The Grocott methenamine silver (GMS) stain can be a challenging stain if not performed carefully.
Problem |
Proper Technique |
impure water (tap, other) |
ultrapure water |
dirty glassware |
clean then acid-washed glassware; make sure slides are clean |
concentration of chromic acid too low (from repeated reuse) or too high |
use the correct concentration of chromic acid |
lower quality silver nitrate |
use better grades of silver nitrate |
decomposition of methenamine |
store powder in cool, dry place; store solutions in a dark bottle in the refrigrator; discard if there is a change in appearance |
temperature of reagents too low |
bring all solutions to room temperature before use |
temperature during incubation uneven |
incubate in a water bath kept at constant level 56-60°C |
sodium thiosulfate step omitted or solution dilute |
failure to perform properly will result in appearance of a black precipitate with time |
too much or too little counterstain |
counterstain properly |
deterioration in the gold chloride solution due to repeated reuse |
avoid solution that is a pale yellow or that has a brownish precipitate; either use fresh solution or filter then spike with fresh reagent |
use of fingers or metal forceps to handle slides |
use clean, plastic forceps or wear unpowdered gloves |
failure to add borate to silver solution |
borate raises the pH to alkaline levels |
time at each step too long or too short |
time each step carefully |
Purpose: To troubleshoot problems with a Grocott Methenamine Silver (GMS) stain.
Specialty: Clinical Laboratory
Objective: laboratory tests
ICD-10: B20.6, B35-B49,