Section outline

  • Acid-fast stain showing bright pink acid-fast bacteria against a blue background of non–acid-fast material.

    Acid-fast staining is a specialized differential staining technique used to identify bacteria with unique cell walls that contain high concentrations of waxy lipids, particularly mycolic acids. These lipids make the cells resistant to conventional staining methods and allow them to retain the primary stain even after treatment with strong decolorizing agents. This characteristic is especially important for the identification of clinically significant organisms, such as species of Mycobacterium. In this module, students will examine the structural basis of acid-fastness, learn the principles behind the acid-fast staining procedure, and practice performing and interpreting an acid-fast stain to distinguish acid-fast bacteria from non–acid-fast organisms using the microscope.

    Slide made by Fletcher Technical Community College student Nicola Ladner. Image captured by Professor Erica A. Burns







    Course Learning Objectives

    1. Distinguish between Bright-field and Dark-field Microscopy

    2. Understand Staining Techniques

    3. Prepare Culture Media and Cultivate Bacteria

    4. Identify Unknown Bacteria Using Physiological Tests

    5. Demonstrate Basic Culture Techniques in Healthcare Settings

    6. Perform Essential Microbiological Techniques in a Virtual Setting

    Upon completion of this module, you will be able to:

    1. Explain the purpose of the acid-fast stain. (CO#2)
    2. Identify the cell wall substance unique to acid-fast bacteria that allows them to retain the carbolfuchsin stain. (CO#2)
    3. Identify the decolorizer used in the acid-fast staining procedures. (CO#2)
    4. List groups of pathogenic organisms that stain acid-fast. (CO#5)
    5. Perform a Ziehl–Neelsen acid-fast stain. (CO#2,3,4)
    6. Distinguish acid-fast (positive) from non-acid-fast (negative) bacteria on a slide using a microscope. (CO#4,6)

    To achieve these objectives: [Edit these items to match your resources and activities.]

    1. Read the Module # Introduction 
    2. Read and view the materials in the Module # Pressbooks book
    3. Read Chapter # in Textbook Title, Article Title, etc. [Include all reading assignments here that are outside of Moodle. Be as concise as possible. More information can be included in the third-party section below, if necessary.]
    4. Complete the [specific activities in the module. Include all in the order you want them completed. If an activity supports the development of foundational and/or industry-specific digital skills, note the skill to which it aligns.]

    Module Pressbooks Resources and Activities

    You will find the following resources and activities in this module at the Pressbooks website. Click on the links below to access or complete each item.

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