United States Environmental Protection Agency Office of Water Washington, DC 20460 EPA-821-R-97-023 December 1997 DRAFT SEPA Method 1622: Cryptosporidium in Water by Filtration/I MS/FA npAPT Printed on Recycled Paper ------- CTI 'itl '"'if i» ;•,"•• fill.I:11!''":!-!;!.-!.!!SPi' C'i f;pi»|!=:;~:ai^ '•»•'. i'.-.";. :i. '•• !«iSf i ''».r . • ': ii"'1 4 ! ••Mil" :' ;':'!"":': *!»':'*;« ' fS't! i'% !<:••;- J" iSJIft ':'!!*!!!*'!!!" f.T. i-'si <1t ?! li'l ;^''*''"!!'! if; ------- United States Environmental Protection Agency Office of Water Washington, DC 20460 EPA821-R-97-023 December 1997 DRAFT SEPA Method 1622: Cryptosporidium in Water by Filtration/I MS/FA December 1997 Draft ------- Acknowledgments '\ ' • ' ,,i " • ',,.'' i , S1 T,, ' f '*'. ' '"' ','- ,, •(. '' This method was prepared under the direction of William A. felliard of the Engineering and Analysis Division within EPA's Office of Water. This document was prepared under EPA Contract No. 68-C3-0337 by DynCorp, Inc., with assistance from its subcontractor, Interface, Inc. The contributions of the following persons and organizations to the development of this method are gratefully acknowledged: Mike Arrowood, Centers for Disease Control, Division of Parasitic Diseases (MS-F13), 4770 Buford Highway, N.E., Atlanta, GA 30341-3724, USA Phil Berger, Office of Groundwater and Drinking Water, U.S. Environmental Protection Agency, 401 M Street, S.W., Washington, DC 20460, USA Jennifer Clancy, Clancy Environmental Consultants, Inc., P.O. Box 314, St. Albans, VT 05478, USA Ricardo DeLeon, Metropolitan Water District of Southern California, 700 Moreno Avesnue, LaVerne, CA 91760, USA Colin Pricker, Thames Water Utilities, Manor Farm Road, Reading, Berkshire, RG2 OJN, England Frank Schaefer m, National Exposure Research Laboratory, U.S. Environmental Protection Agency, 26 W. Martin Luther King Drive, Cincinnati, OH 45268-1320, USA Steve Schaub, Health and Ecological Criteria Division (4304), Office of Science and Technology, U.S. Environmental Protection Agency, 401 M Street, S.W., Washington, DC 20460, USA Huw Smith, Department of Bacteriology, Scottish Parasite Diagnostic Laboratory, Stobhill NHS Trust, Springburn, Glasgow, G21 3UW, Scotland Disclaimer This method has been reviewed by the Office of Water, U.S. Environmental Protection Agency, and approved for publication. Mention of trade names or commercial products does not constitute endorsement or recommendation for use. Questions regarding this method or its application should be addressed to: William A. Telliard U.S. EPA Office of Water Analytical Methods Staff Mail Code 4303 Washington, DC 20460 Phone: 202/260-7120 Fax: 202/260-7185 ------- Introduction The occurrence of Cryptosporidium outbreaks in drinking water have brought about an increased need for detection at levels necessary to protect human health. Method 1622 was developed to determine Cryptosporidium reliably at low concentrations. EPA initiated an effort in 1996 to identify new and innovative technologies for protozoan monitoring and analysis. After evaluating potential alternatives to current methods through literature searches, discussions with research and commercial laboratories, and meetings with experts, the Office of Water developed an initial draft of Method 1622 in December 1996. The draft method was revised in January, May, and November 1997, based on comments from experts, multiple in-laboratory peer reviews, and two single- laboratory validation studies. Method 1622 is a performance-based method applicable to the determination of Cryptosporidium in aqueous matrices. Method 1622 requires filtration, immunomagnetic separation of the oocysts from the material captured, and immunofluorescence assay for determination of oocyst concentrations, with confirmation through vital dye staining and differential interference contrast microscopy. This revision of Method 1622 includes several procedures for filtration and IMS, however, only the capsule filtration procedure (Section 12.2) and the Dynal IMS procedure (Section 13.3) have been validated. Alternate techniques are allowed, provided that required quality control tests are performed and all quality control acceptance criteria in this method are met. These alternate techniques currently include the vortex-flow filtration procedure listed in Section 12.4, the membrane disk filtration procedure listed at Section 12.5, and the ImmuCell IMS procedure listed at Section 13.5. These techniques have been tested on a preliminary basis, but have not been validated. NOTE: The quality control acceptance criteria listed in Table 1 are based on validation studies using the capsule filtration procedure (Section 12.2) and the Dynal IMS procedure (Section 13.3). No validation studies have been conducted using the vortex flow filtration procedure (Section 12.4), membrane disk filtration procedure (Section 12.5), or ImmuCell IMS procedure (Section 13.5). As a result, these procedures must be demonstrated to meet Method 1622 's performance-based requirements before use. in ------- ------- 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 11.0 12.0 13.0 14.0 15.0 16.0 17.0 18.0 19.0 20.0 21.0 Table of Contents Scope and Application Summary of Method Definitions Contamination, Interferences, and Oocyst Degradation ... Safety, Equipment and Supplies Reagents and Standards Sample Collection and Storage Quality Control Microscope Calibration and Analyst Verification .., Oocyst Suspension Enumeration and Spiking Sample Filtration and Elution . .• , Sample Concentration and Separation (Purification) Sample Staining Examination Analysis of Complex Samples Method Performance Pollution Prevention Waste Management References Tables and Figures Table 1. Quality control acceptance criteria Figure 1. Hemacytometer platform ruling Figure 2. Manner of counting Cryptosporidium oocysts in 1 square mm Figure 3. Laboratory filtration system for capsule filter or membrane disk filter Figure 4. Vortex-flow filter concentrator drive assembly Figure 5. Vortex-flow filter system Figure 6. Membrane disk filter assembly Figure 7. Methods for scanning a well slide 1 1 , 2 , 2 . 3 . 3 . 7 . 9 10 15 21 26 33 37 38 39 39 39 39 40 40 40 41 42 43 44 45 46 47 22.0 Glossary of Definitions and Purposes 48 ------- VI ------- Method 1622: Cryptosporidium in Water by Filtration/IMS/FA December 1997 Draft 1.0 Scope and Application 1.1 This method is for determination of the identity and concentration of Cryptosporidium (CAS Registry number 137259-50-8) in untreated and treated drinking water and in other waters by filtration, immunomagnetic separation (IMS), and immunofluorescence assay microscopy (FA). Cryptosporidium may be confirmed using 4',6-diamidino-2-phenylindole (DAPI) vital dye staining and differential interference contrast (D.I.C.) microscopy. 1.2 This method is designed to meet the survey and monitoring requirements of the U.S. Environmental Protection Agency (EPA). It is based on laboratory testing of recommendations by a panel of experts convened by EPA. The panel was charged with recommending an improved protocol for recovery and detection of Cryptosporidium that could be tested and implemented with minimal additional research. 1.3 This method will not identify the species of Cryptosporidium or the host species of origin, nor can it determine the viability or infectivity of detected oocysts. 1.4 A method detection limit (MDL) of 4 oocysts/L typifies the minimum concentration of oocysts that can be detected in a 10-L sample with no interferences present. 1.5 This method is for use only by persons experienced in the determination of Cryptosporidium by filtration, IMS, and FA. Experienced persons are defined in the glossary at the end of this method as the principal analyst/supervisor, analyst, and technician. Laboratories unfamiliar with analyses of environmental samples by the techniques in this method should gain experience using water filtration techniques, IMS, fluorescent antibody staining with monoclonal antibodies, and microscopic examination of biological particulates using bright-field and D.I.C. microscopy. 1.6 Any modification of the method beyond those expressly permitted is subject to the application and approval of alternative test procedures under 40 CFR Part 141.27. 2.0 Summary of Method 2.1 A 10-L volume of water is collected in a carboy in the field and shipped to the laboratory. The sample is filtered in the laboratory and the oocysts and extraneous materials are captured on the filter. 2.2 Elution and separation 2.2.1 Materials on the filter are removed by extraction with an aqueous buffered salt and detergent solution. The salt/detergent solution from the filter is centrifuged to settle the oocysts, and the supernatant fluid is decanted. 2.2.2 The oocysts are magnetized by attachment of magnetic beads conjugated to an antibody. The magnetized oocysts are separated from the extraneous materials using a magnet, and the extraneous materials are discarded. The magnetic bead complex is then detached from the oocysts. 2.3 Enumeration 2.3.1 The oocysts are stained on well slides with fluorescently labeled monoclonal antibodies and vital dye. The stained sample is examined using fluorescence and differential interference contrast (D.I.C.) microscopy. December 1997 Draft ------- Method 1622 - Draft 2.3.2 Qualitative analysis is performed by scanning each slide well for objects that meet the size, shape, and fluorescence characteristics of Cryptosporidium oocysts. Potential oocysts are confirmed through 4',6-diamidino-2-phenylindole (DAPI) vital dye staining characteristics and D.I.C. microscopy. An oocyst is identified when size, shape color, and morphology agree with specified criteria and examples in a photographic library. 2.3.3 Quantitative analysis is performed by counting the total number of objects on the slide confirmed as oocysts. 2.4 Quality is assured through reproducible calibration and testing of the filtration, immunomagnetic separation (IMS), staining, and microscopy systems. Detailed information on these tests is provided in Section 9. 3.0 Definitions 3.1 Cryptosporidium is defined as a protozoan parasite potentially found in water iand other media. The six species of Cryptosporidium and their potential hosts are C. parvum (mammals, including humans); C. baileyi and C. meleagridis (birds); C. muris (rodents); C. serpentis (reptiles); and C. nasorum (fish). 3.2 Definitions for other terms used in this method are given in the glossary at the end of the method. 4.0 Contamination, Interferences, and Oocyst Degradation 4.1 Turbidity caused by inorganic and organic debris can interfere with the concentration, separation, and examination of the sample for Cryptosporidium oocysts. In addition to naturally-occurring debris, such as clays and algae, chemicals, such as iron and alum coagulants and polymers, may be added to water during the treatment process, which may result in additional interference. 4.2 Organisms and debris that autofluoresce or demonstrate non-specific fluorescence, such as algal and yeast cells, when examined by epifluorescent microscopy, may interfere with the detection of oocysts and contribute to false positives by immunofluorescent assay (FA). 4.3 Solvents, reagents, labware, and other sample-processing hardware may yield artifacts that may cause misinterpretation of microscopic examinations for oocysts. All materials used shall be demonstrated to be free from interferences under the conditions of analysis by running a method blank (negative control sample) initially and a minimum of every week or after changes in source of reagent water. Specific selection of reagents and purification of solvents and other materials may be required. 4.4 Interferences co-extracted from samples will vary considerably from source to source, depending on the diversity of the water being sampled. Experience suggests that high levels of algae, bacteria, and other protozoa can interfere in the identification of oocysts (Reference 20.1). 4.5 Freezing 10-L samples, filters, eluates, concentrates, or slides may interfere with the detection and/or identification of oocysts. 4.6 All equipment should be autoclaved after use and before washing. Clean equipment by scrubbing with warm detergent solution and exposing to hypochlorite solution (minimum of 5%) for at least 30 minutes at room temperature. Rinse the equipment with reagent water and place in an oocyst- free environment until dry. Disposable supplies should be used wherever possible. December 1997 Draft ------- Method 1622 - Draft 5.0 Safety 5.1 The biohazard associated with, and the risk of infection from, oocysts is high in this method because live organisms are handled. This method does not purport to address all of the safety problems associated with its use. It is the responsibility of the laboratory to establish appropriate safety and health practices prior to use of this method. In particular, the analyst/technician must know and observe the safety procedures required in a microbiology laboratory that handles pathogenic organisms while preparing, using, and disposing of sample concentrates, reagents and materials, and while operating sterilization equipment. 5.2 The toxicity or carcinogenicity of each compound or reagent used in this method has not been precisely determined; however, each chemical compound should be treated as a potential health hazard. Exposure to these compounds should be reduced to the lowest possible level. The laboratory is responsible for maintaining a current awareness file of Occupational Safety and Health Administration regulations regarding the safe handling of the chemicals specified in this method. A reference file of material safety data sheets should be made available to all personnel involved in these analyses. Additional information on laboratory safety can be found in References 20.2 through 20.5. 5.3 Samples may contain high concentrations of biohazards and toxic compounds, and must be handled with gloves and opened in a biological safety cabinet to prevent exposure. Reference materials and standards containing oocysts must also be handled with gloves and the analyst/technician must never place gloves in or near the face after exposure to solutions known or suspected to contain oocysts. Do not mouth-pipette. 5.4 Laboratory personnel must change gloves after handling filters and other contaminant-prone equipment and reagents. Gloves must be removed or changed before touching any other laboratory surfaces or equipment. 6.0 Equipment and Supplies NOTE: Brand names, suppliers, and part numbers are for illustrative purposes only. No endorsement is implied. Equivalent performance may be achieved using apparatus and materials other than those specified here, but demonstration of equivalent performance that meets the requirements of this method is the responsibility of the laboratory. 