Acid-fast stain

Definition

The acid-fast stain is a test used to examine a specimen for the presence of microorganisms, specifically mycobacteria which include the bacteria that cause tuberculosis.

Why the Acid-fast stain is Performed

The test detects infection caused by mycobacteria. The test is useful in detecting tuberculous infection.

How the Acid-fast stain is Performed

Specimens of blood, urine, stool, sputum, bone marrow, or tissue may be collected, depending on the location of the suspected infection.

The specimen is then sent to a microbiology laboratory for processing. A small amount of the specimen is placed on a microscope slide. A dye is placed on the slide and heated. The cells retain the dye. The slide is then washed with an acid solution, and a counter-stain is applied.

The bacteria that retain the first dye are acid-fast because they resist the acid wash. Bacteria that wash free of the first dye and take the counterstain are nonacid-fast.

How to Prepare for the Acid-fast stain

Preparation for the test depends on the sample to be collected. There may be special preparation for a blood, urine, or stool collection. A biopsy of an organ or tissue may be indicated for certain types of infection.

How the Acid-fast stain Will Feel

The amount of discomfort depends on the type of specimen to be collected. A tissue biopsy or aspiration with a needle may be necessary for some tests.

Risks

The risks are minimal and are associated with the method of specimen collection.

Considerations

If a tissue biopsy is required for the test, other diagnostic tests may be performed on the same specimen.

Normal Results

No acid-fast bacteria are normally found on the stained specimen.

What Abnormal Results Mean

Abnormal results may indicate an infection with an acid-fast bacteria. Acid-fast bacteria include those that cause tuberculosis, non-tuberculous infections, and nocardia.

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