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Gram Stain

Gram Stain

Staining

Gram stain, devised by histologist Christian Gram (1884), differentiates bacteria into two groups:

  • Gram-positive: Appears violet (Resist decolorisation and retain the primary stain).
  • Gram-negative: Appears red (Discolorized by organic solvent and takes the the secondary stain).

Theories for the difference in staining:

  • Gram-positive cells have more acidic protoplasm, hence retain the primary dye more strongly.
  • The cell wall in Gram-positive cells is entirely made up of thick peptidoglycan layer (15-80 nm), thus retains the dye-iodine complex.
  • The high lipid content of Gram-negative bacteria makes them permeable to secondary dye after decolorisation with organic solvents.

Method of Gram Staining


  1. Primary staining is done with a para-rosaniline dye such as crystal violet, methyl violet or gentian violet.
  2. A dilute solution of iodine is applied, so that primary dye-iodine complex is formed.
  3. Decolorisation with an organic solvent such as ethanol, acetone or aniline.
  4. Counterstaining with a secondary dye of contrasting color such as carbol fuchsin, safranine or neutral red.

Gram-positive Bacilli


  • Corynebacteria.

  • Bacillus anthracis (Gram-variable, tends to be decolorised easily).

  • Clostridium.

  • Eubacterium.

  • Propionibacterium.

  • Lactobacillus.

  • Mobiluncus.

  • Actinomycetes (filamentous)

    • Anaerobic : Actinomyces, Arachnia, Bifidobacterium, Rothia.
    • Aerobic : Nocardia, Actinomadura, Dermatophilus, Streptomyces.

Gram-positive Cocci


  • Staphylococci.
  • Streptococci.
  • Peptostreptococcus.
  • Peptococcus.

Gram-negative Bacilli


  • Bacteroides.

  • Prevotella.

  • Porphyromonas.

  • Fusobacterium.

  • Leptotrichia.

  • Enterobacteriaceae :

    • Escherichia coli, Shigella.
    • Salmonella.
    • Citrobacter.
    • Klebsiella, Enterobacter.
    • Proteus.
    • Yersinia.
  • Vibrio cholerae.

  • Pseudomonas.

  • Haemophilus.

  • Pasteurella.

  • Francisella.

  • Bordetella.

  • Brucella.

  • Listeria monocytogenes.

  • Helicobacter pylori (spiral rod).

  • Rickettsia, Orientia and Ehrlichia.

  • Bartonella.

Gram-negative Cocci


  • Nisseria.
  • Veillonella.
  • Moraxella catarrhalis.
  • Coxiella burnetii (cocobacillus)

Points to Note


  • Gram-positive and gram-negative bacterias differ significantly in several properties such as structure, growth requirements, pathogenicity and susceptibility to antibiotics.
  • Decolorisation is not full proof, as inadequate decolorisation may cause all cells to appear gram-positive and even gram-positive cells may be decolorised on prolonged treatment with the organic solvent.
  • Gram-positive bacteria may become gram-negative when their cell wall is damaged.

References


*This article is an excerpt from the above mentioned book and Medical Sutras does not make any ownership or affiliation claims.