6.1 Equipment for spiking samples in the laboratory 6.1.1 10-L carboy with bottom delivery port C/z")—Cole-Palmer cat. no. 06080-42, or equivalent; 'calibrate to 10.0 L and mark level with waterproof marker 6.1.2 Stir bar—Fisher cat. no. 14-511-93, or equivalent 6.1.3 Stir plate—Fisher cat. no. 14-493-120S, or equivalent 6.1.4 Hemacytometer—Hausser Scientific, Horsham, PA, cat. no. 3200 or 1475, or equivalent 6.1.5 Hemacytometer coverslip—Hauser Scientific, cat. no. 5000 (for hemacytometer cat. no. 3200) or 1461 (for hemacytometer cat. no 1475), or equivalent 6.1.6 Lens paper without silicone—Fisher cat. no. 11-995, or equivalent 6.1.7 Polystyrene or polypropylene conical tubes with screw caps—15- and 50-mL December 1997 Draft ------- Method 1622 - Draft 6.1.8 Sonicator—Fisher Scientific Ultrasonic Cleaner cat. no. 1533532, 44- to 48-kHz peak output/frequency, 3-qt tank capacity, or equivalent 6.2 Equipment for laboratory filtration of samples 6.2.1 Capsule filter system 6.2.1.1 Sampling capsule, approximately 6-cm in diameter x 21-cm long with approximately 1300 cm2 polyethersulfone filter media, and '/2-in. inlet and outlet fittings—Gelman Sciences, Inc., Ann Arbor, MI, Envirochek™ Sampling Capsule, product 12110, or equivalent 6.2.1.2 Wrist-action shaker with arms for agitation of sampling capsules 6.2.1.2.1 Wrist-action shaker—Lab-Line model 3589, VWR Scientific cat. no. 57039-055, Fisher cat. no. 14260-11, or equivalent 6.2.1.2.2 Side arms for wrist action shaker—Lab-Line Model 3587-4, VWR Scientific cat. no. 57039-045, Fisher cat. no. 14260-13, or equivalent Vortex-flow filter (VFF) system—alternate procedure requiring demonstration of performance prior to use 6.2.2.1 6.2.2 VFF concentrator—ClearWater, Portland, ME, cat. no. VC-1, or equivalent 6.2.2.2 Membrane cartridge—ClearWater Mb 10, or equivalent 6.2.2.3 Peristaltic pump—Masterflex Pump System Complete Pump A, Cole Parmercat. no. E-77910-10, or equivalent 6.2.2 A Pump tubing—Masterflex E 96400-16, or equivalent 6.2.2.5 Pressurized gas (nitrogen or air) 6.2.2.6 Pressure reservoir 10- to 20-L—Millipore no. XX6700P10 or no. X6700P20, or equivalent 6.2.3 Membrane disk filter system—alternate procedure requiring demonstration of performance prior to use NOTE: The membrane disk filter systems listed below may be acceptable for waters with low turbidity but may clog with higher turbidity waters. 6.2.3.1 Filter housing assembly, membrane disk, 142- or 293-mm, including stand, inlet and outlet plates, support screen, O-rings, fittings, etc.—Micro-filtration Systems, Pleasanton CA, KS142/302000 (142-mm housing), KS293/302600 (293-mm housing), or equivalent. 6.2.3.2 Sonicator—-Section 6.1.7 6.2.3.3 Membrane disk filters 6.2.3.3.1 142-mm diameter: 1-, 2-, or 3-^m pore size: Corning Separations Division•#! 12110, #112111, #112112, respectively, or equivalent December 1997 Draft 4 ------- Method 1622 - Draft 6.2.3.3.2 293-mm diameter: 1-, 2-, or 3-ywm pore size: Coming Separations Division #112810, #112811, or#112812, respectively, or equivalent 6.2.3.4 Membrane filter drain disks 6.2.3.4.1 Drain disks for 142-mm filters—Corning Separations Division #231700, or equivalent 6.2.3.4.2 Drain disks for 293-mm filters—Corning Separations Division #232500, or equivalent 6.2.3.5 Washing machine hose—-standard household type 6.2.3.6 Specimen cups for elution 6.2.3.6.1 125-mL (for elution of 142-mm membrane disk filters)—Cole-Parmer cat. no. E-06101-31, or equivalent 6.2.3.6.2 250-mL (for elution of 293-mm membrane disk filters)—Cole-Parmer cat. no. E-06101-40, or equivalent 6.3 Ancillary sampling equipment using capsule or membrane disk filter 6.3.1 Tubing—Glass, polytetrafluoroethylene (PTFE), high-density polyethylene (HOPE), or other tubing to which oocysts will not easily adhere—Tygon formula R-3603, or equivalent. If rigid tubing (glass, PTFE, HOPE) is used and the sampling system uses a peristaltic pump, a minimum length of compressible tubing may be used in the pump. Before use, the tubing must be thoroughly rinsed with detergent solution, followed by repeated rinsing with reagent water to minimize sample contamination. 6.3.2 Flow control valve—0.5 gpm (0.03 L/s), Bertram Controls, Plast-O-Matic cat. no. FC050BV4-PV, or equivalent; or 0.4- to 4-Lpm flow meter with valve—Alamo Water Treatment, San Antonio, TX, cat. no. R5310, or equivalent 6.3.3 Centrifugal pump—Grainger, Springfield, VA, cat. no. 2P613, or equivalent 6.4 Immunomagnetic separation (IMS) apparatus 6.4.1 Dynal IMS system 6.4.1.1 Sample mixer—Dynal Inc., Lake Success, NY, no. 947.01, or end-over- end rotator, Barnstead-Thermolyne 400110, or equivalent 6.4.1.2 Magnetic particle concentrator—MPC-1, for 10-mL test tubes, Dynal no. 120.01, or equivalent 6.4.1.3 Magnetic particle concentrator—MPC-M, for microcentrifuge tubes, Dynal no. 120.09, or equivalent 6.4.1.4 16 x 125 mm Leighton type tubes—Dynal® L10, no. 740.03, or equivalent 6.4.2 ImmuCell IMS system—alternate procedure requiring demonstration of performance prior to use 6.4.2.1 Petri dish, polymethylpentane—100 x 15 mm, Nalgene no. 5500-0010, Fisher 0875715C, or equivalent December 1997 Draft ------- Method 1622 - Draft 6.5 6.6 6.7 6.8 6.4.2.2 Orbital shaker—Bellco #7744-01010, orbital shaker adaptor VWR 20903-879, or mini-orbital shaker adaptor VWR 20903-875, or equivalent 6.4.2.3 Magnetic panning device (magnet)—ClearWater 1400, or equivalent 6.4.2.4 End-over-end rotator—Barnstead-Thermolyne 4002110, or equivalent 6.4.2.5 Polypropylene tubes—50-mL Powder-free latex gloves—Fisher cat no. 113945B, or equivalent Graduated cylinders, autoclavable—10-, 100-, and 1000-mL Centrifuges 6.7.1 Centrifuge capable of accepting 15- to 250-mL conical centrifuge tubes and achieving 1000 x G —International Equipment Company, Needham Heights, MA, Centrifuge Size 2, Model K with swinging bucket, or equivalent 6.7.2 Centrifuge tubes—conical, graduated, 1.5-, 2-, 5-, 15-, 25- 50-, and 250-mL Microscope 6.8.1 Epifluorescence/differential interference contrast (D.I.C.) with stage and ocular micrometers and 20X (N.A.=0.4) to 100X (N.A.=1.3) objectives—Zeiss™ Axioskop, Olympus™ BH, or equivalent 6.8.2 Excitation/band-pass filters for immunofluorescent assay (FA)—Zeiss™ 487909 or equivalent, including, 450- to 490-nm exciter filter, 510 nm dicroic beam-splitting mirror, and 515- to 520-nm barrier or suppression filter 6.8.3 Excitation/band-pass filters for DAPI—filters cited below (Chroma Technology, Brattleboro, VT), or equivalent Microscope model Zeiss™ -Axioskop Zeiss™ -IM35 Olympus™ BH Olympus™ BX Olympus™ IMT2 Fluoro- chrome DAPI (UV) DAPI (UV) DAPI (UV) Excitation filter (nm) 340-380 340-380 340-380 Dichroic beam- splitting mirror (nm) 400 400 400 Barrier or suppression filter (nm) 420 420 420 Filter holder DAPI (UV) DAPI(UV) 340-380 400 Filter holder 340-380 400 420 420 Filter holder Chroma catalog number CZ902 CZ702 11000 91002 11000 91008 11000 91003 6.9 Ancillary equipment for microscopy 6.9.1 Well slides—treated, 12-mm diameter, Meridian Diagnostics Inc., Cincinnati, OH, cat. no. R2206, or equivalent 6.9.2 Glass coverslips—22 x 50 mm 6.9.3 Fingernail polish—clear or clear fixative, PGC Scientifics, Gaithersburg, MD, cat. no. 60-4890, or equivalent 6.9.4 Nonfluorescing immersion oil December 1997 Draft ------- Method 1622-Draft 6.9.5 Micropipette, adjustable: 0- to IQ-/J.L with 0- to 10-//L tips 10- to 100-//L, with 10- to 200-//L tips 100- to 1000-/^L with 100- to 1000-^L tips 6.9.6 Forceps—splinter, fine tip 6.9.7 Forceps—blunt-end 6.9.8 Desiccant—Drierite™ Absorbent, Fisher cat. no. 07-577-1A, or equivalent 6.10 Pipettes—glass or plastic 6.10.1 5-, 10-, and 25-mL 6.10.2 Pasteur, disposable 6.11 Balances 6.11.1 Analytical—capable of weighing 0.1 mg 6.11.2 Top loading—capable of weighing 10 mg 6.12 pH meter 6.13 Incubator—Fisher Scientific Isotemp™, or equivalent 6.14 Vortex mixer—Fisons Whirlmixer, or equivalent 6.15 Vacuum source—capable of maintaining 25 in. Hg, equipped with shutoff valve and vacuum gauge 6.16 Miscellaneous labware and supplies 6.16.1 Test tubes and rack 6.16.2 Flasks—suction, Erlenmeyer, and volumetric, various sizes 6.16.3 Beakers—glass or plastic, 5-, 10-, 50-, 100-, 500-, 1000-, and 2000-mL 6.16.4 Lint-free tissues 6.17 10- to 15-L graduated container—Fisher cat. no. 02-961-50B, or equivalent; calibrate to 9.0, 9.5, 10.0,10.5, and 11.0 L and mark levels with waterproof marker 6.18 Equipment for field sampling and shipping 6.18.1 -10-L carboy—Cole Farmer cat. no. 06100-33, or equivalent 6.18.2 Shipping container—Cole Farmer cat. no. 06100-03, or equivalent 7.0 Reagents and Standards 7.1 Reagents for adjusting pH 7.1.1 Sodium hydroxide (NaOH)—ACS reagent grade, 6.0 N and 1.0 N in reagent water 7.1.2 Hydrochloric acid (HC1)—ACS reagent grade, 6.0 N and 0.1 N in reagent water 7.2 Solvents—acetone, glycerol, ethanol, and methanol, ACS reagent grade 7.3 Reagent water—water in which oocysts and interfering materials and substances, including magnetic minerals, are not detected by this method 7.4 Reagents for eluting capsule filters 7.4.1 Laureth-12—PPG Industries, Gurnee, EL, cat. no. 06194, or equivalent December 1997 Draft ------- Method 1622 - Draft 7.4.2 1 M Tris, pH 7.4—Dissolve 121.1 g Tris (Fisher cat. no. BP152) in 700 mL of reagent water and adjust pH to 7.4 with 1 N HC1 or NaOH. Filter-sterilize through a 2-/u.m membrane into a sterile plastic container and store at room temperature. 7.4.3 0.5 M EDTA, 2 Na, pH 8.0—Dissolve 186.1 g ethylenediamine tetraacetic acid, disodium salt dihydrate (Fisher cat. no. S311) in 800 mL and adjust pH to 8.0 with 6.0 N HC1 or NaOH for initial adjustment and 1.0 N HC1 or NaOH for final adjustment. 7.4.4 Antifoam A—Sigma Chemical Co. cat. no. A5758, or equivalent 7.4.5 Preparation of buffer solution—Weigh 1 g of Laureth-12 in a glass beaker and add 100 mL of reagent water. Heat the beaker to melt the Laureth-12 using a hot plate or microwave and transfer the solution to a 1000-mL graduated cylinder. Rinse the beaker several times to ensure the transfer of the detergent to the cylinder. Add 10 mL of Tris solution, pH 7.4; 2 mL of EDTA solution, pH 8.0; and 150 (A. Antifoam A. Dilute to 1000 mL with reagent water. 7.5 Reagents for eluting membrane disk filters—alternate procedure requiring demonstration of performance prior to use 7.5.1 Sodium chloride (NaCl), ACS 7.5.2 Potassium dihydrogen phosphate (KH2PO4), ACS 7.5.3 Hydrated disodium hydrogen phosphate (Na2HPO4( 12H2O)), ACS 7.5.4 Potassium chloride (KC1), ACS 7.5.5 Tween 80—Sigma Chemical Co. cat. no. P1754, or equivalent 7.5.6 Antifoam A—Sigma Chemical Co. cat. no. A5758, or equivalent 7.5.7 Sodium Lauryl Sulfate (SDS)—Sigma Chemical Co. cat. no. L4509, or equivalent 7.5.8 Preparation of buffer solution—Dissolve 8 g NaCl, 0.2 g KH2PO4, 2.9 g Na2HPO4(12H2O), 0.2 g KC1, 1 g SDS, 1 mL Tween 80, and 100 //L Antifoam A in 750 mL of reagent water. After dissolution, adjust the volume to 1 L, mix thoroughly, and adjust the pH to 7.4 with 1 N NaOH or HC1. Prepare weekly. 7.6 Reagents for immunomagnetic separation (IMS) 7.6.1 Dynal IMS system—Dynabeads® anti-Cryptosporidium kit, cat no. 7:30.01, or equivalent 7.6.2 ImmuCell IMS system—Crypto-Scan™ water diagnostic test kit #R10, or equivalent—alternate procedure requiring demonstration of performance prior to use 7.7 Sample examination solutions 7.7.1 DABCO/glycerol mounting medium (2%)—Dissolve 2 g of DABCO (Sigma Chemical Co. cat no. D-2522, or equivalent) in 95 mL of warm glycerol/PBS (60% glycerol, 40% 150 mM PBS). After the DABCO has dissolved completely, adjust the solution volume to 100 mL by adding an appropriate volume of glycerol/PBS solution,, 7.7.2 Bovine serum albumin (BSA) (1 %)—Add 1 g of BSA crystals (Sigma Chemical Co. cat. no. A7030) to 95 mL of 150 mM PBS (pH 7.2 [Section 7.9.3]). After the crystals have dissolved completely, adjust the solution volume to 100 mL by adding an appropriate volume of 150 mM PBS (pH 7.2). Filter-sterilize the solution with a 0.2-yum membrane filter into a sterile container. Store at 0°C to 8°C and discard after 6 months or when contamination is evident. Do not allow to freeze. December 1997 Draft 8 ------- Method 1622 - Draft 7.8 7.7.3 Hanks Balanced Salt Solution (HBSS)—Sigma Chemical Co. cat. no. H9269, or equivalent Detection kit—Store the kit at 0°C to 8°C and return it promptly to this temperature after each use. Do not allow any of the reagents in this kit to freeze. The labeling reagents should be protected from exposure to light. Diluted, unused working reagents should be discarded after 48 hours. Discard the kit after the expiration date is reached. 7.8.1 Direct labeling kit for detection of oocysts—Crypt-a-Glo™, Waterborne, Inc., New Orleans, LA, cat. no. A400FL, or equivalent 4',6-diamidino-2-phenylindole (DAPI) vital-dye stain 7.9 7.8.2 7.8.2.1 7.8.2.2 Stock solution—Add 2 mg/mL in absolute methanol. Prepare volume consistent with minimum use. Store at 0°C to 8°C in the dark. Discard unused solution after 2 weeks. Do not allow to freeze. Staining solution (1/5000 dilution in PBS)—Add 10 pL of 2 mg/mL DAPI stock solution to 50 mL of 150 mM PBS. Prepare daily. Store at 0°C to 8°C in the dark except when staining. Do not allow to freeze. Oocyst suspension for spiking 7.9.1 Purified, live Cryptosporidium oocyst stock suspension—not formalin-fixed Tween 20, 0.01%—Dissolve 1.0 mL of a 10% solution of Tween 20 in reagent water. Phosphate buffered saline (PBS), 150 mM—Add 1.07 g Na2HPO4, 0.39 g NaH2PO4.2H2O, and 8.5 g NaCl to 800 mL reagent water. Dissolve and adjust to 1 L volume with reagent water. Adjust pH to 7.2 with NaOH or HC1. Prepare weekly. Storage procedure—Store oocyst suspensions at 0°C to 8°C, until ready to use. Do not allow to freeze. Enumerated oocyst spiking suspension (Section 11.3 or 11.4) must be "used within 24 hours of counting. 7.9.2 7.9.3 7.9.4 8.0 Sample Collection and Storage 8.1 Samples are collected in plastic 10-L carboys and shipped to the laboratory for filtration, elution, concentration, immunomagnetic separation (IMS), staining, and examination. Samples must be shipped to the laboratory the day that they are collected and must arrive at the laboratory within 24 hours of sample collection. Store 10-L carboys at 0°C to 8°C between collection and shipment to the laboratory and upon receipt at the laboratory until ready for filtration. Do not allow to freeze. NOTE: U.S. Department of Transportation (DOT) regulations (49 CFR 172) prohibit interstate shipment of more than 4 L of solution known to contain infectious materials. State regulations may contain similar regulations for intrastate commerce. This method requires a minimum of 10 L to achieve the method detection limit listed in Section 1.4. Unless the sample is known or suspected to contain Cryptosporidium or other infectious agents (e.g., during an outbreak), samples should be shipped as noninfectious and should not be marked as infectious. If a sample is known or suspected to be infectious, and the sample must be shipped to a laboratory by a December 1997 Draft ------- Method 1622 - Draft transportation means affected by DOT or state regulations, it is recommended that the sample be collected in the field using a capsule or membrane disk filter, and that the filter be shipped to the laboratory to avoid violating transport regulations. 8.2 Sample holding times: Laboratory filtration, elution, and concentration of a sample received in a carboy must be completed within 72 hours of sample collection. At this point, a break may be inserted if the laboratory will not progress immediately to the immunomagnetic separation (IMS) procedure. If a break is inserted at this point, the concentrate must be stored at 0°C to 8 °C. Do not allow to freeze. 8.3 Concentrate holding times: IMS and sample staining must be completed within 24 hours of completion of sample concentration. Stained slides must be stored at 0°C to 8°C in the dark. Do not allow to freeze. 8.4 Stained sample holding times: Immunofluorescence assay (FA) and 4',6-diamidino-2-phenylindole (DAPI) and differential interference contrast (D.I.C.) microscopy examination and confirmation must be completed within 72 hours of completion of sample staining. 9.0 Quality Control 9.1 Each laboratory that uses this method is required to operate a formal quality assurance (QA) program (Reference 20.6). The minimum requirements of this program consist of an initial demonstration of laboratory capability, analysis of spiked samples to evaluate and document data quality, and analysis of standards and blanks as tests of continued performance. Laboratory performance is compared to established performance criteria to determine if the results of analyses meet the performance characteristics of the method. 