Ova and Parasite Examination Clinical Microbiology Review 235
Number of specimens
Interfering substances
Preservation
Direct smear, saline
Direct smear, iodine
Concentration
Sedimentation method
Flotation method
Permanent stained slides
1–3
Antibiotics, antiseptics, barium, laxatives, mineral oil, soap, water, urinePolyvinyl alcohol (PVA), 5%–10% formalin, MIF, sodium acetate–acetic acid–formalin (SAF).
Formed stools may be refrigerated for 1–2 daysOn fresh liquid stools. To observe motility of trophs1% D’Antoni or Lugol’s iodine. To observe nuclei of cysts. Trophs will be killedTo concentrate parasites & separate from fecal debrisFormalin-ethyl acetate. Recovers eggs, larvae, cysts33% zinc sulfate. Specific gravity 1.18. Parasites float to top. May miss operculated eggs,
unfertilized AscarisFor Dx of protozoa. PVA fixed or fresh specimen. Iron hematoxylin or trichrome stain