Lynne Shore Garcia

Diagnostic Medical Parasitology


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on the base of the microscope or on a nearby wall or bulletin board) for easy reference. Once the number of ocular lines per width and length of the organism is measured, then, depending on the objective magnification, the factor (1 ocular unit = certain number of micrometers) can be applied to the number of lines to obtain the width and length of the organism. Comparison of these measurements with reference measurements in various books and manuals should confirm the organism identification.

      Procedure Notes for Microscope Calibration

      1. The final multiplication factors will only be as good as your visual comparison of the ocular 0 and stage micrometer 0 lines.

      2. As a rule of thumb, the high dry objective (40×) factor should be approximately 2.5 times more than the factor obtained from the oil immersion objective (100×). The low-power objective (10×) factor should be approximately 10 times that of the oil immersion objective (100×).

      Limitations of Microscope Calibration

      1. After each objective has been calibrated, the oculars containing the disk and/or the objectives cannot be interchanged with corresponding objectives or oculars on another microscope.

      2. Each microscope used to measure organisms must be calibrated as a unit. The original oculars and objectives that were used to calibrate the microscope must also be used when an organism is measured.

      3. The objective containing the ocular micrometer can be stored until needed. This single ocular can be inserted when measurements are taken. However, this particular ocular containing the ocular micrometer disk must have also been used as the ocular during microscope calibration.

      A table or floor model centrifuge to accommodate 15-ml centrifuge tubes is recommended. It is also helpful to have a centrifuge that can hold 50-ml centrifuge tubes, particularly when some of the commercial concentration systems are used. Regardless of the model, a free-swinging or horizontal head is recommended. With this type of centrifuge, the sediment is deposited evenly on the bottom of the tube and the flat surface of the sediment allows removal of the supernatant fluid from the sediment, particularly when you cannot turn the tube upside down to pour out the supernatant fluid. Most laboratories are using carrier cups that have screw-cap closures; this feature, in addition to capped centrifuge tubes, will minimize any aerosol formation and/or distribution.

      Maintenance (5)

      1. Before each run, visually check the carrier cups, trunnions, and rotor for corrosion and cracks. If anything is found to be defective, replace it immediately or remove the equipment from service. Check for the presence and insertion of the proper cup cushions before each run.

      2. At least quarterly, check the speed at all regularly used speeds with a stroboscopic light to verify the accuracy of a built-in tachometer or speed settings. Remember to record results. Some laboratories perform this function every 6 months or yearly.

      3. Following a breakage or spill and at least monthly, disinfect the centrifuge bowl, buckets, trunnions, and rotor with 10% household bleach or phenolic solution. Following disinfection, rinse the parts with warm water and perform a final rinse with distilled water. Thoroughly dry the parts with a clean absorbent towel to prevent corrosion. At least quarterly, brush the inside of the cups with mild warm soapy water and use fine steel wool to remove deposits; the cups should then be rinsed in distilled water and thoroughly dried.

      4. Follow manufacturer’s recommendations for preventive maintenance (lubrication).

      5. Semiannually, check brushes and replace if worn to 1/4 in. (1 in. = 2.54 cm) of the spring. Also semiannually, check the autotransformer brush and replace if worn to 1/4 in. of the spring.

      6. Record all information relating to preventive maintenance and repair (date, centrifuge identification number, names of company and representative, maintenance and/or repairs, part replacement, recommendations for next evaluation, estimated cost if you have such information). This information should be cumulative so that a review for each piece of equipment can be scanned quickly for continuing problems, justification for replacement requests, etc.

      Chemical fume hoods should be used when there is risk of exposure to hazardous fumes or splashes while preparing or dispensing chemical solutions. Airflow is generally controlled by a movable sash and should be in the range of 80 to 120 ft/min (1 ft = 30.48 cm). Chemical fume hoods are certified annually. Although a fume hood is not required for diagnostic parasitology work, many facilities keep the staining setup and formalin (see below for a discussion of regulations regarding the use of formaldehyde) in a fume hood. Fume hoods may also be preferred for the elimination of odors. The placement of reagents, supplies, and equipment within the hood should not interfere with the proper airflow.

      Maintenance

      1. At least yearly, with the sash fully open and the cabinet empty, check the air velocity with a thermoanemometer (minimum acceptable face velocity, 100 ft/min) (7). Also, a smoke containment test should be performed with the cabinet empty to verify proper directional face velocity.

      2. Lubricate the sash guides as needed.

      The Class II-A1 or II-A2 biological safety cabinet (BSC) is best suited and recommended for the diagnostic laboratory. BSCs operate at a negative air pressure with air passing through a HEPA filter, and the vertical airflow serves as a barrier between the cabinet and the user. Although a BSC is not required for processing routine specimens in a diagnostic parasitology laboratory, some laboratories use class I (open-face) or class II (laminar-flow) BSCs for processing all unpreserved specimens (3). Use of a BSC is recommended if the laboratory is performing cultures for parasite isolation. However, remember that BSCs should not be used as fume hoods. Toxic, radioactive, or flammable vapors or gases are not removed by HEPA filters (8).

      Maintenance (5)

      1. After each use, disinfect the work area. Since UV radiation has very limited penetrating power, do not depend on UV irradiation to decontaminate the work surface (9). At least weekly, clean UV lamps (in the off position) with 70% isopropyl or ethyl alcohol.

      2. At least annually, have class I BSCs certified. They should also be certified after installation but before use and after they have been relocated or moved. Certification should include the following and will be documented by the trained company representative (contracted to handle the BSC inspection).

      A. Measurements of the air velocity are taken at the midpoint height approximately 1 in. behind the front opening. Measurements should be made approximately every 6 in.

      B. The average face velocity should be at least 75 linear ft/min. A thermoanemometer with a sensitivity of ±2 linear ft/min should be used (10).

      C. With the cabinet containing the routine work items, such as a Bunsen burner, test tube rack, bacteriological loop and holder, etc., a smoke containment test should be performed to determine the proper directional velocity.

      D. Record the date of recertification, the names of the individual and company recertifying the cabinet, and any recommendations for future service. Any maintenance performed should also be documented in writing.

      3. Replace the filters as needed.

      4. On installation, have a class II BSC certified to meet Standard 49 of the