Related Experiment Video
Updated: Jun 28, 2026

Visualization of Pseudomonas aeruginosa within the Sputum of Cystic Fibrosis Patients
Published on: July 16, 2020
Phenol ammonium sulphate basic fuchsin staining of sputum in pot for the detection of acid-fast bacilli
N Selvakumar1, Michel Premkumar, Vanaja Kumar
1Tuberculosis Research Centre (ICMR), Chetput, Chennai, India. selvakumar.nagamiah@gmail.com
Background & Objectives:
Improper practices of making direct smears of sputum for detection of acid-fast bacilli (AFB) and of disposing sputum cups are hazardous. The present study was undertaken with the objective to stain sputum samples in their containers by 'phenol (10%) ammonium sulphate (4%) basic fuchsin (2%) solution' and to decolourize and counterstain their smears for detection of AFB- (henceforth called pot method) and to compare the smear results of pot method with the standard Ziehl-Neelsen (ZN) method.
Methods:
A total of 575 selected sputum samples from pulmonary tuberculosis patients were stained by the standard ZN and pot methods and the proportions of AFB positive smears were compared.
Results:
Of the 575 samples, 126 were AFB positive for both the staining methods and the difference was not statistically significant. Pot method missed 9 ZN positive smears (8 scanty and one 1+) and ZN method missed 9 pot positive smears (9 scanty) and the difference was not significant. High grade smears (3+) were seen more in pot method (42) than in ZN method (25) and the difference was significant.
Interpretation & Conclusion:
Our findings showed that pot method was comparable to standard ZN method and had many advantages. Pot method can be explored further for the detection of AFB in sputum samples obtained from pulmonary tuberculosis suspects.
Insights
A novel pot method for staining sputum samples is comparable to the standard Ziehl-Neelsen (ZN) method for detecting acid-fast bacilli (AFB). This safer technique offers comparable results and potential advantages for tuberculosis diagnosis.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Improper sputum smear preparation and disposal pose significant biohazard risks.
- Current methods for acid-fast bacilli (AFB) detection require careful handling to prevent contamination.
Purpose of the Study:
- To evaluate a new 'pot method' for staining sputum samples directly in their containers for AFB detection.
- To compare the diagnostic accuracy and safety of the pot method against the standard Ziehl-Neelsen (ZN) staining technique.
Main Methods:
- A total of 575 sputum samples from pulmonary tuberculosis patients were analyzed.
- Samples were stained using both the novel pot method and the standard ZN method.
- Proportions of AFB-positive smears were statistically compared between the two methods.
Main Results:
- Both pot and ZN methods identified 126 AFB-positive samples, with no statistically significant difference.
- The pot method missed 9 ZN-positive smears, while the ZN method missed 9 pot-positive smears; differences were not significant.
- A significantly higher number of high-grade (3+) positive smears were observed with the pot method (42) compared to the ZN method (25).
Conclusions:
- The pot method demonstrates comparable performance to the standard ZN method for AFB detection in sputum.
- The pot method presents several advantages and warrants further investigation for routine use in diagnosing pulmonary tuberculosis.
- This method offers a potentially safer alternative for AFB smear preparation and analysis.
Related Concept Videos
Sputum Studies I: Gram Stain, cytology, and Acid-fast smear and culture
Gram Stain
The Gram Stain is an integral part of sputum studies. It involves the staining of sputum, which permits...
Special Staining Techniques
Differential Staining Technique
Sputum Studies II: Culture and Sensitivity
Sputum culture and sensitivity is a medical procedure used to diagnose bacterial infections in the respiratory tract and select the most appropriate antibiotics for treatment. This process involves analyzing sputum samples of thick and opaque secretions produced in the lungs and airways. These samples are collected from patients and then sent to the laboratory for analysis.
The test can identify various pathogens responsible for respiratory infections, including Streptococcus,...
Fixation and Sectioning
The simplest type of preparation is the wet mount, in which the specimen is placed in a drop of liquid on the slide. A liquid specimen can be directly deposited on the slide using a dropper. Solid specimens, such as skin scraping, can be placed on the slide before adding a drop of liquid to prepare the wet mount. Sometimes the liquid is simply water, but stains are often added...
Simple Staining Technique
