Improved Laboratory Safety by Decontamination of Unstained Sputum Smears for Acid-Fast Microscopy

Author:

Giacomelli Luiz Roberto Bigão12,Helbel Cesar1,Ogassawara Roger Leandro Nunes1,Barreto Ângela Maria Werneck2,Martins Fátima Moreira2,Cardoso Celso Luíz1,Leite Clarice Queico Fujimura3

Affiliation:

1. Departamento de Análises Clínicas, Universidade Estadual de Maringá, PR

2. Centro de Referência Professor Hélio Fraga, Rio de Janeiro, RJ

3. Faculdade de Ciências Farmacêuticas/UNESP, Araraquara, SP, Brazil

Abstract

ABSTRACT Tubercle bacilli may survive in unstained heat-fixed sputum smears and may be an infection risk to laboratory staff. We compared the effectiveness of 1% and 5% sodium hypochlorite, 5% phenol, 2% glutaraldehyde, and 3.7% formalin in killing Mycobacterium tuberculosis present in smears prepared from 51 sputum samples. The smears were decontaminated by the tube and slide techniques. Phenol at 5%, glutaraldehyde at 2%, and buffered formalin at 3.7% for 1 min (tube technique) or for 10 min (slide technique) were effective in decontaminating sputum smears and preserved cell morphology and quantitative acid-fast microscopy results.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference20 articles.

1. Allen, B. W. 1981. Survival of tubercle bacilli in heat-fixed sputum smears. J. Clin. Pathol.34:719-722.

2. A Method to Render Unstained Mycobacterial Smears Safe for Storage or Shipment

3. Brazilian Ministry of Health. 1994. Manual de Bacteriologia da Tuberculose 2nd ed. Ministério da Saúde Rio de Janeiro Brazil.

4. Brazilian Ministry of Health. 1995. Manual de Normas para o Controle da Tuberculose. Ministério da Saúde Brasília Brazil.

5. Campos, H. S. 1991. Diagnóstico e tratamento da tuberculose. Rev. Bras. Clin. Ter.20:267-281.

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