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Test Code GRAM Gram Stain

Important Note

Gram stains are included with the following culture orders: wound (aerobic), anaerobic, CSF, ear, eye, fluid, genital, and respiratory cultures.

Infectious

Additional Codes

EPIC LAB4538

Purpose

A Gram stain aids in the presumptive diagnosis of the illness, and it gives preliminary classification of the causative agent. The chemical mechanism of Gram differentiation is based on the differential cell wall permeability to the Crystal Violet-Iodine complex. The Gram stain yields a specimen in which the Gram-positive organisms are blue-purple and the Gram-negative organisms are pink to red.

Methodology

Gram stain with microscopic examination

Sample Type

  • Blood
  • Bronchoalveolar liquid (BAL)
  • Cerebrospinal fluid (CSF)
  • Feces
  • Sputum
  • Vaginal swab
  • Urine
  • Wounds

Specimen Stability

Temperature Time
Ambient (18-25°C) Varies
Refrigerated (2-8°C) Varies
Frozen (-15 to -20°C) Varies

 

Result Reporting

# seen per oil immersion field Quantitation Report
<1 Rare 1+
1-5 Few 2+
5-30 Moderate 3+
>30 Many 4+

 

Rejection Criteria

  • Samples outside stability limits
  • Samples not properly labeled (2 patient identifiers required)

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Microbiology

CPT Code

87205

LOINC

664-3 Microscopic observation Gram stain Nom (Specimen)