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Gram Stain

2 min read

INTRODUCTION

The Gram stain is a differential staining technique used to classify bacteria into two major groups – Gram positive and Gram negative – based on properties of their cell walls. It can provide rapid diagnostic information about the causative agent of an infection. The test differentiates bacteria by exploiting the ability of Gram positive bacteria to retain the crystal violet dye after treatment with a decolorizing agent.

Test Catageory
فئة التحليل

Microbiology

Refrence Books
كتب مراجع

1. Bailey & Scott’s Diagnostic Microbiology
2. Laboratory Manual and Workbook in Microbiology

Skills Required
المهارات المطلوبة

1. Smear preparation
2. Staining technique
3. Decolorization control
4. Microscope operation
5. Organism identification

Video Resources
مصادر فيديو

Resource 1
Resourse 2
عربي

Principle

The primary stain crystal violet penetrates all bacterial cell walls. The addition of a mordant reinforces the crystal violet stain. The decolorizing agent removes the dye from Gram negative bacteria but not from Gram positive bacteria. A secondary counterstain is applied that will stain Gram negative bacteria but not those retaining crystal violet.

Solutions & Equipments

1. New, clean slides
2. Sterile inoculation loops
3. Crystal violet stain
4. Gram’s iodine
5. Decolorizer
6. Safranin counterstain
7. Light microscope

Sample Type

Pus
Sputum
Cerebrospinal fluid
Tissue biopsies
Body fluids

Procedure

1. Prepare a thin smear on a new, clean slide and allow to air dry completely
2. Heat fix smear
3. Flood slide with crystal violet for 1 minute
4. Gently rinse with water
5. Flood slide with Gram’s iodine for 1 minute
6. Decolorize with alcohol-acetone solution for 10-20 seconds
7. Gently rinse with water
8. Counterstain with safranin for 45-60 seconds
9. Gently rinse with water and allow to air dry
10. Examine slide under microscope using oil immersion lens
– Gram positive organisms will appear purple
– Gram negative organisms will appear pink or red

Results

Identification of Gram positive bacteria (purple) or Gram negative bacteria (red/pink) under the microscope.
Interpretation
Positive: Presence of Gram positive or Gram negative bacteria aids in diagnosis and identifies appropriate antimicrobial therapy based on organism type.
Negative: A negative stain does not definitively rule out presence of organisms. Repeat testing or culture may be indicated.

Notes: 

– Use known positive and negative control organisms to ensure proper decolorization and staining.
– Do not over-decolorize, as Gram positive organisms may appear Gram negative.
– Check microscope and immersion oil quality.
– Take precautions when handling potential pathogenic cultures.

Quick Notice

M. Sulieman

mohammad@mlsgaate.com

The primary stain crystal violet penetrates all bacterial cell walls. The addition of a mordant reinforces the crystal violet stain.

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