Lab
Gram Stain
search
Gram Stain
, Gram Positive, Gram Negative
See Also
Gram Positive Bacteria
Gram Negative Bacteria
Indications
Evaluation of suspected
Bacterial Infection
(e.g. acute
Urethritis
,
Pelvic Inflammatory Disease
,
Pneumonia
)
Specimens
Infected body fluids
Aspirated abscesses
Exudates
Technique
Thin smear of material spread on slide
Allow slide to air dry
Fix material onto the slide
Place side on warmer at 70 degrees Celsius or
Pass slide through Bunsen
Burner
flame 3-4 times
Overlay the slide with crystal violet (blue dye) for 1 minute
Wash slide thoroughly with water
Overlay slide with Gram
Iodine
and wait for 1 minute
Wash slide thoroughly with water
Flood slide surface with decolorizer (acetone-
Alcohol
)
Perform until no violet color washes off slide
May require up to 10 seconds
Wash slide completely with water
Overlay smear with safranin counterstain (red dye) and wait for 1 minute
Wash slide thoroughly with water
Allow excess water to run off slide
Allow slide to air dry or blot with bibulous paper
Examine under high power (100x) oil immersion
Interpretation
Gram Positive (Stains dark blue to purple)
Bacteria
l cells that absorb and retain crystal violet (blue stain)
Gram Positive Bacteria
have a thick peptidoglycan cell wall layer that retains the blue stain
Gram Positive Cocci
(e.g. Staphylococcal and Streptococcal organisms)
Gram Negative (Stains pink to red)
Bacteria
l cells that fail to retain crystal violet (blue stain), will instead absorb safranin (red stain)
Gram Negative organisms have a relatively thin peptidoglycan cell wall layer
Unlike
Gram Positive Bacteria
, the crystal violet (blue dye) is washed off with acetone-
Alcohol
rinse
Gram Negative Rod
s (e.g.
Enterobacteriaceae
)
Gram Negative Coccobacilli
References
Gulick (1983) Med Clin North Am 67:39-55 [PubMed]
Type your search phrase here