Acid-Fast Organisms and Acid-Fast Stains
"Acid-fastness" refers to a specific physical property of certain bacteria, namely their ability to resist acid decolorization during staining procedures. These resistant organisms are called "acid-fast organisms," and can only be colored for viewing purposes using acid-fast stains. There are three primary stains used for successfully staining acid-fast organisms: the Ziehl-Neelsen stain; the Kinyoun method; and certain fluorescent dyes.
Ziehl-Neelsen Staining
The Ziehl--Neelsen stain is a special bacteriological stain that is used to view acid-fast organisms, primarily Mycobacteria. Acid-fast organisms that are dyed using the Ziehl-Neelsen stain turn bright red. The procedure for Ziehl-Neelsen staining is as follows:
1. Cover with tissue paper (optional).
2. Cover microscope slide with carbolfuchsin, the primary stain, for 3 to 5 minutes while heating with steam or heating on a Bunsen burner.
3. Remove tissue paper if used, decolorize slide using a mixture of ethanol and hydrochloric acid."
4. Counterstain using malachite green or methylene blue.
Kinyoun Staining
The Kinyoun stain is another method used in staining acid-fast microorganisms. It is similar to the Ziehl-Neelsen stain, with the primary difference being that you do not heat up the slide when applying Kinyoun stains. Underneath a microscope, stained organisms will appear blue. The procedure for applying Kinyoun stains is as follows:
1. Cover slides with Kinyoun carbolfuchsin for 5 minutes and rinse with water until it comes off clear.
2. Cover slides with acid-alcohol -- 3 percent HCl in ethanol -- for 3 minutes and rinse again with water until it comes off clear.
3. Cover slides with methylene blue dye for 3 minutes and rinse gently with water until it comes off clear.
4. Let slides air-dry before viewing.
Auramine-Rhodamine Staining
The auramine-rhodamine stain, sometimes called the Truant auramine-rhodamine stain, is a technique used to view acid-fast microorganisms using fluorescence microscopy. When specific compounds are illuminated using high-energy light, they tend to emit a different, lower frequency light as a result of exposure. This is called fluorescence. Acid-fast microorganisms give off a reddish-yellow fluorescence with this method. The auramine-rhodamine stain might not be as specific for acid-fast organisms as the Ziehl-Neelsen or Kinyoun stains, but it is more affordable and is often used as a screening tool.