Gram Stain Overview and Procedure

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Questions and Answers

What distinguishes gram-positive bacteria from gram-negative bacteria in a Gram stain?

  • Gram-positive bacteria have a higher lipid concentration.
  • Gram-negative bacteria retain the primary dye.
  • Gram-negative bacteria have more crystal violet.
  • Gram-positive bacteria have a thick peptidoglycan layer. (correct)

The Gram stain uses a single dye to differentiate between bacterial types.

False (B)

What is the role of iodine in the Gram stain procedure?

Iodine acts as a mordant, fixing the crystal violet dye complex in the cell wall.

Gram-negative bacteria take on a _______ color after the counter stain is applied.

<p>pink</p> Signup and view all the answers

Which antibiotic is more effective against gram-positive bacteria and why?

<p>Penicillin, because it prevents crosslinking of peptidoglycan. (A)</p> Signup and view all the answers

The Gram stain is advantageous over a simple stain because it provides more specific information about bacterial types.

<p>True (A)</p> Signup and view all the answers

What happens to gram-negative bacteria during the decolorization step?

<p>They lose the primary dye and become colorless.</p> Signup and view all the answers

Match the components of the Gram stain with their functions:

<p>Crystal Violet = Primary stain Safranin = Counter stain Iodine = Mordant Decolorizer = Removes primary dye from gram-negative bacteria</p> Signup and view all the answers

What color do gram-positive organisms appear after decolorization and counterstaining?

<p>Purple (C)</p> Signup and view all the answers

Acetone is the slowest decolorizing agent used in Gram staining.

<p>False (B)</p> Signup and view all the answers

What may cause false Gram-stain readings in aged bacterial cultures?

<p>Disintegration of the cell wall</p> Signup and view all the answers

The Gram stain is particularly useful in the _________ laboratory.

<p>microbiology</p> Signup and view all the answers

Match the following decolorizing agents with their speed:

<p>95% ethyl alcohol = Slowest Acetone = Fastest Acetone-alcohol mixture = Intermediate speed Gram's iodine = Not a decolorizer</p> Signup and view all the answers

What term is used to describe gram-positive cells that appear falsely gram-negative due to aging?

<p>Gram-variable (C)</p> Signup and view all the answers

What is the purpose of using Gram's iodine in the staining procedure?

<p>It acts as a mordant to form a complex with crystal violet.</p> Signup and view all the answers

Over-decolorization leads to a potentially false Gram-stain reading.

<p>True (A)</p> Signup and view all the answers

Flashcards

Gram Stain

A differential stain that uses four reagents to categorize bacteria into two groups based on cell wall composition.

Gram-Positive Bacteria

Bacteria that retain the primary dye (crystal violet) during the Gram stain procedure, appearing purple.

Gram-Negative Bacteria

Bacteria that lose the primary dye (crystal violet) during the Gram stain procedure and take up the counterstain (safranin), appearing pink.

Peptidoglycan

The thick, complex layer of peptidoglycan in the cell wall of gram-positive bacteria.

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Mordant

A chemical that fixes a dye to a substance by forming an insoluble compound.

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Decolorizer

A solution used in the Gram stain to wash away the primary dye from gram-negative bacteria.

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Counterstain

The red dye used in the Gram stain to stain the decolorized gram-negative bacteria.

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Why is Gram staining important in clinical diagnosis?

Gram stain is important in differentiating bacteria, which helps guide antibiotic treatment and diagnose infections.

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Mordant (in Gram staining)

A solution used after the initial dye to fix the stain and make it more permanent. In the Gram stain, iodine acts as a mordant, increasing the affinity of the crystal violet for the cell wall.

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Decolorization (in Gram staining)

The process of removing excess stain from a slide to differentiate between cells based on their ability to retain the initial dye. In the Gram stain, decolorization is done with alcohol or acetone.

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Counterstain (in Gram staining)

A solution used after decolorization to provide a contrasting color to Gram-negative bacteria, making them visible under the microscope. In the Gram stain, a red or pink dye is used as a counterstain.

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Gram-variable bacteria

Gram-variable bacteria show a mixed staining pattern, appearing both gram-positive and gram-negative, possibly due to aging or disruption of the cell wall.

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Over-decolorization

Over-decolorization occurs when the slide is exposed to decolorizing agent for too long, leading to a false gram-negative result even for gram-positive cells. It can wash away the initial dye, causing inaccurate identification.

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Study Notes

Gram Stain

  • The Gram stain is a differential stain, using four reagents, based on differences in bacterial cell walls.
  • Gram-positive bacteria retain crystal violet, appearing purple.
  • Gram-negative bacteria lose the crystal violet, taking up a counterstain (like safranin), appearing pink.

Learning Objectives

  • Explain two key differences between the cell walls of gram-positive and gram-negative bacteria.
  • Recognize the Gram stain's importance in clinical diagnosis.
  • Identify a step in the Gram stain procedure that can be omitted and why.
  • Explain why some antibiotics (e.g., penicillin) are more effective against gram-positive bacteria.
  • Compare the Gram stain's advantages to a simple stain.

Gram Stain Procedure

  • Stain a smear with crystal violet, allow to stand for 1 minute (check with instructor).
  • Cover the slide with Gram's iodine (a mordant). Leave for 1 minute.
  • Wash off with tap water.
  • Decolorize with 95% ethyl alcohol, dropwise until no more color washes off.
  • Wash off with tap water.
  • Apply safranin (the counterstain). Let sit for 1 minute.
  • Wash off with tap water.
  • Drain and blot with bibulous paper, air dry the slide.
  • Examine the preparation under the microscope.

Gram Stain Variations

  • The concentration of dyes, staining time, and decolorizer composition affect the method.
  • 95% ethyl alcohol is commonly used in staining. Sometimes acetone or an acetone-alcohol combination are used for faster decolorization.
  • Variations in the decolorization process are a crucial part of successful staining.

Gram Stain Results

  • Gram staining analyzes and determines the colour, shape, and type of microscopic organisms.

Gram Cell Wall Differences

  • Gram-positive cell walls have a thick peptidoglycan layer which traps the crystal violet-iodine complex.
  • Gram-negative cell walls have a thin peptidoglycan layer and an outer membrane with high lipid content. The lipids dissolve in the decolorizer, removing the crystal violet-iodine complex.

Gram Variable Bacteria

  • Bacteria that change Gram stain reactions as they age or are exposed to antimicrobial agents.
  • Age, incubation time, and specimen processing are factors that can affect the outcome of a Gram stain. A bacterial culture from a collection longer than 24-48 hours may lead to inaccurate readings.

Gram Stain Materials

  • 24-hour agar cultures (Staphylococcus epidermidis, Enterococcus faecalis, Neisseria sicca, Saccharomyces cerevisiae, Bacillus subtilis, Escherichia coli, Proteus vulgaris)
  • Light suspension of 1 or more species.
  • Simulated pus/clinical specimen from a wound.
  • Microscopes
  • Stains and Solutions: Crystal Violet, Gram's Iodine, 95% Ethyl alcohol, Safranin, Hucker's crystal violet
  • Slides, slide labels
  • Staining racks
  • Bibulous paper

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