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266    CHAPTER 12






                       PROCEDURE 12-3




                                         ZINC SULFATE CENTRIFUGAL FLOTATION PROCEDURE
                                         Clinical Rationale
                                         When properly performed, the flotation procedure will concentrate the organisms

                                         from a small amount of fecal material that is then cleansed of debris with water.
                                         The density of the zinc sulfate enables the lighter elements such as larvae, protozoa,
                                         and ova to be found at the top of the centrifuge tube. The flotation method is the most

                                         effective way for concentrating protozoa and their cysts, along with Cryptosporidium
                                         oocysts. Several commercial methods exist for concentrating fecal parasites and
                                         their ova. These kits are disposable and contain all the necessary materials in a
                                         closed system for performing the flotation procedure. The manual method is also

                                         quite effective but requires the making of the main reagent, that of zinc sulfate. The
                                         manual procedure perhaps exposes the laboratory worker to the specimen and the
                                         chemicals used to a greater extent than one of the commercial kits (see Figure 12-7).



                                                                  FLOTATION


                                                                    Add ZnSO 4
                                                                         to sediment                 Coverglass
                                                                                                     Parasites

                                                  Centrifuge              Mix
                              Mixture of                                                             ZnSO  4
                         preserved feces
                       and water or saline
                                                  Pour off
                                                                                                                    Delmar/Cengage Learning
                                                  Supernatant



                                                                       Sediment                      Fecal debris

                     FIGURE 12-7  The flotation method requires several steps in mixing and decanting of supernatant


                                             The method called fl otation uses liquids with a relatively high specific gravity,

                                         greater than that of parasite cysts or eggs, so that they will float to the surface. This

                                         concentrate found at the top of the tube will contain the organisms and their eggs
                                         that can be skimmed from the top and used to prepare slides for microscopic exami-
                                         nation. The concentrating solution has a final specific gravity of 1.18 (compared with



                                         water which has a specific gravity of 1.000). Most often zinc sulfate is used in the
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