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Background:
Knowledge of variables influencing cytological sample quality of equine bronchoalveolar lavage fluid (BALF) is of major rel-evance for reliable cytological interpretation.
Objective:
To examine the influence of on-slide, spray-fixation on cellular quality in comparison to samples prepared ordinarily without postfixation (solely air-dried).
Methods:
Bronchoalveolar lavage fluids of five horses were pro-cessed by cytospin preparation and tracheal washes (TW) of 10 horses were prepared by manual smearing. Specimens were fixed subsequently with a commercially available fixation spray (Roti- Fix spray; Carl Roth GmbH + Co KG, Karlsruhe, Germany) in a wet state or were solely air-dried. Three specimens per fluid collection method, horse, and fixation method were obtained and were stained with May-Grünwald Giemsa. In specimens of BALF, 500 cells within a standard template were scored semiquantitatively by a four-tier morphology score (MS3 = perfect cell morphology to MS0 = mor-phology completely lost). Cellular morphology of TW specimens was assessed by paired comparison between spray-fixed and air-dried samples.
Results:
Cytospins of BALF samples fixed with the fixation spray had a significantly (P = .013) superior cell morphology (mean MS: 2.227) in comparison to solely air-dried specimens (mean MS: 2.040). Similarly, the cell morphology of 84.6% of the TW samples was per-ceived to be superior with spray-fixation in paired comparison to solely air-dried samples.
Conclusion:
On-slide spray-fixation is a very simple method that may be easily conducted in veterinary clinics and ambulatory practices. Usage of the fixation-spray has led to improved preser-vation of cell morphology and is therefore recommended by the authors.