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To prevent false negative results during smear microscopy, each laboratory technician needs to:

 

  • Make sure that the sample contains sputum, not just saliva.
  • Make sure there is enough sputum (at least 2-5 ml).
  • Select thick, purulent particles to make the smear.
  • Prepare smears correctly - not too thick, not too thin or not too little material.
  • Fix the slide for the correct length of the time, not too short or too long.
  • Stain with Carbol fuchsin for full five minutes.
  • Do not decolorize with Sulphuric acid too intensively.
  • Examine every smear for at least five minutes and full 100 fields before recording it as negative.
  • Label the sputum containers, slides and laboratory forms carefully.
  • Cross check the number on the laboratory form and sputum container before recording.
  • Record and report the results accurately.

 

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