9.1.1 A test of the microscope used for detection of oocysts is performed prior to examination of slides. This test is described in Section 10. 9.1.2 In recognition of advances that are occurring in analytical technology, the laboratory is ._ permitted certain options to improve detection or lower the costs of measurements, provided that all quality control acceptance criteria are met. If an anab/tical technique other than the techniques specified in this method is used, that technique must have a specificity equal to or better than the specificity of the techniques in this method for Cryptosporidium in the sample of interest. Specificity is defined as producing results equivalent to the results produced by this method for Cryptosporidium in reagent water and environmental samples, and that meet all of the quality control (QC) acceptance criteria stated in this method. 9.1.2.1 Each time a modification is made to this method, the analyst is required to repeat the initial precision and recovery (IPR) test in Section 9.4.2 to demonstrate that the modification produces results equivalent to or superior to results produced by this method. If the detection limit of the method will be affected by the modification, the analyst must demonstrate that the method detection limit (MDL) (40 CFR 136, Appendix B) is less than or equal to the MDL in this method or one-third the regulatory compliance level, whichever is higher. The tests required for this equivalency demonstration are given in Section 9.4. December 1997 Draft 10 ------- Method 1622 - Draft 9.1.3 9.1.4 9.1.5 9.1.6 9.1.2.2 The laboratory is required to maintain records of modifications made to this method. These records include the following, at a minimum: 9.1.2.2.1 The names, titles, addresses, and telephone numbers of the analyst(s) who performed the analyses and modification, and of the quality control officer who witnessed and will verify the analyses and modification. 9.1.2.2.2 A listing of the analyte measured (Cryptosporidium). 9.1.2.2.3 A narrative stating reason(s) for the modification. 9.1.2.2.4 Results from all QC tests comparing the modified method to this method, including: (a) Microscope calibration (Section 10) (b) Calibration verification (Section 10) (c) Initial precision and recovery (Section 9.4.2) (d) Analysis of blanks (Section 9.6) (e) Accuracy assessment (Section 9.4) (f) Ongoing precision and recovery (Section 9.7) 9.1.2.2.5 Data that will allow an independent reviewer to validate each determination by tracing the following processing and analysis steps leading to the final result: (a) Sample numbers and other identifiers (b) All spiking suspension enumeration calculations (Section 11) (c) Volume filtered (Section 12) (d) Filtration and concentration dates and times (e) Initial and final pellet volumes (Section 13) (f) Staining dates and times (Section 13 and 14) (g) Examination and confirmation dates and times (h) Analysis sequence/run chronology (i) Make and model of microscope (j) Copies of bench sheets, logbooks, and other recordings of raw data (k) Data system outputs, and other data to link the raw data to the results reported The laboratory shall spike a separate aliquot of samples from the same source to monitor method performance. This test is described in Section 9.7. When results of these spikes indicate atypical method performance, the sample is diluted before spiking to bring method performance within acceptable limits (Section 16). Analyses of blanks are required to demonstrate freedom from contamination. The procedures and criteria for analysis of a blank are described in Section 9.6. The laboratory shall, on an ongoing basis, demonstrate through analysis of the ongoing precision and recovery (OPR) sample that the analysis system is in control. These procedures are described in Section 9.7. The laboratory shall maintain records to define the quality of data that is generated. Development of accuracy statements is described in Section 9.5.4 and 9.7.3. 11 December 1997 Draft ------- Method 1622 - Draft 9.1.7 The laboratory shall analyze 1 laboratory blank (Section 9.6) and 1 OPR sample (Section 9.7) each week during which samples are analyzed if 20 or fewer field samples are analyzed during this period. The laboratory shall analyze 1 laboratory blank and 1 OPR sample for every 20 samples if more than 20 samples are analyzed in a week. 9.1.8 The laboratory shall analyze one matrix spike (MS) sample (Section 9.5) when samples are first received from a utility for which the laboratory has never before analyzed samples. The MS analysis should be performed on an extra sample sent from the utility. If the laboratory routinely analyzes samples from 1 or more utilities, 1 MS analysis must be performed per 20 field samples. For example, when a laboratory receives the first sample from a given site, the laboratory must obtain a second aliquot of this sample to be used for the MS. When the laboratory receives the 21st sample from this site, a separate aliquot of this 21st sample must be collected and spiked. 9.2 Micropipette calibration 9.2.1 Micropipettes must be sent to manufacturer for calibration annually. Alternately, a qualified independent technician specializing in micropipette calibration can be used. Documentation on the precision of the recalibrated micropipette must be obtained from the manufacturer or technician. 9.2.2 Internal and external calibration records must be kept on file in the laboratory's QA logbook. 9.2.3 If a micropipette calibration problem is suspected, the laboratory shall tare an empty weighing boat on the analytical balance and pipette the following volumes of reagent water into the weigh boat using the pipette in question: 100% of the maximum dispensing capacity of the micropipette, 50% of the capacity, and 109& of the capacity. Record the weight of the water (assume that 1.00 mL of reagent water weighs 1.00 g). If the weight of the reagent water is within 1 % of the desired weight (mL) then the pipette remains acceptable for use. 9.2.4 If the weight of the reagent water is outside the acceptable limits, consult the manufacturer's instruction manual troubleshooting section and repeat steps described in Section 9.2.3. If problems with the pipette persist, the laboratory must send the pipette to the manufacturer for recalibration. 9.3 Microscope adjustment and certification: Adjust the microscope as specified in Section 10. All of the requirements in Section 10 must be met prior to analysis of samples, blanks, OPRs, and MSs. 9.4 Initial demonstration of laboratory capability 9.4.1 Method detection limit (MDL)—To establish the ability to detect Cryptosporidium oocysts, the laboratory shall determine the MDL in reagent water per the procedure in 40 CFR 136, Appendix B using the apparatus, reagents, and standards that will be used in the practice of this method. An MDL less than or equal to the MDL in Section 1.4 must be achieved prior to the practice of this method. 9.4.2 Initial precision and recovery (IPR)—To establish the ability to demonstrate control over the analysis system and to generate acceptable precision and accuracy, the laboratory shall perform the following operations: 9.4.2.1 Using the spiking procedure in Section 11.5 and enumerated oocyst spiking suspension containing 500 to 1000 oocysts (Section 11.3 or 11.4), the laboratory must filter, elute, concentrate, separate (purify), stain, and December 1997 Draft 12 ------- Method 1622 - Draft examine four 10-L aliquots. If more than one filtration and/or separation process will be used for filtration/separation of samples, a separate set of IPR aliquots must be prepared for each process. 9.4.2.2 Using results of the four analyses, compute the average percent recovery (X) and the relative standard deviation of the recovery (sr) for Cryptosporidium. 9.4.2.3 Compare sr and X with the corresponding limits for initial precision and recovery in Table 1. If Sr and X meet the acceptance criteria, system performance is acceptable and analysis of blanks and samples may begin. If, however, any individual sr exceeds the precision limit or any individual X falls outside the range for recovery, system performance is unacceptable for Cryptosporidium. In this event, correct the problem and repeat the test (Section 9.4.2). 9.5 Matrix spike (MS): The laboratory shall spike and analyze a separate field sample aliquot to determine the effect of the matrix on the method's recovery efficiency. MSs shall be analyzed according to the frequency in Section 9.1.8. 9.5.1 Analyze an unspiked field sample according to the method beginning in Section 12. Using the spiking procedure in Section 11.5 and an appropriate volume of the enumerated oocyst spiking suspension (Section 11.3 or 11.4), spike the second field sample aliquot to produce five times the number of oocysts detected in the unspiked sample or the number used in the IPR/OPR, whichever is greater. 9.5.2 Compute the percent recovery (R) of the oocysts using the following equation. Nm -AT, fl=100x- "sp 9.5.3 9.5.4 where R is the percent recovery Nsp is the number of oocysts detected in the spiked sample Ns is the number of oocysts detected in the unspiked sample T is the true value of the oocysts spiked Compare the oocyst recovery with the corresponding limits in Table 1. If the recovery for Cryptosporidium falls outside its limit, method performance is unacceptable for that sample. If the results for the blank (Section 9.6) and for the OPR sample (Section 9.7) associated with this batch of samples are within their respective control limits, a matrix interference may be causing the poor recovery. See Section 16 for instructions for dealing with matrix interferences. If the results for the blank and OPR are not within their control limits, the laboratory is not in control. The problem must be identified and corrected and a fresh sample should be collected and reanalyzed. As part of the QA program for the laboratory, method precision for samples should be assessed and records maintained. After the analysis of five samples for which the spike recovery for Cryptosporidium passes the tests in Section 9.5.3, the laboratory should compute the average percent recovery (P) and the standard deviation of l&e percent recovery (sr) for Cryptosporidium. Express the precision assessment as a percent recovery interval from P - 2 sr to P + 2 Sr for each matrix. For example, if P = 80% and sr = 30%, 13 December 1997 Draft ------- Method 1622 - Draft the accuracy interval is expressed as 20% to 140%. The precision assessment should be updated on a regular basis (e.g., after each 5 to 10 new accuracy measurements). 9.6 Blank (negative control sample): Reagent water blanks are analyzed to demonstrate freedom from contamination. Analyze the blank immediately prior to analysis of the OPR (Section 9.7) and prior to analysis of samples for the week to demonstrate freedom from contamination,. 9.6.1 Filter, elute, concentrate, separate (purify), stain, and examine one reagent water blank per week (Section 9.1.7) using the procedures in Sections 12 to 15. If more than 20 samples are analyzed in a week period, process and analyze 1 reagent water blank for every 20 samples. 9.6.2 If a single Cryptosporidium oocyst or any potentially interfering organism or material is found in the blank, analysis of additional samples is halted until the source of contamination is eliminated and a blank shows no evidence of contamination. Any sample in a batch associated with a contaminated blank that shows the presence of one or more oocysts is assumed to be contaminated and must be recollected. Any sample in which oocysts are not detected is assumed to be uncontaminated and may be reported. 9.7 Ongoing precision and recovery ([OPR]; positive control sample; laboratory control sample): Using the spiking procedure in Section 11.5 and enumerated oocyst spiking suspension containing 500 to 1000 oocysts (Section 11.3 or 11.4), filter, elute, concentrate, separate (purify), stain, and examine one reagent water sample at least once per week to verify all performance criteria. The laboratory must analyze one OPR sample for every 20 samples if more than 20 samples are analyzed in a week. Adjustment and/or recalibration of the analytical system shiill be performed until all performance criteria are met. Only after all performance criteria are melt may samples be analyzed. 9.7.1 Examine the slide from the OPR prior to analysis of samples from the same batch. 9.7.1.1 More than 50% of the oocysts must be appear undamaged and morphologically intact; otherwise, the analytical process is damaging the oocysts. Determine the step or reagent that is causing damage to the oocysts. Correct the problem and repeat the OPR test. 9.7.1.2 Identify and enumerate each oocyst using epifluorescence microscopy. Each oocyst must meet the identification criteria in Section 15. 9.7.2 Compute the percent recovery of the total number of oocysts using the following equation: = 100 x N where N = the number of oocysts detected T = the number of oocysts spiked 9.7.2.1 Compare the recovery with the limits for ongoing precision and recovery in Table 1. If the recovery meets the acceptance criteria, system performance is acceptable and analysis of blanks and samples may proceed. If, however, the recovery falls outside of the range given, system performance is unacceptable. In this event, there may be a problem with the microscope or with the filtration or separation systems. Reanalyze the December 1997 Draft 14 ------- Method 1622 - Draft OPR sample and recollect and reanalyze samples. All samples must be associated with an OPR that passes the criteria in Table 1. 9.7.2.2 Microscope system: To determine if the failure of the OPR test (Section 9.7.2.1) is due to changes in the microscope, examine a slide containing a known number of freshly prepared oocysts, check Kohler illumination, and check the fluorescence of the fluorescein-labeled monoclonal antibody (Mab) and 4',6-diamidino-2-phenylindole (DAPI). 9.7.2.3 Filtration/ elution/ concentration system: If the failure of the OPR test (Section 9.7.2.1) is attributable to the filtration/ elution/ concentration system, these systems may not be in control. Check filtration/ elution/ concentration system performance using spiked reagent water, eluting the filter, and, analyzing the concentrated sample without separation (purification) using FA. 9.7.2.4 Separation (purification) system: If the failure of the OPR test (Section 9.7.2.1) is attributable to the separation system, this system may not be in control. Check separation system performance using spiked reagent water with IMS and analyzing the purified sample using FA. 9.7.3 The laboratory should add results that pass the specifications in Section 9.7.2.1 to initial and previous ongoing data and update the QC chart to form a graphic representation of continued laboratory performance. The laboratory should develop a statement of laboratory accuracy (reagent water, raw water) by calculating the average percent recovery (R) and the standard deviation of percent recovery (sr). Express the accuracy as a recovery interval from R - 2 sr to R + 2 sr. For example, if R = 95% and sr = 25%, the accuracy is 45% to 145%. 9.8 The laboratory should periodically analyze an external QC sample, such as a performance evaluation or standard reference material, when available. The laboratory also should periodically participate in interlaboratory comparison studies using the method. 