Test Code GRAM Gram Stain

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)