Giemsa for blood cells and parasites
Use a positive control when staining for parasites.For smears or cytospin preparations:
For paraffin wax sections:
- Fix prepared film in methanol - 3 to 5 minutes.
- Stain in a mixture of 1ml of Giemsa stock plus 2mls of pH6.4 buffer and 47mls of distilled water - 40 to120 minutes.
- Rinse rapidly in distilled water, blot dry and mount.
- Dewax sections, rinse in alcohol, rinse in water.
- Stain in a coplin jar in a mixture of 1mls of Giemsa stock plus 45mls distilled water in a water bath at 56oC - 20 mins to 1 hour (maximum).
- Rinse in distilled water.
- Differentiate in 1/1,500 acetic acid for approx. 30 seconds total, rinse in distilled water. (Control by viewing at intervals under a microscope. Sections should have an overall pink colour, with the nuclei blue and eosinophil granules red.)
- Rinse in distilled water.
- Blot dry, rinse briefly in alcohol, clear and mount.
Results:
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(Leishmaniasis) (Cryptospridium)
Nuclei - blue/purple.
Acidophils - pink/red.
Basophils - blue.
Eosinophils - red/orange.
Mast cells - purple (granules).
Parasites - blue/dark blue.
Other Giemsa staining methods are as follows:
Thin films of blood or marrow
- Fix in methanol for 5 minutes.
- Place in a Coplin jar containing Giemsa stain diluted 1:10 with pH 6.8 buffer for 20 minutes.
(This time may need to be prolonged to adequately demonstrate parasites such as spirilla and trypanosomes).- Rinse in distilled water.
- Drain and dry at room temperature.
- Mount in DPX or leave unmounted and use oil immersion.
Thick films for malaria parasites
- Do not fix the film.
- Place in a Coplin jar containing Giemsa stain diluted 1:50 with pH 7.2 buffer for 1 hour.
- Differentiate in distilled water for a few minutes.
- Drain and dry at room temperature.
- Mount in DPX or leave unmounted and use oil immersion.
Wax sections (overnight method)Giemsa stain
- Dewax the sections, rinse in alcohol, rinse in water.
- Wash the sections in distilled water.
- Stain overnight, at room temperature, in a Coplin jar of Giemsa diluted 1:25 with pH 6.8 buffer.
- Rinse in distilled water.
- Differentiate in 1:1,500 acetic acid. (Control by viewing at intervals under a microscope. Sections should have an overall pink colour, with the nuclei blue and eosinophil granules red.)
- Rapidly rinse in distilled water.
- Dehydrate, clear and mount.
Mix 7.36g Giemsa powder in 500mls glycerol which is heated to 50oC in a water bath. Leave for 30 minutes at 50oC with periodic mixing. Allow to cool and add 500mls methanol. Mix and filter.Phosphate buffer (Sorensen)
Stock A: 0.2M sodium di-hydrogen orthophosphate (mw 156).
To prepare dissolve 3.12g in 100ml distilled water.Stock B: 0.2M di-sodium hydrogen orthophosphate (mw 142).
To prepare dissolve 2.83g in 100ml ditilled water.For pH 6.4 add 36.7ml of A to 13.3ml of B and make up to 100ml with distilled water.
For pH 6.8 add 25.5ml of A to 24.5ml of B and make up to 100ml with distilled water.
For pH 7.2 add 14.0ml of A to 36.0ml of B and make up to 100ml with distilled water.