9.9 The specifications contained in this method can be met if the analytical system is maintained under control. The standards used for initial (Section 9.4) and ongoing (Section 9.7) precision and recovery should be identical, so that the most precise results will be obtained. The microscope in particular will provide the most reproducible results if dedicated to the settings and conditions required for the determination of Cryptosporidium by this method. 9.10 Depending on specific program requirements, field replicates may be collected to determine the precision of the sampling technique, and duplicate spiked samples may be required to determine the precision of the analysis. 10.0 Microscope Calibration and Analyst Verification 10.1 In a room capable of being darkened to near-complete darkness, assemble the microscope and all filters and attachments. The microscope should be placed on a solid surface free from vibration. Adequate workspace should be provided on either side of the microscope for taking notes and placement of slides and ancillary materials. 10.2 Using the manuals provided with the microscope, the principal analyst/supervisor and all analysts must familiarize themselves with operation of the microscope. 10.3 Microscope adjustment and calibration (adapted from Reference 20.6) 15 December 1997 Draft ------- Method 1622 - Draft 10.3.1 Preparations for adjustment 10.3.1.1 The microscopy portion of this procedure depends upon proper alignment and adjustment of very sophisticated optics. Without proper alignment and adjustment, the microscope will not function at maximal efficiency, and reliable identification and enumeration of oocysts will not be possible. Consequently, it is imperative that all portions of the microscope from the light sources to the oculars are properly adjusted. 10.3.1.2 While microscopes from various vendors are configured somewhat differently, they all operate on the same general physical principles. Therefore, slight deviations or adjustments may be required to make the procedures below work for a particular instrument. 10.3.1.3 The sections below assume that the mercury bulb has not exceeded time limits of operation, that the lamp socket is connected to the lamp house, and that the condenser is adjusted to produce Kohler illumination. 10.3.1.4 Persons with astigmatism should always wear contact lenses or glasses when using the microscope. CAUTION: In the procedures below, do not touch the quartz portion of the mercury bulb with your bare fingers. Finger oils can cause rapid degradation of the quartz and premature failure of the bulb. WARNING: Never look at the ultraviolet (UV) light from the mercury lamp, lamp house, or the UV image without a barrier filter in place. UV radiation can cause serious eye damage. 10.3.2 Epifluorescent mercury bulb adjustment: The purpose of this procedure is to insure even field illumination. This procedure must be followed when the microscope is first used, when replacing bulbs, and if problems such as diminished fluorescence or uneven field illumination are experienced. 10.3.2.1 Remove the diffuser lens between the lamp and microscope or swing it out of the transmitted light path. 10.3.2.2 Using a prepared microscope slide, adjust the focus so the image in the oculars is sharply defined. 10.3.2.3 Replace the slide with a business card or a piece of lens paper. 10.3.2.4 Close the field diaphragm (iris diaphragm in the microscope base) so only a small point of light is visible on the card. This dot of light tells you where the center of the field of view is. 10.3.2.5 Mount the mercury lamp house on the microscope without the UV diffuser lens in place and turn on the mercury bulb. 10.3.2.6 Remove the objective in the light path from the nosepiece. A primary (brighter) and secondary image (dimmer) of the mercury bulb arc should appear on the card after focusing the image with the appropriate adjustment. December 1997 Draft 16 ------- Method 1622 - Draft 10.3.2.7 Using the lamp house adjustments, adjust the primary and secondary mercury bulb images so they are side by side (parallel to each other) with the transmitted light dot in between them. 10.3.2.8 Reattach the objective to the nosepiece. 10.3.2.9 Insert the diffuser lens into the light path between the mercury lamp house and the microscope. 10.3.2.10 Turn off the transmitted light and replace the card with a slide of fluorescent material. Check the field for even fluorescent illumination. Adjustment of the diffuser lens will most likely be required. Additional slight adjustments as in Section 10.3.2.7 above may be required. 10.3.2.11 Maintain a log of the number of hours the UV bulb has been used. Never use the bulb for longer than it has been rated. Fifty-watt bulbs should not be used longer than 100 hours; 100-watt bulbs should not be used longer than 200 hours. 10.3.3 Transmitted bulb adjustment: The purpose of this procedure is to center the filament and insure even field illumination. This procedure must be followed when the bulb is changed. 10.3.3.1 Remove the diffuser lens between the lamp and microscope or swing it out of the transmitted light path. 10.3.3.2 Using a prepared microscope slide and a 40X (or similar) objective, adjust the focus so the image in the oculars is sharply defined. 10.3.3.3 Without the ocular or Bertrand optics in place, view the pupil and filament image at the bottom of the tube. 10.3.3.4 Focus the lamp filament image with the appropriate adjustment on the lamp house. 10.3.3.5 Similarly, center the lamp filament image within the pupil with the appropriate adjustment(s) on the lamp house. 10.3.3.6 Insert the diffuser lens into the light path between the transmitted lamp house and the microscope. 10.3.4 Adjustment of the interpupillary distance and oculars for each eye: These adjustments are necessary so that eye strain is reduced to a minimum, and must be made for each individual using the microscope. Section 10.3.4.2 assumes use of a microscope with both oculars adjustable; Section 10.3.4.3 assumes use of a microscope with a single adjustable ocular. The procedure must be followed each time an analyst uses the microscope. 10.3.4.1 Interpupillary distance 10.3.4.1.1 Place a prepared slide on the microscope stage, turn on the transmitted light, and focus the specimen image using the coarse and fine adjustment knobs. 10.3.4.1.2 Using both hands, move the oculars closer together or farther apart until a single circle of light is observed while looking through the oculars with both eyes. Note interpupil distance. 17 December 1997 Draft ------- Method 1622 - Draft 10.3.4.2 Ocular adjustment for microscopes capable of viewing a photographic frame through the viewing binoculars: This procedure assumes both oculars are adjustable. 10.3.4.2.1 Place a card between the right ocular and eye keeping both eyes open. Adjust the correction (focusing) collar on the left ocular by focusing the left ocular until it reads the same as the interpupillary distance. Bring an image located in the center of the field of view into as sharp a focus as possible. 10.3.4.2.2 Transfer the card to between the left eye and ocular. Again keeping both eyes open, bring the same image into as sharp a focus for the right eye as possible by adjusting the ocular correction (focusing) collar at the top of the right ocular. 10.3.4.3 Ocular adjustment for microscopes without binocular capability: This procedure assumes a single focusing ocular. The following procedure assumes that only the right ocular is capable of adjustment. 10.3.4.3.1 Place a card between the right ocular and eye keeping both eyes open. Using the fine adjustment, focus the image for the left eye to its sharpest point. 10.3.4.3.2 Transfer the card to between the left eye and ocular. Keeping both eyes open, bring the image for the right eye into sharp focus by adjusting the ocular collar at the top of the ocular without touching the coexse or fine adjustment. 10.3.5 Calibration of an ocular micrometer: This section assumes that a reticle has been installed in one of the oculars by a microscopy specialist and that a stage micrometer is available for calibrating the ocular micrometer (reticle). Once installed, the ocular reticle should be left in place. The more an ocular is manipulated the greater the probability is for it to become contaminated with dust particles. This calibration should be done for each objective in use on the microscope. If there is a top lens on the microscope, the calibration procedure must be done for the respective objective at each top lens setting. The procedure must be followed when the microscope is first used and each time objective is changed. 10.3.5.1 Place the stage micrometer on the microscope stage, turn on the transmitted light, and focus the micrometer image using the coarse and fine adjustment knobs for the objective to be calibrated. Continue adjusting the focus on the stage micrometer so you can distinguish between the large (0.1 mm) and the small (0.01 mm) divisions. 10.3.5.2 Adjust the stage and ocular with the micrometer so the 0 line on the ocular micrometer is exactly superimposed on the 0 lime on the stage micrometer. 10.3.5.3 Without changing the stage adjustment, find a point as distant as possible from the two 0 lines where two other lines are exactly superimposed. December 1997 Draft 18 ------- Method 1622 -Draft 10.3.5.4 10.3.5.5 10.3.5.6 Determine the number of ocular micrometer spaces as well as the number of millimeters on the stage micrometer between the two points of superimposition. For example: Suppose 48 ocular micrometer spaces equal 0.6 mm. Calculate the number of mm/ocular micrometer space. For example: 0.6 mm 0.0125 mm 48 ocular micrometer spaces ocular micrometer space Because most measurements of microorganisms are given in /am rather than mm, the value calculated above must be converted to ^m by multiplying it by 1000 ^m/mm. For example: 0.0125 mm 1,000 12.5 ocular micrometer space mm ocular micrometer space 10.3.5.7 Follow the procedure below for each objective. Record the information as shown in the example below and keep the information available at the microscope. Item # 1 2 3 4 Obj. Power 10X 20X 40X 100X Description N.A.C = N.A.= N.A. = N.A.= No. of Ocular Microm. Spaces No. of Stage Microm. mma a 1000 ^m/mm //m/Ocular Micrometer Spaceb b (Stage Micrometer length in mm x (1,000 ^m/mm)) -r No. Ocular Micrometer Spaces c N.A. stands for numerical aperture. The numerical aperture value is engraved on the barrel of the objective. 10.3.6 Kohler illumination: This section assumes that Kohler illumination will be established for only the 100X oil D.I.C. objective that will be used to identify internal morphological characteristics in Cryptosporidium oocysts. If more than one objective is to be used for D.I.C., then each time the objective is changed, Kohler illumination must be reestablished for the new objective lens. Previous sections have adjusted oculars and light sources. This section aligns and focuses the light going through the condenser underneath the stage at the specimen to be observed. If Kohler illumination is not properly 19 December 1997 Draft ------- Method 1622 - Draft established, then D.I.C. will not work to its maximal potential. These steps need to become second nature and must be practiced regularly until they are a matter of reflex rather than a chore. The procedure must be followed each time an analyst uses the microscope and each time the objective is changed. 10.3.6.1 Place a prepared slide on the microscope stage, place oil on the slide, move the 100X oil objective into place, turn on the transmitted light, and focus the specimen image using the coarse and fine adjustment knobs. 10.3.6.2 At this point both the radiant field diaphragm in the microscope base and the aperture diaphragm in the condenser should be wide open. Now close down the radiant field diaphragm in the microscope base until the lighted field is reduced to a small opening. 10.3.6.3 Using the condenser centering screws on the front right and left of the condenser, move the small lighted portion of the field to the center of the visual field. 10.3.6.4 Now look to see whether the leaves of the iris field diaphragm are sharply defined (focused) or not. If they are not sharply defined, then they can be focused distinctly by changing the height of the condenser up and down with the condenser focusing knob while you are looking through the binoculars. Once you have accomplished the precise focusing of the radiant field diaphragm leaves, open the radiant field diaphragm until the leaves just disappear from view. 10.3.6.5 The aperture diaphragm of the condenser is adjusted now to make it compatible with the total numerical aperture of the optical system. This is done by removing an ocular, looking into the tube at the rear focal plane of the objective, and stopping down the aperture diaphragm iris leaves until they are visible just inside the rear plane of the objective. 10.3.6.6 After completing the adjustment of the aperture diaphragm in the condenser, return the ocular to its tube and proceed with the adjustments required to establish D.I.C. 10.4 Protozoa libraries: Each laboratory is encouraged to develop libraries of photographs and drawings for identification of protozoa. 10.4.1 Take color photographs of Cryptosporidium oocysts by FA and 4',6-d.iamidino-2- phenylindole (DAPI) that the principal analyst/supervisor (Sections 1.5,10.5, and 15) determines are true and accurate. 10.4.2 Similarly, take color photographs of interfering organisms and materials by FA and .DAPI that the principal analyst/supervisor believes are not Cryptosporidium oocysts. Quantify the size, shape, microscope settings, and other characteristics that can be used to differentiate oocysts from interfering debris and that will result in positive identification of DAPI + or - organisms. 10.5 Verification of performance: Until standard reference materials, such as National Institute of Standards and Technology standard reference materials, are available that contain a reliable number of DAPI + or - oocysts, this method shall rely upon the ability of the principal analyst/supervisor for identification and enumeration of oocysts. December 1997 Draft 20 ------- Method 1622-Draft 10.5.1 10.5.2 10.5.3 At least monthly during which microscopic examinations are to be performed, the principal analyst/supervisor shall prepare a slide containing 40 to 100 oocysts. More than 50% of the oocysts must be DAPI +. The principal analyst/supervisor shall determine the numbers of total oocysts by FA and number of oocysts that are DAPI + or -, using the procedures in this method, and these numbers shall be known only to the principal analyst/supervisor. Each analyst shall determine the total number of oocysts and the number that are DAPI + or -, using the slide provided by the principal analyst/supervisor (Section 10.5.1). The total number and the number of DAPI + or - oocysts determined by each analyst (Section 10.5.2.) must be within ±10% of the number determined by the principal analyst/supervisor. If the number is not within this range, the principal analyst/ supervisor and the analyst shall resolve how to identify and enumerate DAPI + or - oocysts, and the principal analyst/supervisor shall prepare a new slide and the test (Sections 10.5.1 to 10.5.2) shall be repeated. NOTE: If the laboratory has only a principal analyst/supervisor; i.e., the laboratory is not of sufficient size to support one or more analysts, the principal analyst/supervisor shall perform the identification and enumeration of total, DAPI + and - oocysts on each day on which oocysts are to be identified and enumerated in samples, and the reputation of the laboratory shall rest with the principal analyst/supervisor. 