Comparison of Fecal Examination Techniques


 


    TECHNIQUE

    ADVANTAGES

    DISADVANTAGES

Direct Smear
  • Quick to prepare.
  • No distortion of parasites if isotonic saline is used as diluent.
  • Only way to see live trophozoites (isotonic saline must be used as the diluent).
  • Useful for examining feces of small birds and reptiles (where trematode eggs are common).
  • Can miss parasite if concentration is too low or if too much debris or fat is present.
  • Sand, seeds, or other fecal debris can make apposition of coverslip onto slide difficult.
  • May take a long time to examine.
Saturated Sucrose or Salt
  • Procedure floats the most common helminth ova and coccidian oocyst .
  • Solutions are inexpensive.
  • There is little debris to obscure the view of the parasite.
  • Procedure will not float trematode ova and some tapeworm (pseudophyllidian) ova.
  • Distorts Giardia cysts.
  • Time consuming if centrifugation not performed.
  • Unsuitable for fatty stool samples.
Zinc Sulfate Flotation
  • Recommended procedure for most fecal exams
  • Procedure floats most helminth eggs.
  • Best method for protozoan cysts, especially Giardia.
  • There is little debris to obscure view of parasites.
  • Procedure will not float some trematode ova, and some tapeworm (pseudophyllidian) ova.
  • Unsuitable for fatty stool samples.
  • ZnSO4 is expensive and a hydrometer should be used to make up the solution.
Ethyl Acetate Sedimentation 
  • Procedure recovers ALL types of helminth ova, larvae, and most protozoan cysts.
  • It is the best technique for formalin - fixed samples and for stools with high fat content.
  • It is more difficult to perform than other techniques.
  • Ethyl acetate is flammable and expensive.
  • There is more debris in preparation preps than in flotation preps - therefore it will take longer to read.

 


© University of Pennsylvania  2004

Comments or Questions please contact:  Dr. Nolan at: