RE: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation for a suspected TB case?

2011-04-14 Thread Tony Henwood
Christina,

The following might be useful:

Kappel et al (HUM PATHOL 27:1361--1364, 1996) attempted to grow TB from 
formalin fixed lung tissue that had previously been shown to be positive by 
sputum culture. They were unable to culture TB from these tissues.

Gerston et al (HUM PATHOL 35:571-575.2004) in South Africa analysed 138 
formalin fixed lungs with histological evidence of AFB and were able to culture 
TB from 12 of these cases (one of these cases had been fixed for 80 days before 
being tested).

Gerston et al suggest that there is a risk of contracting tuberculosis from 
tissue that has been fixed in formalin, if aerosols or accidental inoculation 
should occur. 

Trimming and sectioning wax blocks are of concern but no studies have been done 
yet.

Of concern to histotechnolgists are:
1.  Tissue with Inflammation-induced Encapsulation may protect bugs from 
formalin.
2.  Formalin dilutes as it penetrates tissue.
3.  Formalin substitutes may not be germicidal.

Regards 
Tony Henwood JP, MSc, BAppSc, GradDipSysAnalys, CT(ASC), FFSc(RCPA) 
Laboratory Manager  Senior Scientist 
Tel: 612 9845 3306 
Fax: 612 9845 3318 
the children's hospital at westmead
Cnr Hawkesbury Road and Hainsworth Street, Westmead
Locked Bag 4001, Westmead NSW 2145, AUSTRALIA 


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Thurby, 
Christina
Sent: Thursday, 14 April 2011 4:05 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation 
for a suspected TB case?

Hi,
Do anyone have references for how long should autopsy/necropsy tissue be in 
fixation for a suspected TB case?  Is 72-96 hours fixation sufficient or should 
the time be extended to 5-7 days.
Thanks,
Christina Thurby
Bristol-Myers Squibb Company
Research Scientist I
812-307-2093 (tie 625)




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[Histonet] RE: How long should autopsy/necropsy tissue be in fixation for a suspected TB case?

2011-04-13 Thread Thurby, Christina
Hi,
Do anyone have references for how long should autopsy/necropsy tissue be in 
fixation for a suspected TB case?  Is 72-96 hours fixation sufficient or should 
the time be extended to 5-7 days.
Thanks,
Christina Thurby
Bristol-Myers Squibb Company
Research Scientist I
812-307-2093 (tie 625)




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Re: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation for a suspected TB case?

2011-04-13 Thread Jay Lundgren
 As long as possible.  I remember reading somewhere about TB in lung
tissue that was still viable after *years* of 10% NBF.  Make sure the lungs
are thoroughly perfused, or they will still be unfixed in the middle.  There
is a technique to inflate lungs at autopsy using a large syringe full of
NBF and a clamp.  Make sure that the specimen is not contacting the walls or
bottom of the specimen container.  You can suspend the whole organ with
string inside the container, if needed. One can also use gauze or paper
towels to keep the organ under the surface of the fixative.  Lung tissue is
notoriously difficult to fix properly, due both to the high lipid content of
the pleural parenchyma, and the fact that fresh lungs float.

Sincerely,

  Jay A.
Lundgren, M.S., HTL (ASCP)
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Re: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation for a suspected TB case?

2011-04-13 Thread Rene J Buesa
5 days (96 h) is more than enough, but always handle the tissue and 
blocks using safety precautions.
René J.

--- On Wed, 4/13/11, Thurby, Christina christina.thu...@bms.com wrote:


From: Thurby, Christina christina.thu...@bms.com
Subject: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation 
for a suspected TB case?
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Date: Wednesday, April 13, 2011, 2:04 PM


Hi,
Do anyone have references for how long should autopsy/necropsy tissue be in 
fixation for a suspected TB case?  Is 72-96 hours fixation sufficient or should 
the time be extended to 5-7 days.
Thanks,
Christina Thurby
Bristol-Myers Squibb Company
Research Scientist I
812-307-2093 (tie 625)




This message (including any attachments) may contain confidential, proprietary, 
privileged and/or private information.  The information is intended to be for 
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or entity other than the intended recipient is prohibited.

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RE: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation for a suspected TB case?

2011-04-13 Thread Kumar, Devender
Hi, 

We fix 'Category-A' agent infected murine lungs in 10% buffered formalin for 7 
days in ABSL-3. We also confirm tissue sterility by plating the tissue 
homogenates on suitable media before taking the samples out of ABSL-3 facility 
for sectioning. In your case 7 days should be enough, but it is always better 
to confirm the sterility of tissue.

Thanks,
Devender


Devender Kumar, D.V.M., Ph.D.
Postdoctorate fellow,
Center for Immunology  Microbial Disease,
Albany Medical College,
47 New Scotland Avenue, MC151
Albany, NY 12208
518.262.6220(LAB)
--


-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Wednesday, April 13, 2011 3:57 PM
To: histonet@lists.utsouthwestern.edu; ChristinaThurby
Subject: Re: [Histonet] RE: How long should autopsy/necropsy tissue be in 
fixation for a suspected TB case?

5 days (96 h) is more than enough, but always handle the tissue and 
blocks using safety precautions.
René J.

--- On Wed, 4/13/11, Thurby, Christina christina.thu...@bms.com wrote:


From: Thurby, Christina christina.thu...@bms.com
Subject: [Histonet] RE: How long should autopsy/necropsy tissue be in fixation 
for a suspected TB case?
To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu
Date: Wednesday, April 13, 2011, 2:04 PM


Hi,
Do anyone have references for how long should autopsy/necropsy tissue be in 
fixation for a suspected TB case?  Is 72-96 hours fixation sufficient or should 
the time be extended to 5-7 days.
Thanks,
Christina Thurby
Bristol-Myers Squibb Company
Research Scientist I
812-307-2093 (tie 625)




This message (including any attachments) may contain confidential, proprietary, 
privileged and/or private information.  The information is intended to be for 
the use of the individual or entity designated above.  If you are not the 
intended recipient of this message, please notify the sender immediately, and 
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or entity other than the intended recipient is prohibited.

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