10.5.4 10.5.5 Document the date, name of principal analyst/supervisor, name(s) of analyst(s), number of total, DAPI + or - oocysts placed on the slide, number determined by the principal analyst/supervisor, number determined by the analyses), whether the test was passed/failed for each analyst, and the number of attempts prior to passage. Only after an analyst has passed the criteria in Section 10.5.3, may oocysts in blanks, standards, and samples be identified and enumerated. 11.0 Oocyst Suspension Enumeration and Spiking 11.1 Two sets of enumerations are required before purified oocyst stock suspensions received from suppliers can be used to spike samples in the laboratory. First, the oocyst stock suspension must be diluted and enumerated to yield an oocyst suspension at the appropriate concentration for spiking (oocyst spiking suspension). Then, 10 aliquots of oocyst spiking suspension must be enumerated to calculate a mean spike dose. Oocyst spiking suspensions can be enumerated using either hemacytometer chamber counting or well-slide counting. The procedure for diluting and enumerating purified oocyst stock suspensions is provided in Section 11.2. The two procedures for enumerating oocyst spiking suspensions are provided in Sections 11.3 and 11.4. The procedure for spiking 10-L carboys in the laboratory is provided in Section 11.5. 11.2 Enumerating purified stock oocyst suspension 11.2.1 Concentrated Cryptosporidium oocyst stock suspension must be diluted and enumerated before the diluted suspension is used to spike samples in the laboratory. Stock suspension should be diluted with reagent water/Tween 20, 0.01%, to a concentration of 20 to 50 oocysts per large hemacytometer square before proceeding to Section 11.2.2. 21 December 1997 Draft ------- Method 1622 - Draft 11.2.2 11.2.3 11.2.4 11.2.5 11.2.6 11.2.7 11.2.8 11.2.9 Apply a clean hemacytometer coverslip to the hemacytometer and load the hemacytometer chamber with 10 /A. of vortexed oocyst suspension per chamber. If this operation has been properly executed, the liquid should amply fill the entire chamber without bubbles or overflowing into the surrounding moats. Repeat this step with a clean, dry hemacytometer and coverslip if loading has been incorrectly performed. See Section 11.2.13, below, for the hemacytometer cleaning procedure. Place the hemacytometer on the microscope stage and allow the oocysts to settle for 2 minutes Do not attempt to adjust the coverslip, apply clips, or in any way disturb the chamber after it has been filled. Use a magnification of 400X to 500X. Move the chamber so the ruled area is centered underneath it. Move the objective close to the coverslip while watching it from the side of the microscope, rather than through the microscope. Focus up from the coverslip until the hemacytometer ruling appears. At each of the four corners of the chamber is a 1-square-mm area divided into 16 squares in which oocysts are to be counted (Figure 1). Beginning with the topi row of four squares, count with a hand-tally counter in the directions indicated in Figure 2. Avoid counting oocysts twice by counting only those touching the top and left boundary lines. Count each square millimeter in this fashion. Use the following formula to determine the number of oocysts per mL of suspension: number of oocysts counted 10 number of mm 2 counted 1mm ^dilution factor x1000 mm* =nL,mberof oocysts/mL 1 1 mL 11.2.10 Record the result on a hemacytometer data sheet. 11.2.11 A total of six different hemacytometer chambers must be loaded, counted, and averaged for each oocyst suspension to achieve optimal counting accuracy. 11.2.12 Based on the hemacytometer counts, the stock suspension should be diluted to a final concentration of between 8000 and 12,000 oocysts per mL (80 to 120 oocysts per 10 //L); however, ranges as great as 5000 to 15,000 oocysts per mL (50 to 150 oocysts per 10 //L) can be used. NOTE: If the diluted stock suspension (the spiking suspension) will be enumerated using hemacytometer chamber counts (Section 11.3), then the stock suspension should be diluted with reagent water/Tween 20, 0.01%. If the spiking suspension will be enumerated using well-slide counts (Section 11.4), or if both hemacytometer chamber counts and well-slide counts will be used to enumerate the oocyst spiking suspension, then the stock suspension should be diluted using reagent water only. December 1997 Draft 22 ------- Method 1622 - Draft To calculate the volume (in .//L) of stock oocyst suspension required per mL of reagent water (or reagent water/Tween 20, 0.01%), use the following formula: volume of stock suspension(pL) required = re^uired number of oocysts x WOO ul number of oocysts I mL of stock suspension If the volume is less than 10 pL, an additional dilution of the stock suspension is recommended before proceeding. To calculate the dilution factor needed to achieve the required number of oocysts per 10 fjL, use the following formula: tote/ volume (fiL) = number of oocysts required xW(iL predicted number of oocysts per 70/zL (80 to 120) To calculate the volume of reagent water (or reagent water/Tween 20, 0.01 %) needed, use the following formula: reagent water volume (pL) = total volume (u.1) - stock oocyst suspension volume required (u.L) 11.2.13 After each use, the hemacytometer and coverslip must be cleaned immediately to prevent the oocysts and debris from drying on it. Since this apparatus is precisely machined, abrasives cannot be used to clean it, as they will disturb the flooding and volume relationships. 11.2.13.1 Rinse the hemacytometer and cover glass first with tap water, then 70% ethanol, and finally with acetone. 11.2.13.2 Dry and polish the hemacytometer chamber and cover glass with lens paper. Store it in a secure place. 11.2.14 Several factors are known to introduce errors into hemacytometer counts, including: Inadequate suspension mixing before flooding the chamber Irregular filling of the chamber, trapped air bubbles, dust, or oil on the chamber or coverslip Total number of oocysts counted is too low to provide statistical confidence in the result • Error in recording tally Calculation error; failure to consider dilution factor, or area counted Inadequate cleaning and removal of oocysts from the previous count Allowing filled chamber to sit too long, so that the chamber suspension dries and concentrates. 11.3 Enumerating the oocyst spiking suspension using a hemacytometer chamber 23 December 1997 Draft ------- Method 1622 - Draft 11.3.1 Vortex the stock oocyst suspension for a minimum of 2 minutes before removing any aliquots. To an appropriate-size beaker containing a stir bar, add enough oocyst spiking suspension (diluted stock oocyst suspension; Section 11.2) to perform all spike testing and the enumeration as described. The liquid volume and beaker relationship should be such that a spinning stir bar does not splash the sides of the beaker, the stir bar has unimpeded rotation, and there is enough room to draw sample from the; beaker with a 10- A*L micropipette without touching the stir bar. Cover the beaker with a watch glass or petri dish to prevent evaporation between sample withdrawals. 11.3.2 Allow the beaker contents to stir for a minimum of 30 minutes before beginning enumeration. 11.3.3 While the stir bar is still spinning, remove a 10-^L aliquot and carefully load one side of the hemacytometer. Count all organisms on the platform, at 200X magnification using phase-contrast or darkfield microscopy. The count must include the entire area under the hemacytometer, not just the four outer 1-square-mm squares. Repeat this procedure nine times. This step allows confirmation of the number of oocysts per 10 //L (Section 11.2.12). If the mean number is outside the expected range, add additional oocysts from stock suspension or dilute the contents of the beaker appropriately with reagent water. Repeat the process to confirm counts. Refer to Section 11.2.14 for factors that may introduce errors into the hemacytometer counts and use and care of the hemacytometer and hemacytometer coverslip. 11.4 Enumerating the oocyst spiking suspension using well slides 11.4.1 Remove 12-mm-diameter well slides from the box in the refrigerator s.nd lay the slides on a flat surface for 15 minutes to allow them to warm to room temperature. 11.4.2 Vortex the vial containing oocyst spiking suspension (diluted stock oocyst suspension; Section 11.2) for approximately 30 seconds. 11.4.3 Remove a 10-fj.L aliquot from the oocyst spiking suspension and apply it to the center of a well. 11.4.4 Before removing subsequent aliquots, cap the vial and gently invert it three times to ensure oocysts are in suspension. 11.4.5 Ten wells must be counted, and the counts averaged, to sufficiently enumerate the spike dose. 11.4.6 Positive and negative controls must be prepared. 11.4.6.1 For the positive control, pipette 10 /A. of positive antigen or 200 to 500 intact oocysts onto the center of a well and distribute positive antigen or oocysts evenly over the well area. 11.4.6.2 For the negative control, pipette 75 ^L of 150 mM PBS onto the center of a well and spread it over the well area with a pipette tip. 11.4.7 Place the well slides containing the samples in a 42°C incubator and evaporate to dryness (approximately 1 to 2 hours). 11.4.8 Apply 50-AiL of absolute methanol to each well containing the dried sample and allow the slide to air dry until the methanol has evaporated (approximately 3 to 5 minutes). 11.4.9 Follow manufacturer's instructions in preparing dilutions of anti-Cryptosporidium sp. fluorescein-labeled monoclonal antibody (Mab) and overlay the 10 spike-dose wells, the December 1997 Draft 24 ------- Method 1622 -Draft positive-control well and the negative-control well with 50 fj.L of fluorescein-labeled Mab. Place the slides in a humid chamber and incubate at 37 °C for approximately 30 minutes. The humid chamber consists of a tightly sealed plastic container containing damp paper towels on which the slides are placed. 11.4.10 After 30 minutes, remove the slides from the humid chamber. Use a clean Pasteur pipette tip attached to a vacuum source to gently aspirate the excess fluorescein-labeled Mab from the side of each well. When performing this step, ensure that the vacuum source is at the absolute minimum (<2 in Hg vac.) and ensure that the pipette tip does not scratch the well surface. 11.4.11 Apply 65 to 75 ^L of 150 mM PBS, pH 7.2, to each of the 12 wells and allow to stand for 1 to 5 minutes, then aspirate the excess PBS. When removing the excess PBS, ensure that the pipette tip does not scratch the well surface. Repeat this washing procedure two more times. 11.4.12 Apply a drop of reagent water to each well and allow to stand for approximately 1 minute, then aspirate the excess reagent water. 11.4.13 Place the slides containing the fluorescein-labeled Mab in a dry box and allow the slides to stand in the dark for approximately 1 hour at room temperature. The dry box consists of a tightly sealed plastic container with desiccant in the bottom. A paper towel must be placed over the desiccant. 11.4.14 Apply 10 /J.L of mounting medium (60% glycerol, 40% 150 mM PBS) containing an anti-fadant (2% DABCO, or equivalent) to the center of each well. 11.4.15 Place a 22 x 50 mm coverslip on each three-well microscope slide and gently depress the coverslip at the edges. Use a tissue to remove excess mounting fluid from the edges of the coverslip, then seal the edges of the coverslip onto the slide by using clear nail polish. Store in a dry box, in the dark, until ready for enumeration. Procedure for spiking samples in the laboratory with enumerated oocyst spiking suspension 11.5.1 Arrange the bottom-dispensing, 10-L carboy to gravity-feed a filter housing. Housing outlet will feed self-priming centrifugal pump. Install the capsule filter or the membrane disk filter in its appropriate housing. Place large stir bar in the carboy. Fill the carboy with 10.0 L of reagent water. Place the carboy on the stir plate. Turn the stirrer on so that the bar creates a vortex. Vortex the tube containing the spiking suspension (Section 11.3 or 11.4) for approximately 2 minutes, sonicate for approximately 2 minutes, and vortex again for approximately 2 minutes. Rinse a pipette tip with Tween 20, 0.01% once, then a minimum of five times with the spiking suspension prior to pulling an aliquot to be used to spike the carboy. Add the spiking suspension to the carboy, delivering the oocysts below the surface of the reagent water. Allow the spiking suspension to mix for approximately 1 minute in the carboy. After adding the spiking suspension, rinse the tube that contained the spiking suspension and pipette tip with reagent water, vortex the tube, and add the rinsate to the carboy. Allow the rinsate approximately 1 minute to mix in the carboy. Turn on the pump and allow the flow rate to stabilize. Set flow at the rate designated for the filter under test. As the carboy is depleted, check the flow rate and adjust if necessary. 11.5 11.5.2 11.5.3 11.5.4 11.5.5 11.5.6 25 December 1997 Draft ------- Method 1622 - Draft 11.5.7 When the water level approaches the discharge port of the carboy, turn off the stirrer and tilt the carboy so that it is completely emptied. At that time, turn off the pump and add 1 L of reagent water to the carboy. Swirl the contents to rinse down the sides. 11.5.8 Turn on the pump. Allow the pump to pull all the water through the filter and turn off the pump. 12.0 Sample Filtration and Elution 12.1 A capsule filter is used to filter the 10-L water sample received by the laboratory, according to the procedures in Section 12.2. Alternate procedures, such as vortex-flow filtration (VFF) or membrane disk filtration, may be used if the laboratory first demonstrates that the quality control acceptance criteria listed in Table 1 can be met. Alternate filtration procedures are provided in Section 12.3. 12.2 Capsule filtration (adapted from Reference 20.7) 12.2.1 Flow rate adjustment 12.2.1.1 Connect the sampling system, minus the capsule, to a ceirboy filled with reagent water (Figure 3). 12.2.1.2 Turn on the pump and adjust the flow rate to 2.0 L/min. 12.2.1.3 Allow 2 to 10 L of reagent water to flush the system. Adjust the pump speed as required during this period. Turn off the pump when the flow rate has been adjusted. 12.2.2 Install the capsule filter in the line, securing the inlet and outlet ends with the appropriate clamps/fittings. 12.2.3 Record the sample number, sample turbidity (if not provided with the field sample), and the name of analyst filtering the sample on the bench sheet and on the capsule filter. 12.2.4 Filtration 12.2.4.1 Connect the sampling system to the field carboy of sample water, or transfer the sample water to the lab carboy used in Section 12.2.1. NOTE: If the field sample is transferred to a lab carboy, the lab carboy must be cleaned and disinfected before it is used with another field sample. 12.2.4.2 Place the drain end of the sampling system tubing into an empty graduated container with a capacity of 10 to 15 L, calibrated at 9.0, 9.5, 10.0, 10.5, and 11.0 L (Section 6.17). This container will be used to determine the sample volume filtered. 12.2.4.3 Allow the carboy discharge tube and capsule to fill with sample water. Vent residual air using the bleed valve/vent port. Turn on the pump to start water flowing through the filter. Verify that the flow rate is 2 L/min. 12.2 A A After the sample has passed through the filter, turn off the pump. Allow the pressure to decay until flow stops. 