then after all cell appears red.

What does acid-fast bacilli indicate?

Acid-fast bacillus (AFB) is a type of bacteria that causes tuberculosis and certain other infections. Tuberculosis, commonly known as TB, is a serious bacterial infection that mainly affects the lungs. It can also affect other parts of the body, including the brain, spine, and kidneys.

What diseases are diagnosed using acid-fast staining procedure?

An acid-fast bacteria (AFB) culture is done to find out if you have tuberculosis (TB) or another mycobacterial infection. Besides TB, the other main mycobacterial infections are leprosy and a TB-like disease that affects people with HIV/AIDS.

Why it is called acid-fast staining?

Acidfast Stain: Background and Introduction. Mycobacterium and many Nocardia species are called acid-fast because during an acid-fast staining procedure they retain the primary dye carbol fuchsin despite decolorization with the powerful solvent acid-alcohol. Nearly all other genera of bacteria are nonacid-fast.

What are the examples of acid-fast bacilli?

Bacteria displaying acid fastness include: Genus Mycobacterium – M.leprae, M.tuberculosis, M. … These include:

What are the 4 steps of acid-fast staining?

Acid-Fast Staining Instructions

Why we Cannot use gram staining in acid-fast bacteria?

Although gram positive, acid-fast bacteria do not take the crystal violet into the wall well, appearing very light purple rather than the deep purple of normal gram positive bacteria (the waxy lipid in the acid-fast wall repels the aqueous crystal violet stain).

What does acid-fast positive mean?

A normal result for an acid-fast bacteria smear is negative, meaning no bacteria were found in the sputum sample. A positive result means that bacteria were found and that you may have an infection. The smear is treated with a special acid-fast stain that can provide a preliminary test result in 24 hours.

Can sputum test detect TB?

Rapid sputum tests are used to diagnose tuberculosis (TB) when other tests show that a person probably has TB. Rapid sputum tests are also called nucleic acid amplification tests (NAATs). One of the best ways to diagnose TB is through a sputum culture.

Is Staphylococcus acid-fast?

Acid Fast Stain, Bacterial Capsules & Bacterial Endospores The darker staining cocci are Staphylococcus epidermidis , a non-acid fast bacterium.

What are some diseases caused by acid-fast bacteria?

Tuberculosis, Leprosy and Other Diseases Caused by Acid-Fast Bacteria.

What are the stains used in acid fast staining?

The primary stain used in acid-fast staining, carbol fuchsin, is lipid-soluble and contains phenol, which helps the stain penetrate the cell wall. This is further assisted by the addition of heat in the form of heat (steam).

Why is the acid-fast stain a useful procedure when trying to diagnose an infection?

Acid fast stains are used to differentiate acid fast organisms such mycobacteria. Acid fast bacteria have a high content of mycolic acids in their cell walls. Acid fast bacteria will be red, while nonacid fast bacteria will stain blue/green with the counterstain with the Kinyoun stain.

Why is carbol Fuchsin used in acid fast staining?

It is commonly used in the staining of mycobacteria as it has an affinity for the mycolic acids found in their cell membranes. … Carbol fuchsin is used as the primary stain dye to detect acid-fast bacteria because it is more soluble in the cells wall lipids than in the acid alcohol.

What is the purpose of acid alcohol in acid-fast staining?

Acid alcohol has the ability to completely decolorize all non-acid-fast organisms, thus only leaving behind red-colored acid-fast organisms, like M. tuberculosis. The slides are then stained a second time with methylene blue that serves as a counterstain.

Are acid-fast bacteria Gram positive or negative?

Acid-fast bacteria are gram-positive, but in addition to peptidoglycan, the outer membrane or envelope of the acid-fast cell wall of contains large amounts of glycolipids, especially mycolic acids that in the genus Mycobacterium, make up approximately 60% of the acid-fast cell wall (Figure 2.3C.

Which bacteria is non acid-fast?

tuberculosis, collectively known as non-tuberculous Mycobacteria (NTM), are recognized causes of illness in immunocompromised people, including people living with HIV/AIDS [5,6]. These bacteria are acid-fast, with cell walls containing mycolic acids, which non-acid fast bacteria lack.

How is acid-fast bacilli treated?

The standard treatment for TB comprises an intensive phase with isoniazid, rifampicin, pyrazinamide, and ethambutol for 2 months, followed by a continuation phase that comprises the concomitant use of isoniazid and rifampicin for another 4 months. This standard treatment is highly effective for drug-susceptible TB.

How do you collect sputum for acid-fast bacilli?

To collect a sputum sample, you should do the following:

  1. Brush your teeth and rinse your mouth without using antiseptic mouthwash.
  2. Take a couple of long, deep breaths.
  3. Breathe deeply again and cough hard until sputum comes up.
  4. Spit out the sputum into the sample cup.

What color is an acid fast positive and negative organism?

Acid Fast positive cells are stained the pink/red color of carbolfuchsin. Acid Fast negative cells are stained the light blue color of methylene blue.

Which is the correct order of steps in Gram staining?

The performance of the Gram Stain on any sample requires four basic steps that include applying a primary stain (crystal violet) to a heat-fixed smear, followed by the addition of a mordant (Gram’s Iodine), rapid decolorization with alcohol, acetone, or a mixture of alcohol and acetone and lastly, counterstaining with …

What is the role of phenol in acid-fast staining?

In acid fast stains, the phenol allows the stain to pen- etrate, even after exposure to decolourisors. If an organism is to be termed Acid Fast, it must resist decolourisation by acid-alcohol. A counterstain is then used to emphasise the stained organism.

Why are some patient samples stained with acid fast stain and not Gram stain?

An acid-fast stain is able to differentiate two types of gram-positive cells: those that have waxy mycolic acids in their cell walls, and those that do not. … The waxy, acid-fast cells retain the carbolfuchsin even after a decolorizing agent (an acid-alcohol solution) is applied.

Why is sputum commonly used in acid-fast staining?

The type of results depends on the bacteria being tested. Sputum, or phlegm, is often used to test for Mycobacterium tuberculosis, to find out if a patient has TB. This bacterium is completely acid-fast, which means the entire cell holds onto the dye.