Gram Stain
Test Code
Clinical Significance
Gram Stain - The gram stain is a rapid, preliminary test to assess the quality of specimens, identify bacterial infections, and to guide the initial antibacterial therapy.
Test Resources
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Test Details
Preferred Specimen(s)
3 mL or 2 grams body fluids, CSF, lower respiratory tract specimens, urine or fresh (unfixed) tissue collected in a sterile leak-proof container
1 mL or 1 swab wound, exudates, aspirates, lesion material or ocular specimens collected in a sterile leak-proof container, Amies liquid, Amies gel swab transport system, Stuarts, ESwab, or Port-A-Cul™.
Slides are also acceptable.
Alternative Specimen(s)
3 mL stool collected in a sterile, leak-proof container
Minimum Volume
1 mL • 1 gram • 1 swab • 1 slide
Collection Instructions
Specimen requirement: Primary specimen from any source in sterile leak-proof container or heat-fixed or methanol-fixed smear in a slide folder. Tissues or brushes in transport medium or in a small amount of sterile saline are acceptable. Stool will only be examined for campylobacter. If culture is requested second swab must be submitted.
Transport Container
Body fluids, CSF, lower respiratory secretions, urine, tissue
Sterile leak-proof container (preferred), slide (acceptable)
Wound, exudates, aspirates, lesion material, ocular specimens
Sterile leak-proof container, Amies liquid, gel swab transport system, Stuarts, ESwab, or Port-A-Cul™ (preferred), slide (acceptable)
Transport Temperature
All specimens other than stool: Room temperature
Stool: Refrigerated (cold packs)
Specimen Stability
- CSF
- Room temperature: 48 hours
- Refrigerated: Unacceptable
- Frozen: Unacceptable
- Stool
- Room temperature: Unacceptable
- Refrigerated: 48 hours
- Frozen: Unacceptable
- Port-A-Cul™
- Room temperature: 72 hours
- Refrigerated: 72 hours
- Frozen: Unacceptable
- All other specimen types
- Room temperature: 48 hours
- Refrigerated: 48 hours
- Frozen: Unacceptable
Reject Criteria
Smears with cytology fixatives • Broken slides
Setup Schedule
1 mL or 1 swab wound, exudates, aspirates, lesion material or ocular specimens collected in a sterile leak-proof container, Amies liquid, Amies gel swab transport system, Stuarts, ESwab, or Port-A-Cul™.
Slides are also acceptable.
Sterile leak-proof container (preferred), slide (acceptable)
Wound, exudates, aspirates, lesion material, ocular specimens
Sterile leak-proof container, Amies liquid, gel swab transport system, Stuarts, ESwab, or Port-A-Cul™ (preferred), slide (acceptable)
Stool: Refrigerated (cold packs)
Room temperature: 48 hours
Refrigerated: Unacceptable
Frozen: Unacceptable
Stool
Room temperature: Unacceptable
Refrigerated: 48 hours
Frozen: Unacceptable
Port-A-Cul™
Room temperature: 72 hours
Refrigerated: 72 hours
Frozen: Unacceptable
All other specimen types
Room temperature: 48 hours
Refrigerated: 48 hours
Frozen: Unacceptable