12.2.4.5 Based on the water level in the graduated container (Section 12.2.4.2), record the volume filtered on the bench sheet to the nearest quarter liter. Discard the contents of the graduated container. December 1997 Draft 26 ------- Method 1622-Draft 12.2.5 Disassembly 12.2.5.1 12.2.6 12.2.5.2 Elution 12.2.6.1 12.2.6.2 Disconnect the inlet end of the capsule filter assembly while maintaining the level of the inlet fitting above the level of the outlet fitting to prevent backwashing and the loss of oocysts from the filter. Restart the pump and allow as much water to drain as possible. Turn off the pump and record the meter reading and volume filtered on the bench sheet and on the label Loosen the outlet fitting, then cap the inlet and outlet fittings. Setup 12.2.6.1.1 12.2.6.1.2 12.2.6.1.3 Elution 12.2.6.2.1 12.2.6.2.2 12.2.6.2.3 12.2.6.2.4 12.2.6.2.5 12.2.6.2.6 Assemble the wrist-action shaker with the clamps aligned vertically so that the filters will be aligned horizontally. Prepare sufficient elution buffer so that all samples to be eluted that day can be eluted with the same batch of buffer. Elution may require up to 275 mL of buffer per sample. Designate at least one 250-mL conical centrifuge tube for each sample and label with the sample number. Record the name of the analyst performing the elution on the bench sheet. Using a ring stand or other means, clamp each capsule in a vertical position with the inlet end up. Remove the inlet cap and allow the liquid level to stabilize. Pour elution buffer through the inlet fitting. Sufficient elution buffer must be added to cover the pleated white membrane with buffer solution. Replace the inlet cap and clamp the cap in place. Securely clamp the capsule in one of the clamps on the wrist-action shaker with the bleed valve positioned at the top on a vertical axis (in the 12 o'clock position). Turn on the shaker and set the speed to 80% of maximum (approximately 600 rpm). Agitate the capsule for approximately 5 minutes. Remove the filter from the shaker, remove the inlet cap, and pour the contents of the capsule into the 250-mL conical centrifuge tube. Clamp the capsule vertically with the inlet end up and add sufficient volume of elution buffer through the inlet fitting to cover the pleated membrane. Replace the inlet cap and clamp in place. Return the capsule to its clamp on the shaker with the bleed valve positioned on a horizontal axis (3 or 9 o'clock position). Turn on the shaker and agitate the capsule for 27 December 1997 Draft ------- Method 1622 - Draft approximately 5 minutes. Add the contents of the capsule to the centrifuge tube. 12.2.7 Proceed to Section 13 for concentration and separation (purification). 12.3 Alternate filtration procedures NOTE: Alternate filtration procedures, such as vortex flow filtration (Section 12.4) or membrane disk filtration procedure (Section 12.5) may be used instead of capsule filtration only if the laboratory demonstrates that the quality control acceptance criteria listed in Table 1 are met. The procedures listed below have been tested on a preliminary basis, but have not been fully validated. 12.4 Vortex-flow filtration (adapted from Reference 20.8) (alternate procedure requiring demonstration of performance prior to use) 12.4.1 Integrity testing of seals 12.4.1.1 If the headset is assembled, proceed to 12.4.1.2. If the headset is disassembled, refer to Appendix 1 of the instrument manual provided with the vortex flow concentrator, and assemble the headset as indicated (Figure 4). The seal faces should exhibit no scoring or uneven wear. If they appear to be scored or overworn, replace both the upper and lower seals. The bottom seal (around the shaft below the headset) should be visibly compressed. There should be very little play in the headset. Turn the magnet manually; bearings should turn smoothly without grinding. 12.4.1.2 Firmly insert the rubber stopper into the filter outlet opening on the bottom of the drive shaft. Close inlet valve #2. Fill chamber with reagent water. Assemble the headset, chamber, and triclover clamp. The membrane is not used during the integrity test. Mount the assembled headset apparatus in the bayonet mount of the drive unit. 12.4.1.3 Close the vent line. Connect the air feed line to the sample port. Open inlet valve #2 and pressurize chamber to approximately 10 psig using the regulator on the pressurized gas source. 12.4.1.4 Turn on the rotor. 12.4.1.5 Open the filtrate line and examine it for water passing through the filtrate tubing. If water is not passing through, increase the chamber pressure to approximately 20 psig. Re-examine the filtrate line for water. If water does not enter the filtrate line at 20 psig, the quality of the seals is acceptable. If water passes into filtrate line, the seals need to be replaced. 12.4.1.6 Close inlet line valve #2 and stop the rotor. Turn off the pressurized gas. Slowly open the vent line valve and bleed excess pressure from the chamber. Disconnect the air feed line and drain water from the chamber. 12.4.1.7 Remove headset from bayonet mount. Open triclover clamp and remove chamber from shaft. Remove the rubber stopper. 12.4.1.8 If the integrity test failed, disassemble the headset and replace the seals (Section 12.4.1.1). Seals do not need to be replaced if they were not compromised at 20 psig. 12.4.1.9 Initial and date the maintenance sheet by the unit to indicate when the integrity test was passed. December 1997 Draft 28 ------- Method 1622 - Draft 12.4.2.2 12.4.2 Membrane cartridge installation 12.4.2.1 Examine the membrane cartridge to ensure that the rubber or cellophane bumper is on the bottom edge of the cartridge and is not twisted or folded over. Soak the membrane cartridge for 0.5 hours in reagent water. Carefully mount the membrane cartridge onto the shaft. Do not touch the membrane surface. You should feel a distinct "click" when the membrane seals. Carefully remove the protective plastic sheet from the membrane. Using caution to ensure that membrane surface is not damaged, insert the membrane into the chamber and seat the headset on the O-ring seal. Before tightening the triclover clamp and adding the magnet cap and ring, ensure that the membrane is centered in the chamber (watch through bottom of chamber while manually rotating drive magnet). If the membrane appears to touch the sides of the chamber, remove the membrane and apply gentle pressure to the bottom of membrane on the side where gap is the greatest. Seal the chamber with the triclover clamp and add the magnet cap and ring. Mount the assembled concentration apparatus in the bayonet mount of the drive unit and attach the tubing (Figure 5). Priming the chamber 12.4.2.3 12.4.3 12.4.4 12.4.5 12.4.3.1 12.4.3.2 Verify that the pressure reservoir contains approximately 1 L of water. Open inlet valve #1, open inlet valve #2, and the vent port, and close the filtrate line valve. Set pump speed to minimum. Begin pumping water from the pressure reservoir slowly, until water begins to enter the chamber. When the water level reaches the top of the chamber, turn off the pump, remove the chamber assembly from the bayonet mount and tilt it to remove any air trapped under the membrane cartridge. Reseat the chamber assembly and continue priming with the pump until all air has cleared the chamber. There should be no more air bubbles in the inlet line. Tighten the clamp to close the vent port. Close inlet valve #2. Attach pump tubing to filtrate port and open filtrate line valve. Connect vent tubing to vent port. Place the level sensor into filtrate tank (optional). Adjust the level sensor in the tank to turn off the unit before the pressure reservoir empties (set to approximately 9 L for a 10 L sample). Remove excess priming water from the pressure reservoir. The apparatus is now ready for sample preparation. Sample preparation 12.4.4.1 12.4.3.3 12.4.3.4 Quantitatively transfer a well-mixed 10-L water sample to be tested into the pressure reservoir. Add oocyst spiking suspension according to Sections 11.5.3 to 11.5.5, if a spiked sample is to be filtered. Connect the regulator and air feed line to pressure reservoir. Close the reservoir lid. Sample concentration 12.4.5.1 Open the inlet valves and the filtrate valve. Set the pump speed to minimum. Turn on the pump and rotor. 12.4.4.2 12.4.4.3 29 December 1997 Draft ------- Method 1622 - Draft 12.4.5.2 Pressurize the reservoir to approximately 6 psig using the regulator on the pressurized gas source. 12.4.5.3 Increase the pump speed to approximately 10 L/hr (167 mL/min). 12.4.5.4 Measure the filtrate rate. If the rate exceeds 10 L/hr, decrease the pump speed. If the rate is below 10 L/hr (only expected for the most turbid raw water samples), increase the pump speed. Record the start time and initial filtrate rate. 12.4.5.5 Concentrate the sample in this mode of operation until the level sensor is tripped by the rising filtrate level. At this point, the pump and rotor will stop automatically. 12.4.5.6 Restart the process by pressing the level sensor override switch. When the last of the sample exits the pressure reservoir, air will begin to enter the concentration chamber through the feed line. When the chamber volume drops to approximately 10 mL (meniscus 5 to 6 cm above bottom of chamber when rotor is on), immediately close inlet valve #2 and stop the pump and rotor. Do not overconcentrate. Turn off the air flow to the pressure reservoir and bleed off excess pressure from the reservoir. (Removal of too much liquid from chamber while membrane rotates could result in erratic rotation and possibly damage membrane or chamber). Fill the reservoir with 1 L of reagent water v/hile rinsing-down all interior surfaces of the reservoir. Run the reagent water through the system. 12.4.6 Backflush and sample collection 12.4.6.1 Slowly open the clamp on the line from the vent port to bleed any residual pressure from the separation chamber. Leave vent line open. 12.4.6.2 With the pump outlet tubing immersed in filtrate, reveirse direction on the pump. Turn on the pump and rotor, and backflush until the concentrate level reaches approximately 50% of the chamber volume. Turn off the pump and rotor. 12.4.6.3 Close the vent line and the filtrate line. Disconnect the inlet tubing with 150 mL glass beaker in position for sample collection. Remove the chamber and tilt it to drain the concentrate from sample port into a beaker. Pour beaker contents into 250-mL conical centrifuge tube calibrated at 5, 10, and 100 mL and triple rinse beaker with reagent water. Open vent line to facilitate drainage. 12.4.6.4 To ensure maximum oocyst recovery, spray approximately 5 mL of reagent water from a laboratory wash bottle onto the chamber and membrane to rinse the cartridge, housing, and immediate inlet line. Add the rinse water to the final concentrate. 12.4.7 Specifications: The membrane must be examined following concentration and must reveal no scoring, nicking, or tearing. If membrane is scored, nicked, or torn, oocyst recoveries may be compromised. 12.4.8 Proceed to Section 13 for concentration and separation (purification), 12.4.9 Cleaning 12.4.9.1 Wash the pressure reservoir, separation chamber, and other non- disposable parts with hot, soapy water. Rinse three times with reagent water. December 1997 Draft 30 ------- Method 1622 - Draft 12.4.9.2 Fill the reservoir with 2 L of hot, soapy hypochlorite solution (minimum of 5%) while rinsing-down all interior surfaces of the reservoir. Run the hypochlorite solution through the system without a membrane cartridge in place. Use a pressurized gas source, but remove the peristaltic pump to increase system flow rate. 12.4.9.3 Fill the reservoir with 1 L or reagent water while rinsing-down all interior surfaces of the reservoir. Run the reagent water through the system without a membrane cartridge in place. Repeat this rinsing process three times. 12.5 Membrane disk filtration (alternate procedure requiring demonstration of performance prior to use) 12.5.1 Assembly of the membrane disk housing (Figure 6) 12.5.1.1 Clean and assemble the PTFE-coated support screen, PTFE gasket, underdrain support, outlet fitting, and legs to the lower plate. Also clean and assemble the inlet fitting, vent valve, and flow deflector to the upper plate. Check to ensure that the support screen and gasket have no scratches or damage that may prevent adequate seating of the housing. Verify that the lower plate and PTFE support screen are dry. Center a drain disk on the PTFE support screen. Center a filter on the drain disk, with shinier side facing up, using forceps or hands protected with non-powdered gloves. Using forceps or gloved hands, smooth the filter until it is centered and lays flat on the drain disk. Apply upper plate and press down firmly on lower assembly. Lift the upper plate and examine the filter, which will adhere to upper plate gasket. The filter should extend beyond gasket around entire perimeter. 12.5.1.4 Tighten a pair of opposing wingnuts simultaneously, then move to the next pair. Several rotations of tightening may be necessary to completely seat the filter housing. Flow rate adjustment 12.5.2.1 12.5.1.2 12.5.1.3 12.5.2 Connect the sampling system minus the filter to a source of reagent water (Figure 3). Turn on the pump and adjust the flow rate to 2.0 L/min. A lesser flow rate may be required for the membrane disk filter. Allow 2 to 10 L of reagent water to flush the system. Adjust the pump speed as required during this period. Turn off the pump when the flow rate has been adjusted and flushing of the system is completed. Install the membrane disk filter in the line, securing the inlet and outlet ends with the appropriate clamps/fittings. Record the sample number, sample turbidity (if not provided with the field sample), and name of analyst collecting the sample the bench sheet and on labels to be attached to the specimen cup and the 250-mL conical centrifuge tube that will hold the membrane disk filter-sample. 12.5.4 Filtration 12.5.2.2 12.5.2.3 12.5.2.4 12.5.3 12.5.4.1 Connect the sampling system to the field carboy of sample water, or transfer the sample water to the lab carboy used in Section 12.5.2.1 31 December 1997 Draft ------- Method 1622 - Draft NOTE: If the field sample is transferred to a lab carboy, the lab carboy must be cleaned and disinfected before it is used with another field sample. 12.5.5 12.5.4.2 12.5.4.3 12.5.4.4 Disassembly 12.5.5.1 12.5.5.2 12.5.5.3 12.5.5.4 Place the drain end of the sampling system tubing into an empty graduated container with a capacity of 10 to 15 L, calibrated at 9.0, 9.5, 10.0,10.5, and 11.0 L (Section 6.17). This container will be used to determine the sample volume filtered. Turn on the pump to start water flow through the filter. Vent residual air using the bleed valve/vent port. Tilt the filter assembly back and forth slowly in several directions to move residual air to the vent port, then vent the air. After the sample has passed through the filter, turn off the pump. Based on the water level in the graduated container (Section 12.5.4.2), record the volume filtered on the bench sheet to the nearest quarter liter. Discard the contents of the graduated container. Disconnect the inlet end of the membrane disk filter assembly while maintaining the level of the inlet fitting above the level of the outlet fitting to prevent backwashing and the loss of oocysts ifrom the filter. Connect a supply of compressed air or nitrogen at < 5 psig from a cylinder, compressor, or portable pump to the inlet fitting and purge the assembly of water. Continue to pump or purge until water no longer flows from the assembly when it is rocked, but do not allow the assembly to dry. Stop the pump or turn off the gas supply and disconnect the tubing from the outlet fitting. Disassemble the inlet plate and O-ring from the remainder of the assembly. Be careful not to disturb the filter. Using the blunt-end forceps, lift one edge of the filter and fold to the opposite side to form a semi-circle. Fold again to form a quarter circle. For 293-mm filters, fold again. NOTE: Avoid touching the sample side of the filter. If sample side is touched, rinse gloves with reagent water into the specimen cup to be used for elution. 