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Standardization of blood smears prepared in transparent acetate : an alternative method for the microscopic diagnosis of malaria

机译:用透明醋酸盐制备血涂片的标准化:用于显微诊断疟疾的另一种方法

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摘要

Background: Due to students’ initial inexperience, slides are frequently broken and blood smears are damaged in microscopy training, leading to the need for their constant replacement. To minimize this problem a method of preparing blood smears on transparent acetate sheets was developed with the goal of implementing appropriate and more readily available teaching resources for the microscopic diagnosis of malaria. Methods: Acetate sheets derived from polyester were used to standardize the preparation and staining of thin and thick blood smears on transparent acetate sheets. Thick and thin blood smears were also prepared using the conventional method on glass slides. The staining was conducted using Giemsa staining for the thick and thin smears. Results: Microscopic examination (1,000x) of the thin and thick blood smears prepared on transparent acetate produced high-quality images for both the parasites and the blood cells. The smears showed up on a clear background and with minimal dye precipitation. It was possible to clearly identify the main morphological characteristics of Plasmodium, neutrophils and platelets. After 12 months of storage, there was no change in image quality or evidence of fungal colonization. Conclusion: Preparation of thin and thick blood smears in transparent acetate for the microscopic diagnosis of malaria does not compromise the morphological and staining characteristics of the parasites or blood cells. It is reasonable to predict the applicability of transparent acetate in relevant situations such as the training of qualified professionals for the microscopic diagnosis of malaria and the preparation of positive specimens for competency assessment (quality control) of professionals and services involved in the diagnosis of malaria.
机译:背景:由于学生最初的经验不足,在显微镜检查中经常会损坏幻灯片并损坏血迹,因此需要不断更换。为了最小化该问题,开发了一种在透明的乙酸酯片上制备血液涂片的方法,其目的是实施适当且更容易获得的用于显微镜诊断疟疾的教学资源。方法:用聚酯纤维制成的醋酸纤维片材标准化透明醋酸纤维片材上薄,厚的血涂片的制备和染色。还使用常规方法在载玻片上制备了浓淡的血液涂片。使用吉姆萨(Giemsa)染色对厚薄的涂片进行染色。结果:在透明醋酸盐上进行的稀薄和浓厚血液涂片的显微镜检查(1,000x)产生了寄生虫和血细胞的高质量图像。涂片显示在清晰的背景上,并且染料沉淀最少。可以清楚地鉴别出疟原虫,中性粒细胞和血小板的主要形态特征。储存12个月后,图像质量没有变化,也没有真菌定植的迹象。结论:在透明乙酸盐中制备稀薄和厚薄的血液涂片以用于疟疾的显微镜诊断不会损害寄生虫或血细胞的形态和染色特性。合理地预测透明醋酸盐在相关情况下的适用性,例如培训合格的专业人员以进行微观的疟疾诊断,以及准备用于进行疟疾诊断的专业人员和服务的能力评估(质量控制)阳性标本。

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