AFB contamination
Water is probably the number one cause of false positive AFB stains. We had
a horrible problem with it many years ago. Acid-fast organisms have been
reported growing (well present at least) in 40 gal formalin tanks, in the old
Tissue Mat paraffin wafers and in a tremendous number (over 30 %) of water
fountains. We even found AFB in our gelatin that we used in the water bath.
This is all information from published papers. While many of the organisms
may not be pathogens, they are acid fast. We finally went to Millipore
filtered water, that had already been through a charcoal filter and
deionizing column, for water baths and for all water changes before the
carbol fuchsin stain. We did use staining jars but filter the reagent each
time. I strongly recommend a negative control cut from a case processed the
same day as the requested AFB tissue. We always picked up extra sections
from a hysterectomy case and ran them along with the stain. If there is any
doubt about contamination, the negative controls are very, very carefully
examined. Using this type of negative control (from the same day's workload)
checks for contamination at every step of the procedure.
Freida Carson
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