12.5.5.5 Pick up the folded filter with the forceps and place into a clean, 125-mL or 250-mL specimen cup (142-mm or 293-mm filter, respectively). Using a squirt bottle of reagent water, rinse the upper plate off into the specimen cup. Add the minimum amount of reagent water to cover the filter. Cap the cup. 12.5.6 Membrane disk filter elution—The oocysts are washed from the membrane disk filter by hand-kneading and sonication 12.5.6.1 Estimate the volume of reagent water in the beaker arid add an aliquot of elution buffer to equal 20% of that volume. 12.5.6.2 Holding the filter with gloved hands, gently knead the filter between the thumb and forefinger in the solution to remove as much material as possible. Unfold the filter and draw the filter through the thumb and December 1997 Draft 32 ------- Method 1622 - Draft forefinger to remove material that had been folded inside. Perform this task for approximately 2 minutes. Place the beaker containing the filter in the sonication bath and sonicate for 1 to 2 minutes. Push the filter below the surface of the solution with a disposable pipette. After sonication, repeat the kneading process (Section 12.5.6.2). Squeeze the excess solution from the membrane filter. Pour the solution into the labeled 250-mL centrifuge tube. Rinse the beaker with 150 mM PBS and add this rinsate to the sample. If a high number of particles are observed in the eluent, repeat the elution process (Section 12.5.6.1 to 12.5.6.4). 12.5.7 Proceed to Section 13 for concentration and separation (purification). 12.5.6.3 12.5.6.4 12.5.6.5 13.0 Sample Concentration and Separation (Purification) 13.1 During concentration and separation, the filter eluate is concentrated through centrifugation, and the oocysts in the sample are separated from other particulates through Dynal immunomagnetic separation (IMS). Alternate procedures, such as ImmuCell IMS, may be used if the laboratory first demonstrates that the quality control acceptance criteria listed in Table 1 are met. Alternate separation procedures are provided in Section 13.4. 13.2 Adjustment of pellet volume 13.2.1 Centrifuge the 250-mL centrifuge tube containing the VFF retentate or capsule or membrane disk filter eluate at 1000 to 1100 x G for 10 to 15 minutes. Allow the centrifuge to coast to a stop. 13.2.2 Record the initial pellet volume (volume of solids) and the date and time that concentration was completed on the bench sheet. Using a Pasteur pipette, carefully aspirate off the supernatant to just above the pellet. 13.2.2.1 If the pellet volume is less than or equal to 0.5 mL, add reagent water to the centrifuge tube to bring the total volume to 10 mL. Vortex the tube for 10 to 15 seconds to resuspend the pellet. Proceed to Section 13.3 (Dynal IMS) or Section 13.5 (ImmuCell IMS). 13.2.2.2 If the pellet volume is greater than 0.5 mL, use the following formula to determine the total volume needed in the centrifuge tube to adjust the pellet to 0.5 mL: total volume (mL) required = pe"et V°'Ume xWmL 0.5 mL Add reagent water to the centrifuge tube to bring the total volume to the level calculated above. Vortex the tube for 10 to 15 seconds to resuspend the pellet. Record this resuspended volume on the bench sheet. Using a Pasteur pipette, reduce the resuspended solution in the tube to a final volume of 10 mL (which will contain 0.5 mL of solids). Proceed to Section 13.3 (Dynal IMS) or Section 13.4 for alternate separation procedures. 13.3 Dynal IMS procedure (adapted from Reference 20.9) 13.3.1 Preparation of reagents 13.3.1.1 Prepare a IX dilution of SL-buffer-A from the 10 X SL-buffer-A (clear, colorless solution) supplied. Use reagent water (demineralized; Section 33 December 1997 Draft ------- Method 1622 - Draft 13.3.1.2 13.3.1.3 13.3.2 Oocyst capture 13.3.2.1 13.3.2.2 13.3.2.3 13.3.2.4 13.3.2.5 13.3.2.6 13.3.2.7 13.3.2.8 13.3.2.9 13.3.2.10 13.3.2.11 13.3.2.12 13.3.2.13 7.3) as the diluent. For every 1 mL of IX SL-buffer-A required, take 100 fjL of 10 X SL-buffer-A and make up to 1 mL with the diluent water. 1 mL of IX SL-buffer-A will be required per sample or subsample on which the Dynal IMS procedure is performed. To a flat-sided sample tube (125 x 16 mm flat-sided Leighton tube) add 1 mL of the 10 X SL-buffer-A (supplied—not the diluted IX SL-buffer-A). Add 1 mL of the 10 X SL-buffer-B (supplied—magenta solution) to the sample tube containing the 10 X SL-buffer-A. Transfer the water sample concentrate from Section 13.2.2 to the sample tube containing the SL-buffer. Label the tube with the sample number. Cap the tube and vortex the Dynabeads® anti-Cryptosporidium for approximately 10 seconds to suspend the beads. Ensure that the beads are fully resuspended by inverting the tube and making sure that there is no residual pellet at the bottom. Add 100 //L of the resuspended beads (Section 13.3.2,2) to the sample tube containing the water sample concentrate and SL-buffer. Affix the sample tube to a rotating mixer and rotate at approximately 25 rpm for 1 hour. After rotating for 1 hour, remove the tube from mixer and place in the magnetic particle concentrator (MPC-1) with flat side of tube toward the magnet. Without removing the tube from the MPC-1, place the: magnet side of the MPC-1 downwards, so the tube is horizontal and the flat side of the Leighton tube is facing down. Gently rock the tube by hand end-to-end through approximately 90°, tilting cap-end and base-end of the tube up and down in turn. Continue the tilting action for 2 minutes with approximately one tilt per second. Ensure that the tilting action is continued throughout this period to prevent binding of low-mass material that is magnetic or magnetizable. If the sample in the MPC-1 is allowed to stand motionless for more than 10 seconds, repeat Section 13.3.2.7 before continuing procedure. Return the MPC-1 to the upright position, tube vertical, with cap at top. Immediately remove cap and decant (pour off) all the supernatant from the tube held in the MPC-1 into a suitable container. Do not shake the tube and do not remove the tube from MPC-1 during this step. Remove the tube from the MPC-1 and resuspend the sample in 1-mL IX SL-buffer-A (prepared from 10X SL-buffer-A stock supplied). Mix very gently to resuspend all material in the tube. Do not vortex. Quantitatively transfer all the liquid from the sample tube to a labeled, 1.5-mL microcentrifuge tube. Place the microcentrifuge in the second magnetic particle concentrator (MPC-M), with magnetic strip in place. Without removing the microcentrifuge tube from MPC-M gently rock/roll the tube through 180° by hand (see Figure 1 in information provided with IMS kit). Continue for approximately 1 minute with approximately one December 1997 Draft 34 ------- Method 1622 - Draft 13.3.2.14 180° roll/rock per second. At the end of this step, the beads and oocysts should produce a well-formed brown dot on the back of the tube. Immediately aspirate the supernatant from the tube and cap held in the MPC-M. If more than one sample is being processed, conduct three 180° rock/roll actions before removing the supernatant from each tube. Take care not to disturb the material attached to the wall of the tube adjacent to the magnet. Do not shake the tube. Do not remove tube from MPC-M while conducting these steps. 13.3.3 Dissociation of beads/oocyst complex 13.3.3.1 Remove the magnetic strip from the MPC-M. 13.3.3.2 Add 100 /^.L of 0.1 N HC1, then vortex for 5 seconds. 13.3.3.3 13.3.3.4 13.3.3.5 13.3.3.6 13.3.3.7 13.3.3.8 Incubate for 5 minutes at room temperature. Vortex for 5 seconds Replace magnetic strip in MPC-M and replace tube in MPC-M. Gently rock the tube end to end through approximately 90°, tilting cap-end and base-end of the tube up and down in turn. Continue the tilting action for 30 seconds with approximately one tilt per second. Remove 12-mm-diameter well slides from the box in the refrigerator and lay the slides on a flat surface for 15 minutes to allow them to warm to room temperature. Add 10 [du of 1.0 N NaOH to a sample well. Transfer all of the sample from the microcentrifuge tube in the MPC-M to the sample well with the NaOH. Do not disturb the beads at the back wall of the tube. 13.3.3.9 Proceed to Section 14 for sample staining. 13.4 Alternate separation procedures NOTE: Alternate separation procedures, such as ImmuCell IMS (Section 13.5) may be used instead ofDynal IMS only if the laboratory demonstrates that the quality control acceptance criteria listed in Table 1 are met. The procedure listed below has been tested on a preliminary basis, but has not been fully validated. 13.5 ImmuCell IMS procedure (adapted from Reference 20.10) (alternate procedure requiring demonstration of performance prior to use) 13.5.1 Oocyst capture procedure 13.5.1.1 13.5.1.2 13.5.1.3 13.5.1.4 13.5.1.5 Transfer the 10-mL sample (Section 13.2.2) into a 50 mL polypropylene conical tube. Packed pellet volume must not exceed 0.5 mL. Add 100 AiL of IMS Reagent A. and 0.5 mL of 20X PBS. Vortex gently. Add 50 {J.L of Cryptosporidium Magnetic Beads to the sample in the 50- mL conical tube and rotate end-over-end for 60 minutes at room temperature. Add 20 mL IMS Reagent B to the bead suspension. Place 100-mm petri dish onto magnet. Place the magnet onto standard orbital shaker and begin rotating at 75 rpm, or agitate on mini-orbital shaker at medium speed. Pour suspension into petri dish and agitate for at 35 December 1997 Draft ------- Method 1622 - Draft 13.5.1.6 least 2 minutes. Magnetic beads should be attached to dish around the circumference of the magnetic disk, while debris remains in suspension. Turn off the orbital shaker. Immediately remove as much supernatant as possible from the edge of the petri dish using a 25 mL pipette and discard. While the petri dish remains on the magnet, gently tilt the dish and carefully remove remaining supernatant, and discard. NOTE: Do not remove any of the magnetic bead pellet when removing the supernatant. 13.5.1.7 Remove the petri dish from the magnet. Use 1 mL of IMS Reagent B (diluted to IX) to rinse the pellet from the petri dish. Pipette reagent over beads repeatedly to ensure ALL beads are rinsed from the dish. Remove bead suspension and place in 1.5-mL microcentrifuge tube. 13.5.1.8 Place the microcentrifuge tube containing the bead suspension in the tube slot in the magnet. Magnetically separate beads from Reagent B for 2 minutes at room temperature. 13.5.1.9 While the tube remains in the slot, completely remove supernatant with 1- mL micropipette. Remove the tube from the slot. 13.5.2 Release of oocysts from magnetic beads 13.5.2.1 Add 50-^L 0.1 N HCL to the tube containing beads. 13.5.2.2 Vortex the tube for 10 seconds on medium setting. Let the tube stand for 5 minutes. Vortex for 10 seconds again. 13.5.2.3 Place the tube in the tube slot in the magnetic device. Magnetically separate for 2 minutes at room temperature. 13.5.2.4 During magnetic separation, remove 12-mm-diameter well slides from the box in the refrigerator and lay the slides on a flat surface for 15 minutes to allow them to warm to room temperature. Prepare one well of a well slide by adding 5 //L of 1.0 N NaOH. 13.5.2.5 Transfer 50 fjL from the sample tube onto the well of the slide prepared in Section 13.5.2.4. 13.5.2.6 Perform a second acid treatment of the magnetic beads to ensure efficient release by repeating Sections 13.5.2.1 to 13.5.2.5. This results in two wells of the well slide containing sample for analysis. 13.5.2.7 Proceed to Section 14 for sample staining. 14.0 Sample Staining 14.1 Prepare positive and negative controls. For the positive control, pipette 10 ^L of positive antigen or 200 to 500 intact oocysts to the center of a well. For the negative control, pipette 75 /J.L of 150 mM PBS into the center of a well and spread it over the well area with a pipette tip. 14.2 Place the well slides containing the samples in a 42°C incubator and evaporate to dryness (approximately 1 to 2 hours). 14.3 Apply 50-fjL of absolute methanol to each well containing the dried sample and allow to air dry for 3 to 5 minutes. 14.4 Follow manufacturer's instructions in preparing dilutions of anti-Cryptosporidium sp. fluorescein- labeled monoclonal antibody (Mab) and overlay the sample well, the positive-control well, and the negative-control well with 50 fjL of fluorescein-labeled Mab. Place the slides in a humid chamber December 1997 Draft 36 ------- Method 1622 - Draft and incubate at 37 °C for approximately 30 minutes. The humid chamber consists of a tightly sealed plastic container containing damp paper towels on which the slides are placed. After 30 minutes, remove the slides and use a clean Pasteur pipette tip attached to a vacuum source to gently aspirate excess fluorescein-labeled Mab from the side of each well. When performing this step, ensure that the vacuum source is at a minimum (<2 in Hg vac.) and ensure that the pipette tip does not scratch the well surface. Apply 65 to 75 //L of 150 mM PBS, pH 7.2, to each well and allow to stand for 1 to 5 minutes, then aspirate the excess PBS. When removing the excess PBS, ensure that the pipette tip does not scratch the well surface. Repeat this washing procedure two more times. Apply 50 yuL of 4',6-diamidino-2-phenylindole (DAPI) solution (1/5000 dilution in PBS, prepared daily by adding 10 (j.L of 2 mg/mL DAPI [Section 7.8.2] to 50 mL of 150 mM PBS) to each well. Allow to stand at room temperature for approximately 2 minutes. Remove the excess DAPI solution by aspiration. Apply 65 to 75 fjL. of 150 mM PBS, pH 7.2, to each well and allow to stand for 1 to 5 minutes, then aspirate the excess PBS. When removing the excess PBS, ensure that the pipette tip does not scratch the well surface. Repeat this washing procedure two more times. Apply a drop of reagent water to each well and allow to stand for approximately 1 minute, then aspirate the excess reagent water. Place the slide in a dry box and allow the slides to stand in the dark for approximately 1 hour at room temperature. The dry box consists of a tightly sealed plastic container with desiccant in the bottom. A paper towel must be placed over the desiccant. Apply 10 pL of mounting medium (60% glycerol, 40% 150 mM PBS) containing an anti-fadant (2% DABCO, or equivalent) to the center of each well. Place a 22 x 50 mm coverslip on each three-well microscope slide and gently depress the coverslip at the edges. Use a tissue to remove excess mounting fluid from the edges of the coverslip and then seal the edges of the coverslip onto the slide using clear nail polish. Record the date and time that staining was completed on the bench sheet. Store slides in a dry box, in the dark, until ready for examination. 15.0 Examination Scanning technique: Scan each well in a systematic fashion. An up-and-down or a side-to-side scanning pattern may be used (Figure 7). Examination and confirmation using immunofluorescence assay (FA), 4',6-diamidino-2- phenylindole (DAPI) staining characteristics, and differential interference contrast (D.I.C.) microscopy. Record examination and confirmation results on the Cryptosporidium report form. 15.2.1 If the positive control contains oocysts within the expected range and at the appropriate fluorescence for both FA and DAPI, and the negative control does not contain any oocysts (Section 14.1), use epifluorescence to scan the entire coverslip for each sample at not less than 200X total magnification for apple-green fluorescence of oocyst shapes. 