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Acid-fast stain

Contents of this page:

Definition    Return to top

The acid-fast stain is a laboratory test that determines if a sample of tissue, blood, or other body substance is infected with the bacteria that causes tuberculosis and other illnesses.

How the Test is Performed    Return to top

Your health care provider will collect a sample of blood, urine, stool, sputum, bone marrow, or tissue, depending on the location of the suspected infection.

The sample is then sent to a laboratory, where a small amount is placed on a glass slide, stained, and heated. The cells in the sample hold onto the dye. The lab team member washes the slide with an acid solution and applies a different stain.

The bacteria that hold onto the first dye are considered "acid-fast" because they resist the acid wash. This type of bacteria is associated with tuberculosis and other infections.

How to Prepare for the Test    Return to top

Preparation depends on how the sample is collected. Your health care provider will tell you how to prepare.

How the Test Will Feel    Return to top

The amount of discomfort depends on how the sample is collected.

Why the Test is Performed    Return to top

The test can tell if you are infected with mycobacteria, the organism that causes tuberculosis and related infections.

Normal Results    Return to top

A normal result means no acid-fast bacteria were found on the stained sample.

Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.

What Abnormal Results Mean    Return to top

Abnormal results may indicate an infection with an acid-fast bacteria. Acid-fast bacteria include those that cause tuberculosis, nontuberculous infections, and nocardia infections.

Risks    Return to top

Risks depend on how the sample is collected. Ask your health provider to explain the risks and benefits of the medical procedure.

Update Date: 12/3/2007

Updated by: D. Scott Smith, M.D., MSc, DTM&H, Chief of Infectious Disease & Geographic Medicine, Kaiser Redwood City, CA & Adjunct Assistant Professor, Stanford University. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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