15.2.2 When brilliant apple-green fluorescing ovoid or spherical objects 4 to 6 /^m in diameter are observed with brightly highlighted edges, switch the microscope to the UV filter block for DAPI, then to D.I.C. 14.5 14.6 14.7 14.8 14.9 14.10 14.11 14.12 14.13 15.1 15.2 37 December 1997 Draft ------- Method 1622 - Draft (b) (c) 1 5.2.2.1 Using the UV filter block for DAPI, the object will exhibit one of the following characteristics if it is a Cryptosporidium oocyst: (a) Up to four distinct, sky-blue nuclei within a single oocyst (b) Oocysts with intense blue internal staining (c) Oocysts with light blue internal staining (no distinct nuclei) (a) and (b) are recorded as DAPI +; (c) is recorded as DAPI -. 1 5.2.2.2 Using D.I.C., look for external or internal morphological characteristics atypical of Cryptosporidium oocysts (e.g., spikes, stalks, appendages, pores, one or two large nuclei filling the cell, red fluorescing chloroplasts, crystals, spores, etc.) (adapted from Reference 20.6). 1 5.2.2.2.1 If atypical structures are not observed, then categorize each apple-green fluorescing object as: (a) An empty Cryptosporidium oocyst A Cryptosporidium oocyst with amorphous structure A Cryptosporidium oocyst with internal structure (one to four sporozoites/oocyst) Record the shape and measurements to the nearest 0.5 jum at 1000X total magnification for each such object. Although not a defining characteristic, surface oocyst folds may be observed in some specimens. 1 5.2.2.2.2 For each oocyst, record the number of sporozoites observed. Cryptosporidium oocysts with sporozoites must be confirmed by a principal analyst/supervisor. Record the date and time that sample examination and confirmation was completed on the report form. 16.0 Analysis of Complex Samples 16.1 Some samples may contain high levels (>1000/L) of oocysts and/or interfering organisms, substances, or materials. Some samples will not filter (Section 12); others will not allow separation of the oocysts from the retentate or eluate; and others may contain materials that preclude or confuse microscopic examination. In these cases, dilute the original sample and filter and analyze 10 L of the diluted sample. If the sample is diluted at any step during analysis, the laboratory must record the original and final volumes and the volume analyzed. 1 6.2 If the sample holding time has not been exceeded and a full 10-L sample cannot be filtered, dilute an aliquot of sample to 10 L with reagent water and filter this smaller aliquot (Section 12). This dilution must be recorded and reported with the results. 1 6.3 If the holding times for the sample and for microscopic examination of the cleaned up retentate/eluate have been exceeded, the site must be re-sampled. 17.0 Method Performance 1 7.1 Expected method performance data are shown in Table 1 . These data are based on two single- laboratory validation studies. 17.2 Results from collaborative field and laboratory studies will be used to calculate statements of overall single-operator precision and bias and interlaboratory precision and bias. These statements will be presented in tables added to this method. December 1997 Draft 38 ------- Method 1622 - Draft 18.0 Pollution Prevention 18.1 The solutions and reagents used in this method pose little threat to the environment when recycled and managed properly. Solutions and reagents should be prepared in volumes consistent with laboratory use to minimize the volume of expired materials to be disposed. 18.2 19.0 Waste Management 19.1 It is the laboratory's responsibility to comply with all federal, state, and local regulations governing waste management, particularly the biohazard and hazardous waste identification rules and land disposal restrictions, and to protect the air, water, and land by minimizing and controlling all releases from fume hoods and bench operations. Compliance with all sewage discharge permits and regulations is also required. Samples, reference materials, and equipment known or suspected to have viable oocysts attached or contained must be sterilized prior to disposal. For further information on waste management, consult "The Waste Management Manual for Laboratory Personnel" and "Less is Better: Laboratory Chemical Management for Waste Reduction," both available from the American Chemical Society's Department of Government Relations and Science Policy, 1155 16th Street N.W., Washington, D.C. 20036. 19.2 19.3 20.0 20.1 20.2 20.3 20.4 20.5 20.6 20.7 20.8 20.9 20.10 References Rodgers, Mark R., Flanigan, Debbie J., and Jakubowski, Walter, Applied and Environmental Microbiology 6J.(10), 3759-3763 (October 1995). Fleming, Diane O., et al. (eds.), Laboratory Safety: Principles and Practices, 2nd edition. 1995. ASM Press, Washington, DC "Working with Carcinogens," DHEW, PHS, CDC, NIOSH, Publication 77-206, (Aug 1977). "OSHA Safety and Health Standards, General Industry," OSHA 2206, 29 CFR 1910 (Jan 1976). "Safety in Academic Chemistry Laboratories," ACS Committee on Chemical Safety (1979). ICR Microbial Laboratory Manual, EPA/600/R-95/178, National Exposure Research Laboratory, Office of Research and Development, U.S. Environmental Protection Agency, 26 Martin Luther King Drive, Cincinnati, OH 45268. "Envirochek™ Sampling Capsule," PN 32915, Gelman Sciences, 600 South Wagner Road, Ann Arbor, MI 48103-9019 (September 1996). "Concentration of Water by Vortex Flow Filtration," Document Number WDX-MAN/DOC-120, Effective 5/8/97, ImmuCell Corporation, 56 Evergreen Drive, Portland, Maine 04103 (May 1997). "Dynabeads® anti-Cryptosporidium Prototype Procedure, Second Revision," Dynal Microbiology R&D, P.O. Box 8146 Dep., 0212 Oslo, Norway (May 1997). "Cryptosporidium-Giardia Combo IMS Procedure," Effective 10/1/97, ImmuCell Corporation, 56 Evergreen Drive, Portland, Maine 04103 (October 1997). 39 December 1997 Draft ------- Method 1622 - Draft 21.0 Tables and Figures NOTE: All acceptance criteria listed in Table 1 were generated through two, single-laboratory validation studies using capsule filtration andDynal immunomagnetic separation. Table 1. Quality control acceptance criteria for performance tests for Performance test Initial precision and recovery (Section 9.4) Precision (as maximum relative standard deviation) Recovery (percent) Ongoing precision and recovery (Section 9.7) (percent) Matrix spike recovery (Section 9.5) (percent) Acceptance criteria 29 15-88 14-95 8-127 December 1997 Draft 40 ------- Method 1622 - Draft 1 mm 1/5 mm D B Figure 1. Hemacytometer platform ruling. Squares 1, 2, 3, and 4 are used to count stock suspensions of Cryptosporidium oocysts (after Miale, 1967) 41 December 1997 Draft ------- Method 1622 - Draft O _CL O D D O O Figure 2. Manner of counting Cryptosporidium oocysts in 1 square mm. Dark oocysts are counted and light oocysts are omitted, (after Miale, 1967) December 1997 Draft 42 ------- Method 1622 - Draft capsule filter sample membrane disk filter flow controller drain Figure 3. Laboratory filtration system for capsule filter or membrane disk filter 43 December 1997 Draft ------- I Method 1622 - Draft cap ring magnet cap nut washer magnet- thin o-ring shaft carrier bearings housing thick o-ring upper rubber seal headcap driveshaft lower rubber seal driveshaft o-ring Figure 4. Vortex-flow filter concentrator drive assembly December 1997 Draft 44 ------- MetfiocfT622- Draft sample feed line pressurized gas source level sensor beaker Figure 5. Vortex-flow filter system 45 December 1997 Draft ------- r Method 1622 - Draft inlet vent valve upper plate diffuser filter — drain disk support screen PTFE gasket support lower plate outlet Figure 6. Membrane disk filter assembly December 1997 Draft 46 ------- Method 1622 - Draft Figure 7. Methods for scanning a well slide 47 December 1997 Draft ------- Method 1622 - Draft 22.0 Glossary of Definitions and Purposes These definitions and purposes are specific to this method but have been conformed to common usage as much as possible. 22.1 Units of weight and measure and their abbreviations 22.1.1 Symbols °C degrees Celsius //L microliter < less than > greater than % percent 22.1.2 Alphabetical characters cm centimeter g gram G acceleration due to gravity hr hour ID inside diameter in. inch L liter m meter mg milligram min minute mL milliliter mm millimeter mM milliMole N normal; gram molecular weight of solute divided by hydrogen equivalent of solute, per liter of solution OD outside diameter psig pounds-per-square-inch gauge qt quart s second sr standard deviation of recovery v/v volume per unit volume w/v weight per unit volume X average percent recovery 22.2 Definitions, acronyms, and abbreviations (in alphabetical order). Analyst—The analyst must have two years of college lecture and laboratory course work in microbiology or a closely related field. The analyst also must have at least 6 months bench experience, must have at least 3 months experience with FA techniques, and must have successfully analyzed at least 50 water and/or wastewater samples for Cryptosporidium. Six months of additional experience in the above areas may be substituted for two years of college. In addition, the analyst must have analyzed a minimum of one PE sample for C,ryptosporidium, and results must have fallen with acceptance limits. The analyst must also demonstrate acceptable performance during an on-site evaluation. Analyte—A protozoan parasite tested for by this method. The analyte in this method is Cryptosporidium. December 1997 Draft 48 ------- Method 1622 - Draft Field blank—An aliquot of reagent water or other reference matrix that is placed in a sample container in the laboratory or the field, and treated as a sample in all respects, including exposure to sampling site conditions, storage, and all analytical procedures. The purpose of the field blank is to determine if the field or sample transporting procedures and environments have contaminated the sample. Immunomagnetic separation (IMS)—A purification method that uses microscopic, magnetically responsive particles coated with an antibodies targeted to react with a specific pathogen in a fluid stream. Pathogens are selectively removed from other debris using a magnetic field. Initial precision and recovery (IPR)—four aliquots of oocyst spiking suspension analyzed to establish the ability to generate acceptable precision and accuracy. An IPR is performed prior to the first time this method is used and any time the method or instrumentation is modified. Laboratory blank—See Method blank. Laboratory control sample (LCS)—See Ongoing precision and recovery (OPR) standard. Laboratory reagent blank—See Method blank. Matrix spike (MS)—A sample prepared by adding a known quantity of organisms to a specified amount of sample matrix for which an independent estimate of target analyte concentration is available. A matrix spike is used to determine the effect of the matrix on a method's recovery efficiency. May—This action, activity, or procedural step is neither required nor prohibited. May not—This action, activity, or procedural step is prohibited. Method blank—An aliquot of reagent water that is treated exactly as a sample including exposure to all glassware, equipment, solvents, procedures that are used with samples. The method blank is used to determine if analytes or interferences are present in the laboratory environment, the reagents, or the apparatus. Minimum level (ML)—The level at which the entire analytical system must give a recognizable signal and acceptable calibration point for the analyte. It is equivalent to the concentration of the lowest calibration standard, assuming that all method-specified sample weights, volumes, and concentration and separation procedures have been employed. Must—This action, activity, or procedural step is required. Negative control—See Method blank Nucleus—A membrane-bound organelle containing genetic material. Nuclei are a prominent internal structure seen both in Cryptosporidium oocysts. In Cryptosporidium oocysts, there is one nucleus per sporozoite. Oocyst—The encysted zygote of some sporozoa; e.g., Cryptosporidium. The oocyst is a phase or form of the organism produced as a normal part of the life cycle of the organism. It is characterized by a thick and environmentally resistant outer wall. 49 December 1997 Draft ------- Method 1622 - Draft Ongoing precision and recovery standard (OPR)—a method blank spiked with known quantities of analytes. The OPR is analyzed exactly like a sample. Its purpose is to assure that the results produced by the laboratory remain within the limits specified in this method for precision and recovery. Positive control—See Ongoing precision and recovery standard Preferred—Optional Preparation blank—See Method blank. Primary dilution standard—A solution containing the specified analytes that is purchased or prepared from stock solutions and diluted as needed to prepare calibration solutions and other solutions. Principal analyst/supervisor—The principal analyst/supervisor must be an experienced microbiologist with at least a B.A./B.S. in microbiology or a closely related field. The principal analyst also must have at least 1 year of continuous bench experience with immunofluorescent antibody (FA) techniques and microscopic identification and have analyzed at least 100 water and/or wastewater samples for Cryptosporidium. The principal analyst/ supervisor must demonstrate acceptable performance during an on-site evaluation. PTFE—Polytetrafluoroethylene Quality control check sample (QCS)—A sample containing all or a subset of l:he analytes at known concentrations. The QCS is obtained from a source external to the laboratory or is prepared from a source of standards different from the source of calibration standards. It is used to check laboratory performance with test materials prepared external to the normal preparation process. Quantitative transfer—the process of transferring a solution from one container to another using a pipette in which as much solution as possible is transferred, followed by rinsing of the walls of the source container with a small volume of rinsing solution (e.g., reagent water), followed by transfer of the rinsing solution, followed by a second rinse and transfer. Reagent water—water demonstrated to be free from the analytes of interest arid potentially interfering substances at the method detection limit for the analyte. Relative standard deviation (RSD)—The standard deviation times 100 divided by the mean. RSD—See Relative standard deviation. Should—This action, activity, or procedural step is suggested but not required. Sporozoite—A motile, infective stage of certain protozoans; e.g., Cryptosporidium. There are four sporozoites in each Cryptosporidium oocyst, and they are generally banana-shaped. Stock suspension—A suspension containing an analyte that is prepared using a reference material traceable to EPA, the National Institute of Science and Technology (NIST), or a source that will attest to the purity and authenticity of the reference material. Technician—The technician filters samples using VFF and filters, performs centrifugation, elution, concentration, and purification using MS, and places the purified retentates on slides for December 1997 Draft 50 ------- Method 1622 - Draft microscopic examination, but does not perform microscopic protozoan detection and identification. The technician must have at least three months of experience in filter extraction and processing of protozoa samples. Vortex-flow filtration (VFF)—Filtration technology in which water is passed through a cylindrical membrane filter rotating at high speed within an outer jacket. Rotation of the membrane creates waves of turbulence, known as Taylor's vortices, which continuously "scrub" the surface of the membrane, preventing blockages. 51 December 1997 Draft ------- ------- ------- ------- ------- ------- |